motor control type of data. I've published many scientific articles and conference publications. I'm full-time clinical faculty member at Miami University in Ohio. I still have a private practice with my wife who's also a chiropractic. I'm in the office about one to two hours each day; just enough to keep my hands busy and active in chiropractic practice. I'm also the founder of chiropracticscience.com. As an overview, I hear questions all the time of what is exactly evidence-based practice, and there are definitions for these. One of the common ones is that evidence-based practice incorporate the best research evidence with individual clinical expertise and patient choice or values. One thing I want to poke on a little bit before we get into the rest of the presentation is that a lot of people lately, it seems to me, really hone in on the research evidence. As a researcher, I like that, but we can't forget that we need to incorporate clinical expertise and patient values as well into this evidence-based practice. There are many conditions, whether it be viewing from a chiropractic perspective or a medical doctor perspective where we just don't have great evidence. We need to rely on our clinical expertise and the values and choices of our patients. That's all considered part of evidence-based practice. Why is this so important? Patient, payers, and chiropractors as well want care that's effective. Patients want to be safe as possible, and we want our care to be efficient as well. What are the barriers to evidence-based practice? There are many. There have been a few studies that have actually surveyed chiropractors and found that lack of research relevance, so, in other words, the study findings didn't seem to be relevant to the chiropractors who practice, a lack of time to try to implement evidence-based skills, and then simply insufficient skills for looking at and appraising the research that's already out there. As Dr. Hoffman said, there's a lot of excellent science out there already. When I talk to chiropractors, that's one of the things that I get is they try to compared us to other field, for example, medicine, when it deal with the spine in particular. Somehow they think that medicine has more evidence than we do, and perhaps in some things they do, but I'm trying to get the word out that we have a lot of excellent research and this is simply one way that I have developed or adopted to try to get this word out. What is the purpose of chiropractic science, this business that basically I've created is to get that chiropractic evidence out there. We do it with convenience: we run a podcast. We have chiropractic experts. The actual investigators, the chiropractic scientists that are doing the research, come on the podcast, tell us in their own words what the study means to chiropractors. I think you'll find if you have a little to it that it's a really good resource and it's incredibly motivating and, I think, a confidence generator for chiropractors in practice to listen to people at the top of their field in not only chiropractic, but also in research, who really know their stuff and who are just giving us the basics on what their research means and how you can apply it to practice. The format is...
Dr. Hoffman:
Dean, can I just add to that?
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