Weighing the Evidence: Clinical Decision Making in Neurological Physical Therapy
Bibliographic record
Abstract
Purpose: The purpose of this study was to explore (1) the processes that neurological physical therapists go through in making dayto-day clinical decisions and (2) the sources of information or evidence that therapists use in their day-to-day practice. Method: A qualitative, grounded theory method was used consisting of semistructured, face-to-face in-depth interviews with 12 neurological physical therapists practising in a variety of settings in the Greater Toronto Area. Data were analyzed using a constant comparative approach. Results: Therapists weigh a variety of informal and formal sources of evidence as they go about their day-to-day practice. Our results fall into three main categories: (1) sources of evidence weighed, (2) when and why therapists weigh the evidence, and (3) factors that influence the process of weighing the evidence. Conclusions: The results of this study indicate that implementing evidence-based practice will be a challenge to the physical therapy profession unless we broaden our definition of evidence to include informal sources of evidence that are highly valued by clinicians.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.004 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".