Have you ever seen the extensive list of Clinical Prediction Rule's (CPR's) out there? John Snyder has a good list of them on his website on this page. It is pretty extensive. What most people don't realize is that not all CPR's that we see out there have been validated. A CPR goes through different stages where it is proposed and then proven to be truly applicable. Once it has reached that stage, however, there are many cases where the CPR proves to unuseful. In reality, there is only a certain subset of patients that each CPR applies to, although, it can be extremely effective. I recommend checking out this article by Chad Cook. He explains how a CPR is developed and then some of the pitfalls associated with them as all. It is a perfect example of why we shouldn't handcuff ourselves and our treatment patterns to what is backed by research, and, instead, use it to guide our decision making. This may be an excellent resource for preparing for the NPTE or OCS!
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