Researcher-Clinician Dichotomy by huanghengdong

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									The Researcher/Clinician
      Dichotomy


        Fall 2003
Nearly every scientist has
experienced, in a moment of
discovery… something akin to
reverence and awe.

                 Carl Sagan
Research Goals at an M.S. Level
(Bain, 1991)

  1. Help students to become competent
     consumers of literature

  2. Help students become competent
     users of research technology for
     clinical decisions
Competent Consumers

   Critically evaluate the literature
   Determine cautions in interpreting
   the literature
   Determine applications to clients
   served
   Determine how procedures might be
   modified to better serve clients
Research Technology for
Informed Clinical Decisions

    Scientific Method

    Single-subject designs
Scientific Method

  1.   Recognition of a problem that can be
       studied objectively

  2. Collection of data through observation or
     experiment

  3. Drawing of conclusions based on analysis
     of the data that have been collected.
Clinical Decisions: Assessment

  1. Who is disordered (is there a
     problem? If so, what is it?)

  2. What is the etiology?

  3. What is the prognosis?
Clinical Decisions: Treatment

  1. Who should receive what kind of
     intervention?
  2. What should be treated?
  3. How should we provide intervention?
       Alternating treatments design (ATD)
  4. Is intervention effective?
       Single-subject designs
  5. When should intervention be terminated?
       ABA design
Benefits of a Clinician-
Investigator (Silverman, 1977)

    The job is “more stimulating, less routine”
    Clinicians are probably more effective
    when they determine the answers to
    questions about their intervention or
    assessment when they “ask answerable
    questions” and state “testable” hypotheses
    More aware of the “tentative nature of
    answers and hypotheses” which is one of
    the most important aspects because there
    is “no answer to a question or test of
    hypothesis” that is final
“We see the practitioner as an
applied scientist or a clinical
scientist who uses the clinic or
school as a laboratory for the
application of the scientific method
toward the end of providing the best
clinical services possible.” (Ventry &
Schiavetti, 1980)
“When scientific clinicians approach
clinical problems in a scientific
manner, they are conducting
research of the most important
type, with the result being the
intent of delivering the best clinical
management possible.” (Ringel,
1972)

								
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