Change is hard. Gary Taubes has an excellent editorial in todays NY Times that does the unthinkable of challenging the medical establishments idea that cholesterol plays a key role in heart disease. It is a fascinating piece that looks at the recent evidence that the combo drug Vytorin had fared no better in clinical trials than the statin therapy it was meant to replace.
Right after I finished reading the piece I got an email from one of my students that goes something like this… I continue to get resistance from my CI to using spinal manipulation in LBP management. I think the best I can do is just teach by example, observe, and only offer information when asked. I feel that my CI though apparently knowledgeable is not receptive to my sharing of EBP in the clinic. He has read the more recent manipulation papers but that has not convinced him to change. I don’t know if he is just afraid deep down, because maybe the current literature supporting the manipulation techniques that we have learned in school is enough to “get the patient better” and that the techniques from the various certification courses are not necessarily needed or the BEST to obtain clinical success.
Hmm…change is hard. It’s a drag when the evidence doesn’t match our well intentioned theories. Why are some folks resistant to change and others embrace it?