Evidence map›Paper›PMID 41425289›Full record

ArticleThe Journal of the Canadian Chiropractic Association2025

Conceptualizing clinical expertise in evidence-based practice: a narrative literature review with implications for clinical decision-making.

Deborah Kopansky-Giles, Jonathan Murray, Jessica M Parish, Rod Overton, Anita Chopra, Glen H Harris, Adrienne Shnier

Abstract read
In one paragraph

Article in The Journal of the Canadian Chiropractic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. When there is little or no research evidence: a clinical decision tool.The Journal of the Canadian Chiropractic Association · 2025
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Deborah Kopansky-GilesCanadian Memorial Chiropractic College, Department of Research and Innovation, Toronto, ON.
Jonathan MurrayUniversity of Guelph, Human Health and Nutritional Sciences.
Jessica M ParishSchool of Public Policy and Administration, Carleton University, Ottawa, ON.
Rod OvertonPrivate Practice, London, ON.
Anita ChopraPrivate Practice Brampton, ON.
Glen H HarrisDivision of Clinical Education, Canadian Memorial Chiropractic College, Toronto, ON.
Adrienne ShnierSchool of Health Policy & Management, York University; Osgoode Professional Development, Osgoode Hall Law School, Toronto, ON.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This review aimed to explore clinical expertise within evidence-based practice (EBP) by examining contemporary definitions of clinical expertise, how it can be acquired and developed over time, and its role within EBP. Methods: PubMed, Web of Science, and Scopus databases were searched for literature on clinical expertise published between January 2016 and August 2024. Titles and abstracts were screened for relevance. Full-text review was conducted for papers deemed potentially relevant. Results: 23 articles were included in this review. Clinical expertise receives different treatments across literature. However, a commonality is that clinical expertise requires proficiency, skill, and clinical judgement that can be acquired only through clinical experience, collaboration, and hands-on clinical practice. Operating within Haynes' model of EBP, clinical expertise is central to integrating patient preferences and bridging the gap between standardized objective evidence and personalized care. Conclusions: Clinical expertise represents the core of integrating EBP to inform clinical decision-making and is developed through experience and keeping current with research. Author’s Note: This paper is one of seven in a series exploring contemporary perspectives on the application of the evidence-based framework in chiropractic care. The Evidence Based Chiropractic Care (EBCC) initiative aims to support chiropractors in their delivery of optimal patient-centred care. We encourage readers to review all papers in the series.

Indexed as

chiropracticclinical competenceclinical skillsevidence-based medicineevidence-based practiceprofessional competence

Identifiers

PMID41425289
PMCPMC12716894

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.