Apr 11 2019 Should Evidence or Sound Clinical Reasoning Dictate Patient Care? The evidence ‘spokes’ encircling the wheel serves as support for appropriate clinical behaviors and decisions. These spokes can represent different forms of evidence, allowing a research medium that best addresses the patient’s condition and includes all relevant science disciplines. Biopsychosocial constructs and practices comprise the wheel’s ‘rim,’ providing a foundation for consistent care. The clinician’s systematic management approach serves as the management ‘tire,’ providing a conduit of care to the patient. This approach can create an opportunity to develop a ‘Knowledge Transfer,’ which will be facilitated by research that clearly states the findings’ potential clinical relevance.
