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The idea that civil service officials have to be dutiful and privy only to ministers instead of answerable to the general public in the person of their parliamentary representatives, does not bear scrutiny: we would have infinitely better legislation, and probably less of it, if the advice given by officials to ministers could be scrutinised by parliament as a matter of course.
To describe and measure the effectiveness of a problem-based educational strategy for teaching evidence-based health care (EBHC) to chiropractic interns, which focused on the development and appraisal of answerable clinical questions using actual musculoskeletal patients.
Who doesn't long for a bygone era of answerable questions and clearer intentions?
This approach facilitated the development of a large number (129) of answerable research questions across an entire research field.
4. Conducting a series of half-day question construction meetings in which the GEM Initiative research team transformed the data into a list of answerable clinical research questions encompassing all ICF codes represented in the data.
The comprehensive question development approach used by the GEM Initiative ensured that all of the ideas identified by the key stakeholders in steps 1A - 1D - patients, carers, clinicians, researchers and policymakers - were represented in the final list of answerable clinical research questions for each phase.
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Of the answerable calls 98% were answered and 277 163 (78%) of these were triaged by a call handler using the NHS Pathways assessment system.
The practice of e-MBE requires four serial steps: 1. Identification of the problem and precise formulation of an answerable question about the problem.
Since the inception of the GEM Initiative, a total of 129 answerable clinical research questions have been generated, covering the prehospital (n = 30; 17 TBI, 13 SCI), acute inhospital (n = 37; 18 TBI, 19 SCI) and rehabilitation (n = 62; 26 TBI, 36 SCI) phases of TBI and SCI care.
They have been described in terms of a pervasive fear of the possible negative consequences of being responsible and answerable; of being required to produce decidability in the face of the un-decidable (Power 2007).
This is particularly so for families who have taken children out of school; they would be in the insidious position of being answerable to a system that they believe has already failed them.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com