Minor Injury Treatment Protocol - Activity Updates

Activity Update - April 2015


The medical and scientific experts retained for this project have completed this extensive undertaking and submitted their recommendations to the Superintendent, in a final report entitled “Enabling Recovery from Common Traffic Injuries”. FSCO will be posting contents of the report onto our website in the spring. There will also be opportunities for feedback from stakeholders.

Activity Update – April 2014

An agreement to extend the consultant’s contract was signed in March, 2014. The completion date for all deliverables has been extended to December 31, 2014.

Activity Update – February 2014

On January 17, 2014, groups representing auto insurance stakeholders attended an information session presented by Dr. Pierre Côté, his team of scientific researchers and the UOIT.  At the session, Dr. Côté and members of his team provided attendees with information on the background of the project, provided explanations of the methodology used to conduct the research and the approach that will be used to develop recommendations for FSCO’s Superintendent.  Members of the scientific team then presented the findings of their research that updates earlier studies on the management of Whiplash-associated disorders and neck pain and its associated disorders.    

Activity Update – January 2013


Dr. Pierre Côté and his team of scientific experts continue to work toward the development of an evidence-based treatment protocol for the most common injuries resulting from motor vehicle accidents.
The proposed Minor Injury Guideline will be developed according to the methodology recommended by the National Institute for Health and Clinical Excellence (NICE) in the UK.  NICE is an independent health authority of the National Health Service that was established in 1999 to provide national guidance on the promotion of good health and the prevention and treatment of ill health.  This methodology has been used to develop hundreds of clinical practice guidelines for a broad range of medical. The NICE methodology will be supplemented with the methodological recommendations made in the Canadian Medical Association’s Handbook on Clinical Practice Guidelines.
As per the methodologies, two groups of experts, the Core Scientific Team (CST) and the Guideline Expert Panel (GEP) will assist the Lead Investigator and Chair (Dr. Côté) in the development of the proposed Minor Injury Guideline.  The following describes each team’s tasks:

Roles and Responsibilities of the Core Scientific Team

  • Assist with the development of the scope for the proposed Minor Injury Guideline.
  • Contribute to the literature search.
  • Critically appraise and synthesize the scientific literature.
  • Prepare progress reports and scientific papers.
  • Prepare the "evidence briefs" for the GEP.
  • Assist with the development of "draft" clinical recommendations for the GEP.
  • Contribute to the development of the clinical prediction rules.
  • Attend all meetings of the GEP.
  • Assist with the writing of the proposed Minor Injury Guideline.
  • Attend meetings with stakeholders upon request of the Chair.

Roles and Responsibilities of the Guideline Expert Panel

  • Assist with the development of the scope of the proposed Minor Injury Guideline.
  • Approve the scope of the proposed Minor Injury Guideline.
  • Use their background knowledge and experience to provide guidance to the CST in carrying out systematic reviews and economic analyses.
  • Review all relevant documentation and make constructive comments and proposals at (and between) meetings.
  • Contribute (based on availability and interest) to the conduct of the systematic review. 
  • Contribute (based on availability and interest) to the development of recommendations.
  • Work with other members of the GEP to develop recommendations based on the evidence, or on consensus when evidence is poor or lacking.
  • Advise on how to identify best practice in areas where research evidence is absent, weak or equivocal.
  • Work with other members of the GEP, consider implementation issues arising from recommendations and feedback to FSCO to inform the development of the implementation strategy.
  • Work with other members of the GEP and approve the minutes of GEP meetings
  • Attend meetings with stakeholders upon request of the Chair. 
Defining the scope is the initial step in developing a clinical practice guideline.  The scope provides an overview of what will be included in the guideline, and a description of what will be excluded.  The scope will identify the key clinical issues that must be addressed by the guideline.  It will also describe the methodology for development of the guideline.  The scope will provide information to FSCO, health care providers, insurers and the public about the expected content of the guideline.  Finally the scope will inform the development of the research questions and the search strategy for the systematic reviews of the literature.
Currently, Dr. Côté is conducting a targeted scientific outreach to seek feedback on the scope of the research. The outreach is directed at health care providers who regularly treat motor vehicle accident victims.
Consultations with additional stakeholders will take place once the scientific experts have developed the proposed Minor Injury Guideline.

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