Notice bibliographique
Résumé
It’s normal for a shortstop to get the jitters on opening day playing in front of teammates, onlookers, and the opposition. Despite his (or her) practiced skills, the first ball hit in his direction might take a bad hop or he might simply muff it. After he boots that first ball, he can relax and just do what he is supposed to do. The first patient on the first day of my pediatric internship, a nine-year-old boy with panhypopituitarism, had been sent to the emergency room by his endocrinologist to obtain blood work. My senior resident asked if I wanted to draw the blood myself. I felt nervous, but I had drawn blood before in medical school, and I said I would do it. I assembled the gear—alcohol swabs, gauze to staunch the bleeding, a band-aid, a butterfly needle, tubes with the appropriate color tops, and a 12-mL syringe. We needed a lot of blood for the esoteric assays that had been requested. The boy’s mother and grandmother stood by, attentive and protective. Both large women, they put me in mind of opposite-gendered lineman for the 49ers; they couldn’t have been more intimidating. It was clear that they would brook no nonsense from anyone, certainly not a lowly pediatric intern on his first day of internship. I applied the tourniquet, found the vein in the antecubital fossa, and stuck in the needle. To my relief, and, no doubt, to the relief of all assembled, a snake of blood inched up the tubing to the syringe. I pulled the plunger ever so gingerly and watched as the big 12-mL syringe filled with blood, all the blood necessary to fill the different tubes. And then something happened. Anxiety? Distraction? I don’t know. Before my senior resident, the nine-year-old boy, and his mother and grandmother, I pulled the plunger out of the top of the syringe, spilling all the blood—all two and a half teaspoons—onto the floor. The mother and grandmother looked at me, jaws agape, with a “You moron!” sort of expression on both of their faces. My senior resident just covered his eyes with his hand as he shook his head. I don’t remember the details of what happened after that, but I do know that the patient survived, I survived, and the blood got drawn, though not by me. Eventually, with lots of practice, I became quite comfortable and adept with blood drawing and other invasive procedures in children, a lasting source of pride and feelings of accomplishment. Now, a quarter century later, I tell that story to brand new pediatric interns anxious lest they should make a mistake. I booted my first ball, I tell them, and everything was okay after that. Randy Rockney, MD Dr. Rockney is director of undergraduate medical education in pediatrics, Department of Pediatrics, The Warren Alpert School of Medicine of Brown University, Providence, Rhode Island.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,010 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,006 | 0,003 |
| Communication savante | 0,012 | 0,006 |
| Science ouverte | 0,002 | 0,015 |
| Intégrité de la recherche | 0,003 | 0,007 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,280 | 0,181 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».