Notice bibliographique
Résumé
Charlotte, North Carolina. iegilmour@yahoo.comTessler et al. are to be congratulated for the innovative manner in which they have attempted to assess the effect of aging on physician competence, something about which many of us have concerns as we, and our colleagues, age.1However, I am somewhat surprised that in neither the article itself nor the accompanying editorial2is there mention of the significant differences in anesthesia practice between the United States and Canada or of the possibility that these differences might affect the authors’ linkage of the aging of anesthesiologists with both the frequency of litigation and the severity of patient injury related to such lawsuits if applied to the U.S. practice model.In Canada, except in teaching hospitals, anesthesia is given by personal administration, most often by anesthesiologists, but also, in rural hospitals, by specially trained family physicians. In the United States, the supervisory model is used most often. Applying the metaphor in Warner’s editorial, we could say that in Canada older anesthesiologists are “in the driver’s seat,” whereas in the United States, they usually are “backseat drivers”– involved in the crucial parts of the anesthetic but otherwise leaving patient care to the individual actually “behind the wheel.” This difference in practice could affect the applicability of the findings of Tessler et al. to anesthesia practice in the United States, where the age and skills of the anesthesiologist are only part of the equation – where the experience and knowledge of the older anesthesiologist might well be of more consequence than his/her decreased attention span, possible visual/hearing impairment, longer reaction and processing times, or other factors that could be related to the increased “crash rates” of older physicians cited in the study.As noted both by Tessler et al. and by Warner, there is sufficient research on this topic to establish that physicians do not age like fine wines.3,4However, especially in the absence of information as to what actions (or lack thereof) by the anesthesiologists involved lead to the lawsuits, this study is just the first step. As both Tessler et al. and Warner conclude, further research is essential – research based on the supervisory practice model that will help us determine just how and to what extent the observed correlation between anesthesiologist age and patient outcomes applies to practice in the United States., Charlotte, North Carolina. iegilmour@yahoo.com
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 distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,002 | 0,001 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,002 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,000 | 0,000 |
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 tête enseignante, 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 ».