Notice bibliographique
Résumé
The request to write an essay on ‘wisdom’ that could be passed on from an old and retired paediatrician, such as myself, to a young and aspiring trainee in paediatrics just starting out, led me to ask myself what wisdom really is. The dictionary defines the word as “knowledge and experience”, “accumulated learning” and “good sense”. If ‘knowledge’ (as the dictionary adds) is “understanding gained by experience”, what then is “experience”? This is a definition I came across many years ago: “Experience is the ability to make the same mistake with increasing confidence”. All of which didn’t get me very far. Instead, I prefer to write briefly on a few topics that sometimes cause difficulties in the practice of paediatrics and particularly about their management, which seems to have worked reasonably well for me. ... Parents are all different. Most that I had contact with were nice people, devoted to their children, who understood that I would give them good advice about how to manage the problems of their sick children. A few were different. Some were demanding, downright rude and inconsiderate. These parents, I felt, often had some underlying problems themselves, such as guilt or a broken marriage. I spent no more time with them than was necessary and avoided a quarrel whenever possible. If conversation in the clinic or office began to get heated, I always left the room for a short time on some pretext or other to let them cool off. Then there were the silent parents, those who could not be persuaded to talk and only answered questions with monosyllables. One mother I remember sat silent and grim on her chair for 10 or 15 minutes until I accidentally dropped my stethoscope on the floor while examining her daughter. This resulted in gales of laughter from both mother and child, and from that time on they chatted away happily. What wisdom can I offer for dealing with difficult parents? Above all, I believe one should never withhold information from them, however upsetting they might find it, and give them every piece of new information as it becomes available. Only in this way can trust between doctor and parents be built. All information, naturally, should not be given initially in the presence of a young patient.
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 | 0,010 | 0,043 |
| Méta-épidémiologie (sens strict) | 0,001 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,008 | 0,025 |
| Communication savante | 0,017 | 0,020 |
| Science ouverte | 0,002 | 0,006 |
| Intégrité de la recherche | 0,007 | 0,016 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,012 | 0,007 |
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 ».