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Enregistrement W2332989029 · doi:10.1097/01720610-200912000-00002

Itʼs time for an international congress of physician assistants

2009· editorial· en· W2332989029 sur OpenAlexaboutno aff
Roderick S. Hooker

Notice bibliographique

RevueJAAPA · 2009
Typeeditorial
Langueen
DomaineHealth Professions
ThématiqueGlobal Health Workforce Issues
Établissements canadiensnon disponible
Organismes subventionnairesnon disponible
Mots-clésWorkforceHealth human resourcesPolitical sciencePhysician assistantsHealth carePublic relationsMedicineEconomic growthMedical educationLawEconomics

Résumé

récupéré en direct d'OpenAlex

“The time has come,” the Walrus said, “To talk of many things: Of shoes—and ships—and sealing-wax— Of cabbages—and kings—” From “The Walrus and The Carpenter” by Lewis Carroll The time has come to talk of an international congress of physician assistants. The physician assistant profession is growing, and nowhere is this growth more dynamic than outside the United States.1 Lessons learned from 4 decades of experiments provide a template for PA education on a global scale. This is most evident in the United Kingdom and the Netherlands. Taken together, these two countries have created nine PA programs; there are another three in Canada and three in South Africa. More programs are in development in these countries, sub-Saharan Africa, and elsewhere.2 Many institutions are leading the way in the education and innovative use of PAs. Around the world, academics, social scientists, and researchers are documenting PA behavior and promulgating new information about health care delivery. The body of medical workforce scholars is growing, and the exchange of PA information has accelerated since the new century began. Some of this information flow has taken place through the American Academy of Physician Assistants (AAPA) and the Physician Assistant Education Association (PAEA), with other PA organizations and individuals serving as consultants. PA experts outside the United States are providing information to other countries as well. On a larger stage, the World Congress meets annually to supply information on employer management of human resources in health care.3 Over the past few years, the PA phenomenon has been a topic of increasing interest at aWorld Health Organization meeting, aninternational Health Economics Associationmeeting, and the annualEmployer Health & Human Capital Congress.As other countries recognize the value that PAs can provide, they meet on a regular basis to disseminate their experience. Perhaps the PA movement is a success that deserves its own international audience. Such an international PA congress could develop a number of goals that would benefit society in many countries. I propose the following objectives: (1) foster the role of the physician assistant; (2) monitor and analyze the changes occurring in medical workforce shortage areas; (3) identify advances and new trends in medical team delivery; (4) identify innovations in the education of PAs; and (5) serve as a clearinghouse for new information. Many types of international congresses exist. Medicine alone has dozens (eg, theInternational Congress of Aviation and Space Medicine has been around for half a century). An international congress of physician assistants could be comprised of a president, vice president, director, and secretary general, all with specific functions and roles. Such a congress could meet biennially in Brussels or Zurich, where political events are unlikely to eclipse the agenda and where the location would be central to the majority of attendees. Promoting information exchange among scientists and professionals interested in the fields of organizational efficiency, comparative and outcomes research, population health, and education would be an important objective. Within the framework of plenary and thematic sessions, as well as workshops and poster sessions, specialists from everywhere could present a review of challenges and solutions. An exhibition, along with the conference, could bring together thousands of professionals and management officials from around the world to promote new and novel products. Such a forum presents opportunities for manufacturers to present their products to new users. The concept of PA organizations looking beyond their domestic boundaries is taking hold. The AAPA, in a bold move, will hold their 2012 annual conference in Toronto, Canada. This is the first time the Academy has held its annual conference outside the United States and represents an “international handshake” with the country that developed the second PA movement. A few years earlier, the PAEA held its annual meeting in Quebec City. Furthermore, PAs are a feature at an International Innovation in Healthcare conference that occurs annually in Heathrow, England. New initiatives are never easy, and such work requires a great deal of interaction. However, new thought leaders have emerged among PAs in several countries; and for them, the world is smaller and easier to access. The growing complexity of health care delivery requires youthful thinkers, unburdened by the clunky history of early PA development, to look ahead. It is this generation that will write the next chapter of the PA movement.

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 enseignants

Ni 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.

score de la tête « metaresearch » (Codex)0,006
score de la tête « metaresearch » (Gemma)0,016
Version: metacan-v3-hybrid-931329e0061cStatut de validation: machine_predicted_unvalidated
Catégories candidatesaucune
Catégories consensuellesaucune
DomaineSignal candidat: aucune · Signal consensuel: aucune
Devis d'étudeSignal candidat: Sans objet · Signal consensuel: Sans objet
GenreSignal candidat: Éditorial · Signal consensuel: aucune
Score de désaccord entre enseignants0,133
Score d'incertitude au seuil0,445

Scores du classifieur distillé par catégorie (deux têtes)

CatégorieCodexGemma
Métarecherche0,0060,016
Méta-épidémiologie (sens strict)0,0020,001
Méta-épidémiologie (sens large)0,0010,002
Bibliométrie0,0010,001
Études des sciences et des technologies0,0100,003
Communication savante0,0130,009
Science ouverte0,0010,008
Intégrité de la recherche0,0090,022
Charge utile insuffisante (le modèle a refusé de juger)0,1330,065

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.

Tête enseignante Opus0,037
Tête enseignante GPT0,470
Écart entre enseignants0,433 · la distance entre les deux têtes enseignantes sur ce seul travail
Statut de validationscore_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 découle

Classification

machine, non validée

Prédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.

Les modèles n’ont appliqué aucune catégorie : rien dans la taxonomie ne correspondait à ce travail.
Devis d'étudeSans objet
Domainenon disponible
GenreÉditorial

Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».

En bref

Citations1
Publié2009
Routes d'admission1
Résumé présentoui

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