Art, science, and aequanimitas: Pillars of modern anesthesia practice
Notice bibliographique
Résumé
Dear Editor, Anesthesia is undoubtedly a scientific boon to humanity and a holistic specialty of medicine reaching out to all the possible clinical domains ranging from perioperative services to the care of critically sick and pain alleviation. Therefore, the modern anesthesiologist needs to meticulously manage these diverse clinical settings affecting the lives of patients spanning from the dawn of a new life to providing comfort at the termination of life. Anesthesia can be envisaged as a perfect blend of balanced proportions of art and science.[12] The art or rather craft of the specialty connotes the slick and effortless technical capability, skillset, multitasking and intuitiveness, conventionally attained through practice and experience. The foundation of the art in our branch emanates from the motivation of becoming physicians, promoted by the empathy and altruism for the sufferers. At the same time, as caregivers of medicine, our empathy and altruism should be translated into actions driven by the understanding of science. Science essentially encompasses knowledge based on natural laws, refined by the experiences of the practical experiments and observations. Therefore, it is characteristically dynamic and an integral part of systematic evolution of any medical specialty. The extent of contribution of art and science to modern day medicine is often debated, with many young practitioners proposing science as the cornerstone of the current practice. However, both are indispensable with the perioperative medicine embodying as the practice of art, premised on science. As the modern anesthesiology practice continues to become challenging in the 21st century, it demands the perioperative physicians to sculpt the quality of imperturbability or equanimity. Sir William Osler, a Canadian physician and 1st Baronet outlined these attributes in one of his legendary essays and most definitely summed it all up in a single word, Aequanimitas, while delivering a valedictory address at the Pennsylvania university way back in 1889.[3] The importance of the classic statement that he articulated: ‘in the physician or surgeon no quality takes rank with imperturbability’ fails to fade despite the passing decades.[4] Imperturbability broaches the concept of the utmost presence of mind and composure amidst the most difficult scenarios, maintaining the clarity of judgment. Cultivating the aforementioned virtue enables the highest form of authority on the medullary centers conferring the advantage of ensuring the mental equilibrium aimed at the most appropriate decision making. Despite the present era endorsing the trend towards organizing patient care with specific uniform algorithms and the advent of the pursuit of the goal of artificial intelligence, the modern-day anesthesiology practice mandates a perfect concoction of the attributes of art, science and equanimity to cope with the current social, academic, and performance pressures on ’today's anesthesiologist’. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.
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 | 0,005 | 0,007 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,002 | 0,001 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,002 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 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 ».