Notice bibliographique
Résumé
To the Editor: The novel coronavirus disease (COVID-19) pandemic has affected all aspects of the health care system. As the pandemic has evolved, so too have trainees’ clinical responsibilities. Many, setting aside their subspecialty training, were reassigned to different rotations based on systemic need. For many in the procedural specialties, these reassignments raised trepidation over losing valuable opportunities to acquire and hone skillsets. The pandemic has also taken providers out of their comfort zones—whether into operating rooms or into outpatient clinics—to learn to care for patients with this highly communicable and potentially lethal disease. The donning of personal protective equipment has taken on an entirely new meaning for those in surgery, one that has shifted from safeguarding the sterility of an operation to protecting oneself from a virus that can kill. In the beginning, it was easy for us cardiothoracic surgical residents to view this transformation negatively, as a disruption taking us off our chosen paths. However, over time we began to realize that we are changing for the better, perhaps in ways we would never have actualized if it were not for COVID-19. The culture in surgery often defines courage as being independent and projecting confidence. Many of us surgeons prescribe to the notion that stoic, solitary struggles help build strength, and we seldom reach out to others for help. Courage is often viewed as the opposite of vulnerability. Given the worldwide calamity, we have had to adapt our definition of courage to best care for our patients, serve their families, and preserve ourselves. We have learned to demonstrate empathy, to lean into emotionally challenging conversations (often concerning end-of-life care), to acknowledge that we do not have the solutions, and to be vulnerable with each other. Courage is no longer the antithesis of vulnerability; rather, the pandemic has taught us a new definition of courage: courage is the ability to embrace and be at peace with vulnerability. One of the interns on our team texted the group after losing a patient to COVID-19. “I just called the family,” his text read, “The son’s response was, ‘You will always be my hero. Thank you for all that you do.’” He shared the vulnerability and loneliness he felt in that moment. We all replied with words of encouragement. I wonder if, months ago, before the pandemic, we would have been as willing to share our feelings so openly. Acknowledgments: The authors would like to thank their colleagues for their willingness to share their stories.
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 | 0,001 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 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 ».