Organisation des soins par cliniques psychiatriques spécialisées ou par cliniques de psychiatrie générale? Un débat entre Louis Guérette et Jean-Pierre Rodriguez
Bibliographic record
Abstract
L'auteur rapporte le point de vue des docteurs Louis Guérette et Jean-Pierre Rodriguez, psychiatres l'un au Pavillon Notre-Dame du Centre hospitalier universitaire de Montréal (CHUM), l'autre au Pavillon Albert-Prévost (PAP) de l'Hôpital du Sacré-Coeur de Montréal, sur la place des cliniques psychiatriques spécialisées dans l'organisation des soins en psychiatrie. Le Dr Guérette, qui pratique en psychiatrie générale, estime que les cliniques spécialisées ne sont pas un mode approprié de distribution des soins. Le Dr Rodriguez, rétorquant aux arguments du Dr Guérette, présente le système d'organisation par cliniques spécialisées mis en place au PAP. Les questions posées par l'auteur et les réponses des deux cliniciens sont rapportées. Finalement, l'auteur, médecin résident en psychiatrie, présente son point de vue personnel et ses réflexions.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.012 | 0.027 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.009 | 0.013 |
| Scholarly communication | 0.011 | 0.006 |
| Open science | 0.002 | 0.004 |
| Research integrity | 0.007 | 0.010 |
| Insufficient payload (model declined to judge) | 0.007 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".