Leading Change in the Transformation of Arthritis Care: Development of an Inter-professional Academic-Clinical Education Training Model
Bibliographic record
Abstract
The Advanced Clinician Practitioner in Arthritis Care (ACPAC) program is a novel, competency-based, rigorously evaluated advanced clinical and academic educational program created in 2005 and hosted by St. Michael's Hospital and The Hospital for Sick Children, Toronto, Ontario. The program is offered to experienced physical and occupational therapists selected to engage in expanded scope of practice roles with the aim to provide optimal, timely and appropriate delivery of healthcare to patients with arthritis in academic, non-academic and remote community healthcare settings. The ACPAC program is offered at a critical time in the context of rapidly changing healthcare delivery, producing highly skilled advanced practitioners across Ontario central to the development of innovative models of chronic disease management in arthritis care. The processes driving change and the risks assumed thereof, as well as a description of the successes, challenges and shortcomings of the ACPAC program, are intended to be instructive to other healthcare facilities considering similar initiatives.
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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 | 0.014 | 0.010 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.006 | 0.012 |
| Scholarly communication | 0.011 | 0.008 |
| Open science | 0.003 | 0.010 |
| Research integrity | 0.003 | 0.005 |
| Insufficient payload (model declined to judge) | 0.006 | 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".