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Record W2087141061 · doi:10.1176/pn.43.1.0003

Communication That Gets Results Continues to Be Our Focus

2008· article· en· W2087141061 on OpenAlexaboutno aff
Carolyn Robinowitz

Bibliographic record

VenuePsychiatric News · 2008
Typearticle
Languageen
FieldHealth Professions
TopicPrimary Care and Health Outcomes
Canadian institutionsnot available
Fundersnot available
KeywordsNoticeMental healthAlliancePublic relationsPolitical sciencePsychologyLegislatureDistressPsychiatryLaw

Abstract

fetched live from OpenAlex

Back to table of contents Previous article Next article From the PresidentFull AccessCommunication That Gets Results Continues to Be Our FocusCarolyn Robinowitz, M.D.Carolyn Robinowitz, M.D.Published Online:4 Jan 2008https://doi.org/10.1176/pn.43.1.0003©Sylvia Johnson Photography 2007Happy New Year.It is traditional to use the end of the calendar year to sum up the previous 12 months and make New Year's resolutions. As I complete two-thirds of my presidential year, it is time to assess accomplishments and focus work for the next four months.One-year terms are brief, even with preparation in the president-elect year. Fortunately, my theme of advocacy and communication resonates with that of Nada Stotland, our presidentelect, but I recognize the limits and have emphasized ongoing capacity building and organizational performance. Consequently, I have worked internally to strengthen the function of the Board of Trustees (more about that in my next column).My focus on communication and advocacy has addressed several groups: legislators and policymakers, the media, other physicians, other health and mental health professionals, advocacy groups such as the National Alliance on Mental Illness, the business community, and the public at large, especially teachers and clergy (who often are the first to notice or be consulted about mental distress), and of course, psychiatrists—our communication with each other.Our interactions with policymakers have been full of promise, but still awaiting legislative action. The process for parity passage has been demanding, with wonderful support from some in Congress and the community, but also with many challenges posed by those who are opposed to psychiatric care. As this is being written, the decision is still pending. Please call your congressional delegation to thank members for supporting full parity and nondiscriminatory access or encouraging them to do so.In concert with other medical groups, we continue to address the potentially devastating impact of the 10 percent cut in the Medicare sustained growth rate, or SGR, and modification of the discriminatory Medicare 50 percent copay for mental illness treatment. We also have been working assiduously to protect patient privacy and to promote patient safety as well as provide care for returning military, and maintain funding of psychiatric research. Communication with legislators continues to be vital for our success.We continue to strengthen our involvement with the AMA, not only in legislative affairs, but also through psychiatrists' participation in AMA councils on medical services, science and public health, education, and long-range planning. APA member Jeremy Lazarus is the highly effective speaker of the AMA House of Delegates. The AMA has expanded its work on scope of practice, involving multiple specialty organizations, and Jay Scully, our medical director, has assumed considerable leadership in that arena. Jay is also president-elect of the Council of Medical Specialty Societies, bringing a psychiatric perspective to its deliberations.We also have engaged in some specialty-specific work to inform other physicians and improve patient care. We have completed a joint report with the American College of Obstetricians and Gynecologists on SSRIs in pregnancy, and we have initiated communication with the American Heart Association on the role of depression as a risk factor in cardiovascular disease. In addition to developing educational and clinical efforts to assist primary care physicians in recognizing and caring for people with psychiatric disorders, we are working to enhance collaboration and strengthen membership with the major psychiatric subspecialty organizationsMedia interaction continues to improve in amount and quality. Our op-ed pieces and letters to the editor have been placed in the New York Times, as well as other national and local newspapers. APA members are more frequently quoted in radio and seen on TV. Public information Web sites such as HealthyMinds.org and DepressionIsReal.org receive many visits, as does our new medication guide on ADHD prepared in collaboration with the American Academy of Child and Adolescent Psychiatry and available at . We have expanded media training for residents, as well as on-site training for district branches.Under the aegis of our Partnership for Workplace Mental Health, funded by the American Psychiatric Foundation, I participated in the U.S.-Canadian Forum for Mental Health Productivity, informing the business community that promoting mental health in the workplace is not only the right thing to do, but is also a good business decision that positively influences productivity and the bottom line.Obviously, much more has been done and is ongoing. For 2008, we need to continue our communication and collaboration outside of our specialty. We need your involvement to educate the public and to assure access to care. At the same time, we will work internally to inform and involve our members. Please e-mail me at [email protected] with your thoughts and suggestions. I am looking forward to seeing you at our wonderful annual meeting in Washington, D.C., May 3 to 8 and to our work together in the New Year. ▪ ISSUES NewArchived

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame machine prediction

Teacher imitation

Not 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.

metaresearch head score (Codex)0.006
metaresearch head score (Gemma)0.042
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: none
Teacher disagreement score0.351
Threshold uncertainty score0.926

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0060.042
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.001
Science and technology studies0.0050.002
Scholarly communication0.0110.009
Open science0.0010.006
Research integrity0.0050.009
Insufficient payload (model declined to judge)0.3510.245

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.

Opus teacher head0.117
GPT teacher head0.433
Teacher spread0.316 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.

Study designNot applicable
Domainnot available
GenreCommentary

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".

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Citations0
Published2008
Admission routes1
Has abstractyes

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