107: “What is a Resident?” Assessing Parental Knowledge and Preferences Regarding Residents in the Paediatric Emergency Department
Bibliographic record
Abstract
Residents play a key role in the care of children in the pediatric emergency department (PED). However, the knowledge and preferences parents/guardians (parents) have regarding residents is not established. Assess parental knowledge of the definition, level of training, and roles of residents in the PED. Assess parental preferences with respect to the involvement of residents in the care of their children and how residents introduce themselves and address the parents. A quality improvement project was undertaken in the PED of a large urban tertiary care children's hospital. Two surveys were administered to parents, with the first survey containing questions assessing parental knowledge of the definition, level of training, and roles of residents. The second survey provided parents with a definition of a resident and assessed parental preferences. Responses were reported on Likert scales where appropriate. A total of 99 parents were surveyed (77% female). Thirty-nine percent (95% CI 30% to 49%) of parents did not know that a resident is a doctor and 32% (95% CI 24% to 42%) did not know that residents require supervision. Eighty-two percent (95% CI 73% to 88%) of parents felt it was important to know the level of training of their doctor in the PED and 73% (95% CI 64% to 81%) felt it was ok for supervised trainees to care for their children. Eighty-seven percent (95% CI 80% to 94%) of parents preferred residents to introduce themselves with a ‘Dr’ prefix and 90% (95% CI 83% to 95%) wanted the doctor to state their level of training. 41% (95% CI 32% to 51%) of parents preferred to be addressed as ‘Mom/Dad’ and 31% (95% CI 23% to 41%) by their first name, but 71% (95% CI 61% to 79%) of parents did not perceive this to be important. A large proportion of surveyed parents did not have a strong understanding of the definition, level of training, and roles of residents but expressed a desire to be informed of the level of training of doctors involved in the care. Parents preferred residents to introduce themselves with a ‘Dr’ prefix. This project underscores the importance of communication with, and empowerment of, parents of children brought to PEDs and may provide guidance for interactions between residents and families in the future.
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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 | 0.003 | 0.011 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.011 | 0.003 |
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".