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Record W2800307662 · doi:10.15694/mep.2018.0000097.1

What makes a good surgical experience for the naïve learner?

2018· article· en· W2800307662 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.
fundA Canadian funder is recorded on the work.

Bibliographic record

VenueMedEdPublish · 2018
Typearticle
Languageen
FieldArts and Humanities
TopicLanguage, Linguistics, Cultural Analysis
Canadian institutionsUniversity Health NetworkWestern UniversityUniversity of TorontoMcMaster University
FundersUniversity of Toronto
KeywordsSubspecialtyMedicinePsychologySurgical teamMedical educationBayesian multivariate linear regressionFamily medicineRegression analysisSurgery

Abstract

fetched live from OpenAlex

This article was migrated. The article was marked as recommended. Early clinical observerships play a key role in pre-clerkship education and career selection. Using a cross sectional survey design, we attempted to assess the makeup of the student's observership throughout their time in the operating room (OR). Perceived educational value (EV), utility in career exploration (CE), and level of personal enjoyment (PE) were assessed after every encounter and utilized as primary outcomes. Twenty-eight (28) 1st year medical students participating in an intensive 2-week surgical exploration program completed eight 34 question electronic surveys characterizing each of their 8 surgical observerships (224 events). One hundred forty six (65.2%) surveys were completed, each representing a day of observerships, with a total of 207 surgeries observed. Following multivariate linear regression analysis, increased surgical team engagement with the student and a positive tone of interaction were each significantly associated with improved EV (p1 = 0.013, p2 <0.001), CE (p1=0.006, p2=0.012), and PE (p1 <0.001, p2 <0.001). Surgical subspecialty, type of case and ability to scrub in were not associated with improved experiences. Increased engagement and positive interaction with the surgical team are significantly associated with various measures of improved surgical experience, and each are highly modifiable factors in a learner's OR experience. This research emphasizes the diverse educational responsibility of academic surgeons.

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.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesScholarly communication, Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.828
Threshold uncertainty score0.998

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0010.001
Scholarly communication0.0030.001
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0070.000

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 head0.048
GPT teacher head0.285
Teacher spread0.236 · 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