The Physician Trainee Environment and its Associated Effects on Trainees and their Patients
Bibliographic record
Abstract
Introduction: The physician trainee’s work and educational environment impacts patient care and trainee learning and is understudied. Methods: A cross-sectional survey of trainees at a paediatric hospital evaluated learning, patient care, and adverse trainee events (crashes, needlestick injury, inappropriate personal comments, assaults or threats). Results: Completed surveys described 132 trainee months and 101 duty periods; 49 (37 %) respondents reported an adverse trainee events. Learning was rated median (IQR) of 6 (5-7) on a 10-point scale. Patient care was rated 4 or more in a 5-point scale by 93%. Multivariable analyses found staff supervision and attendance at education sessions independently associated with increased learning. Trainee adverse events were associated with seniority and working fewer nights. Conclusion: Preliminary distribution shows questions are understood, a modest distribution of safety responses, and few positive relationships, in this single center pilot. Future iterations in multiple centers can evaluate these questions further.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
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.
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 teacher head, 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".