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Record W2970288685 · doi:10.1097/acm.0000000000002747

Artist’s Statement: An Imposter Amongst the Chaos

2019· article· en· W2970288685 on OpenAlexaffabout
Rochelle G. Melvin, Jory S. Simpson

Bibliographic record

VenueAcademic Medicine · 2019
Typearticle
Languageen
FieldMedicine
TopicInnovations in Medical Education
Canadian institutionsUniversity of Toronto
Fundersnot available
KeywordsSilenceFeelingEveningPsychologyPresentation (obstetrics)MedicineSocial psychologyArt

Abstract

fetched live from OpenAlex

There are two kinds of silence in the hospital—the calm before the storm and the silence that comes in its wake. After an ominously quiet Sunday as a medical student on general surgery call, I received word that there had been a shooting. I made it to the trauma bay just before the first victim arrived and the typical sequence of trauma protocol events ensued. Nurses, physicians, and clerical assistants were working together in a whirlwind. Organized chaos. Then the second victim arrived. And then the third. I heard the overhead intercom announce a code orange. Amid the handover from police officers and paramedics, I realized that multiple people had been shot in the Danforth neighborhood of Toronto. My thoughts started racing. Was there a city event tonight? Isn’t it a Sunday night? How many more victims are on the way? Running between stretchers, I scribbled down each patient’s vital signs, injuries, and imaging findings. In one of my first lectures in medical school, I was introduced to the concept of “imposter syndrome.” It was a feeling that I had often struggled with over the last few years, but it became startlingly apparent that evening. As I blended into the background of the trauma bay, I tried to balance being useful with staying out of the way, a calculated skill I had been working to master since my preceding months as a clinical clerk. I wanted to appear confident, competent, and in control. In reality, I felt like I didn’t belong, and that I shouldn’t witness what I was seeing. It was an unsettling feeling. At what point during training do we transition from feeling useless to useful?

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)0.001
metaresearch head score (Gemma)0.012
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Other · Consensus signal: none
Teacher disagreement score0.076
Threshold uncertainty score0.255

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.012
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.000
Science and technology studies0.0040.002
Scholarly communication0.0050.003
Open science0.0010.002
Research integrity0.0060.011
Insufficient payload (model declined to judge)0.0760.026

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 head0.027
GPT teacher head0.372
Teacher spread0.345 · 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.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreOther

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".

Quick stats

Citations1
Published2019
Admission routes2
Has abstractyes

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