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Record W3027317088 · doi:10.1136/bmjstel-2020-000622

Can simulation foster resilience in medical students?

2020· article· en· W3027317088 on OpenAlexaff
Natasha Yates, Eve Purdy, Shahina Braganza, Nemat Alsaba, Anne Spooner, Jane Smith, Victoria Brazil

Bibliographic record

VenueBMJ Simulation & Technology Enhanced Learning · 2020
Typearticle
Languageen
FieldPsychology
TopicResilience and Mental Health
Canadian institutionsQueen's University
Fundersnot available
KeywordsDebriefingMindsetResilience (materials science)Psychological interventionMedical educationPsychologySet (abstract data type)Intervention (counseling)Variety (cybernetics)Applied psychologyMedicineComputer science

Abstract

fetched live from OpenAlex

Resilience is considered to be ‘a mindset and skill set that can be nurtured into a stronger and more effective attribute’.1 Whether and how it can be nurtured in medical students is a subject of interest for medical educators.1 2 Little is known about how physicians develop resilience.3 While some interventions show promise,4 resilience training in medical education is not well studied. We aimed to develop a teaching intervention with high acceptability to undergraduate medical students, which would allow exposure to challenges in a controlled, psychologically safe environment, and might enhance their resilience. Simulation-based education provided opportunities for carefully designed scenarios and debriefing by trained facilitators. Structured debriefing enabled participants to recognise and discuss stressful situations, as well as increase their connection with each other and with their teachers. These factors have been found to enhance resilience in other contexts.5 Participants’ impressions were explored qualitatively, and suggest that simulation can encourage reflection on the non-technical skill of resilience, provided there is careful design and debriefing of the simulation activity.

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

Direct model labels (unvalidated)

Per-model category and study-design labels from the labeling rounds. They are machine output, unvalidated, and the disagreement between models ships as data. No study design here is MEDLINE-validated yet.

Model armCategoriesStudy designConfidence
gemmano category
Domain: not available · Genre: Empirical
About the Canadian research system: no · About a Canadian topic: no
Simulation or modelinglow
gptno category
Domain: not available · Genre: Empirical
About the Canadian research system: no · About a Canadian topic: no
Other designlow
models splitAgreement compares identical category sets and study designs across arms.

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)0.003
metaresearch head score (Gemma)0.016
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.009
Threshold uncertainty score0.029

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.016
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0000.000
Science and technology studies0.0010.001
Scholarly communication0.0010.001
Open science0.0010.002
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0090.001

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 head0.032
GPT teacher head0.447
Teacher spread0.415 · 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

Labeled directly by 2 models reading the full record.

The models applied no category: nothing in the taxonomy fit this work.

The models disagree on parts of this classification; every voice is preserved in the section at the end of the page.

Study designSimulation or modeling · Other design
Domainnot available
GenreEmpirical

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

Citations3
Published2020
Admission routes1
Has abstractyes

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