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Record W3081216362 · doi:10.15353/cjo.v82i2.1798

How to Have Difficult Conversations with your Patients

2020· article· en· W3081216362 on OpenAlexvenueno aff
Kaia Pankhurst

Bibliographic record

VenueCanadian journal of optometry/CJO. Canadian journal of optometry · 2020
Typearticle
Languageen
FieldBusiness, Management and Accounting
TopicHealthcare Systems and Technology
Canadian institutionsnot available
Fundersnot available
KeywordsCLARITYCompassionWarrantyConversationPsychologyMedicineLawPolitical scienceCommunication

Abstract

fetched live from OpenAlex

u st like any medical professional, Optometrists occasionally have to broach difficult topics with their patients. Whether it’s a frightening diagnosis, an expired frame warranty, or even just some unfortunate news about insurance coverage, these conversations are an unavoidable part of the job. Neither patient nor practitioner looks forward to these sorts of discussions, but sweeping them under the rug is never an option. The best thing to do is to approach tough subjects with compassion, grace, and clarity. Here are a few strategies you can use when having difficult conversations with your patients.

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)0.024
metaresearch head score (Gemma)0.140
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: Commentary · Consensus signal: Commentary
Teacher disagreement score0.082
Threshold uncertainty score0.274

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0240.140
Meta-epidemiology (narrow)0.0030.002
Meta-epidemiology (broad)0.0020.002
Bibliometrics0.0020.001
Science and technology studies0.0360.011
Scholarly communication0.0240.031
Open science0.0040.022
Research integrity0.0180.025
Insufficient payload (model declined to judge)0.0820.075

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 head0.022
GPT teacher head0.261
Teacher spread0.239 · 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
GenreCommentary

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

Citations0
Published2020
Admission routes1
Has abstractyes

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Same venueCanadian journal of optometry/CJO. Canadian journal of optometrySame topicHealthcare Systems and TechnologyFrench-language works237,207