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Record W4285019014 · doi:10.22397/bml.2022.27.5

A study on the training and legalization of physician assistants

2022· article· en· W4285019014 on OpenAlexaboutno aff
Lee-Su Ahn

Bibliographic record

VenueWonkwang University Legal Research Institute · 2022
Typearticle
Languageen
FieldNursing
TopicHealthcare Education and Workforce Issues
Canadian institutionsnot available
Fundersnot available
KeywordsLicenseEconomic shortageLegalizationMedicineMedical prescriptionQuality (philosophy)BusinessMedical educationMedical emergencyFamily medicineNursingGovernment (linguistics)Political science

Abstract

fetched live from OpenAlex

Every year, South Korean medical field is undergoing significant shortage of residents, especially in the field of surgery. Therefore, hospitals hire physician assistants(PA) to cover for short-staffed physicians and increase the quality of medical care. PA’s perform medical checkups, surgery assistance, prescription, anesthesia, and directing nurses to aid physicians. Foreign nations like the United States and Canada produce highly skilled PA’s via official PA training programs and standardized license exams, and PA’s are allowed to perform limited medical practice. However in South Korea, lack of legal basis for PA’s eligibility, training program, and range of allowed medical practice causes social problems like unlicensed medical care and medical accident. South Korea’s objective for PA program is significantly different from that of the United States and Canada. In those countries, purpose of PA is to aid and cover for primary care, whereas South Korean PA program is used for remedying surgeon shortage problem and hospitals’ business purposes, such as cost reduction and treatment time saving. This study criticizes implementing a new occupational field based on foreign PA policy will cause numerous problems and limits due to the difference of purpose. Therefore, establishing a new management& operating system for medical support persons considering patient safety, supply of health medical manpower, medical field requirements and characteristics of different medical institutions will be a realistic solution. Tasks for PA’s should be categorized and trained accordingly so that PA’s quality increases. Also, appropriate reward system, athority, and eligibility of PA’s are required according to their experience and ability. Registered nurse(RN) in South Korea is recognized as professional medical personnels that went through systematic education. This study suggests improvising RN program and utilizing it will be a efficient and realistic alternative solution for this problem.

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)0.003
metaresearch head score (Gemma)0.011
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.014
Threshold uncertainty score0.028

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.011
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.001
Science and technology studies0.0010.001
Scholarly communication0.0010.001
Open science0.0010.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0040.001

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 head0.238
GPT teacher head0.420
Teacher spread0.182 · 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 designQualitative
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

Citations2
Published2022
Admission routes1
Has abstractyes

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