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Record W4321599717 · doi:10.1007/s40670-022-01704-9

A Proposed Curricular Framework for an Interprofessional Approach to Deprescribing

2023· article· en· W4321599717 on OpenAlexafffund
Barbara Farrell, Lalitha Raman‐Wilms, Cheryl A Sadowski, Laurie Mallery, Justin P. Turner, Camille Gagnon, Mollie Cole, Allan Grill, Jennifer E. Isenor, Dee Mangin, Lisa McCarthy, Brenda Schuster, Caroline Sirois, Winnie Sun, Ross Upshur

Bibliographic record

VenueMedical Science Educator · 2023
Typearticle
Languageen
FieldMedicine
TopicPharmaceutical Practices and Patient Outcomes
Canadian institutionsLunenfeld-Tanenbaum Research InstituteUniversité de MontréalOntario Tech UniversityCustom Security Industries (Canada)Université LavalUniversity of ReginaOntario Drug Policy Research NetworkWomen's College HospitalUniversity of TorontoPublic Health OntarioOntario Shores Centre for Mental Health SciencesManitoba Beekeepers' AssociationUniversity of OttawaDalhousie UniversityBridgepoint Active HealthcareUniversity of AlbertaInstitut Universitaire de Gériatrie de MontréalTrillium Health CentreUniversity of ManitobaMcMaster UniversityOntario Stroke NetworkCanadian Association on GerontologyBruyèreUniversity of Waterloo
FundersCanadian Institutes of Health Research
KeywordsDeprescribingInterprofessional educationMedical educationPsychologyMedicinePolypharmacyHealth careIntensive care medicinePolitical science

Abstract

fetched live from OpenAlex

Deprescribing involves reducing or stopping medications that are causing more harm than good or are no longer needed. It is an important approach to managing polypharmacy, yet healthcare professionals identify many barriers. We present a proposed pre-licensure competency framework that describes essential knowledge, teaching strategies, and assessment protocols to promote interprofessional deprescribing skills. The framework considers how to involve patients and care partners in deprescribing decisions. An action plan and example curriculum mapping exercise are included to help educators assess their curricula, and select and implement these concepts and strategies within their programs to ensure learners graduate with competencies to manage increasingly complex medication regimens as people age. Supplementary Information: The online version contains supplementary material available at 10.1007/s40670-022-01704-9.

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)0.011
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: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Methods · Consensus signal: Methods
Teacher disagreement score0.017
Threshold uncertainty score0.070

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0110.011
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0000.001
Bibliometrics0.0030.002
Science and technology studies0.0040.003
Scholarly communication0.0050.004
Open science0.0040.005
Research integrity0.0040.004
Insufficient payload (model declined to judge)0.0110.004

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 head0.208
GPT teacher head0.503
Teacher spread0.295 · 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 designTheoretical or conceptual
Domainnot available
GenreMethods

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

Citations55
Published2023
Admission routes2
Has abstractyes

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