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Record W4379212045 · doi:10.51642/ppmj.v26i3.143

MEDICAL EDUCATION-WHERE DO WE STAND?

2015· article· en· W4379212045 on OpenAlexaboutno aff
Najam-ul-Hasnain Khan

Bibliographic record

VenuePakistan Postgraduate Medical Journal · 2015
Typearticle
Languageen
FieldMedicine
TopicInnovations in Medical Education
Canadian institutionsnot available
Fundersnot available
KeywordsComputer sciencePsychology

Abstract

fetched live from OpenAlex

We were taught in a traditional curriculum.Learner was not an active participant in determining a learning plan.Stress was on Content-Knowledge acquisition.Path of learning was from teacher to student as the content was decided by teacher.Learning was in class rooms and not with reference to actual life situations.It was noncontextual.Teaching was discipline based and student was a passive recipient of knowledge.Typical assessment tool was single subjective measure: viva-voce, Long essay questions or Multiple-choice questions.Assessment tool was in-vitro in artificial conditions as short case, long case.Setting of evaluation was removed from real site of job.No direct observation was made, and no formative feedback was provided.Evaluation was norm referenced.Emphasis was on summative evaluation.There was a fixed time for the components of the curriculum to be learnt.Program evaluation focused on matters of process (e.g., ''Are there objectives for every rotation?''or ''Is there a teacher evaluation form?''). Most learners successfully completed their training by meeting time, process, and curricular requirements.When those requirements were met, the ability to apply what was learned to the actual delivery of patient care was assumed, without assessing whether the application of that learning to health care delivery occurred.When those requirements were met, the ability to apply what was learned to the actual delivery of patient care was assumed, without assessing whether the application of that learning to health care delivery occurred.Now the move is towards Constructivist model where Learner is an active participant in determining a learning plan.Stress is on Outcome-Knowledge acquisition.Educational strategy is Learner centered.Path of learning is Nonhierarchical.Responsibility for content is shared by the student and teacher.Learning is with reference to actual problems faced by professionals and thus contextual.Learning by students is active.Boundaries of disciplines are no more barriers and integrated curricula are being developed.Multiple objective measures for assessment ("evaluation portfolio") are being used.Assessment tool is in vivo.Work place based assessment like Mini clinical examination, Direct observation of procedural skills (DOPS), Case based discussions, and Acute care assessment tool are being utilized.Setting of evaluation is the work place.Direct observation, with formative feedback is in place.Evaluation is criterion referenced.Emphasis is on formative feedback.In contrast, competency-based training is based on the successful demonstration of the application of the specific knowledge, skills, and attitudes that are required for the practice of medicine.In support of Competency Based Medical Education, accreditation requirements have become Increasingly focused on outcomes.For instance, ACGME accredited Internal Medicine programs must now demonstrate evidence of data-driven improvements to the training program by using resident performance data, or outcomes, as a basis for improvement, and use external measures to verify both the learner's and the program's performance (ACGME 2009b).Similarly, all Royal College of Physicians and Surgeons of Canada programs require demonstration of both traditional time-based rotations and specialty-specific competencies (Accreditation Committee 2006).At the level of the individual stakeholder, the transition to a competency-based training model can represent a dramatic redefinition of professional identity.

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)0.004
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: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.055
Threshold uncertainty score0.185

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0040.011
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0020.002
Science and technology studies0.0060.004
Scholarly communication0.0080.010
Open science0.0010.007
Research integrity0.0040.008
Insufficient payload (model declined to judge)0.0550.018

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 head0.025
GPT teacher head0.388
Teacher spread0.363 · 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".

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Citations0
Published2015
Admission routes1
Has abstractyes

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