Wikipedia talk:WikiProject Medicine

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    How do we welcome new medical editors? edit

    Should we welcome them with edit war that almost violates 3RR (correction and apologies: there were 3 reverts, but needs a fourth to constitute a violation, but I still think WP:BITE, WP:WikiBullying and WP:PRESERVE apply; and per WP:3RR, “ The rule is not an entitlement to revert a page a specific number of times”) and bite them with warnings and potential WikiBullying?

    Perhaps someone needs to consider self-reverting. --Dustfreeworld (talk) 10:33, 8 January 2024 (UTC) edited 12:36, 8 January 2024 (UTC)Reply[reply]

    +1 to your points, behaviour and tone towards new contributors is very often needlessly harsh.
    That said, at least notifying @Zefr of this post seems appropriate. MaligneRange (talk) 15:46, 8 January 2024 (UTC)Reply[reply]
    It's a Frontiers journal, and I suspect that "the script highlighted it as possibly bad" is all the thought that went into this. Wikipedia:Reliable sources/Perennial sources doesn't mention it, and Wikipedia:WikiProject Academic Journals/Journals cited by Wikipedia/Questionable1 says that it needs case-by-case consideration, not shoot-on-sight edit warring. The journal is indexed in MEDLINE and Index Medicus.[1] Scopus says it's a mid-tier journal.[2] It's therefore probably a reliable source, according to the criteria put forward in question #8 in the FAQ about how to do case-by-case evaluations. WhatamIdoing (talk) 18:39, 8 January 2024 (UTC)Reply[reply]
    "Frontiers" is not the best journal around, but it's certainly not the worst either. There are plenty of Frontier articles that are reliable, and I've personally cited it before. Vontheri (talk) 19:08, 29 January 2024 (UTC)Reply[reply]
    While I am no fan of Wikipedia being used for class exercises I agree that interaction is poor and reflects negatively on Wikipedia and our hope to continue as a project with new editors.
    Three things strike me. This revert claims in the edit summary that "'smart drug' term and other claims are not supported by a WP:MEDRS review". We don't need a MEDRS review to say that certain drugs are being labelled "smart drugs" by students or the press or whatever nor to say "its use is increasing, especially among students". The removed text said "The reasons for using the drug Modafinil are due to better concentration, neuro-improvement, stress reduction, time optimization, reduction of fatigue, reduction of daytime sleepiness and curiosity" and the source says "The most frequent reasons for using smart drugs were: better concentration, neuro enhancement, stress reduction, time optimization, increased wake time, increased free time, and curiosity". So there's a plagiarism issues here that we see almost inevitably from students who aren't being monitored or taught properly by their teacher. But the key is the text is sourced and not itself incorrect: these are reasons students give. It likely needs more carefully worded to not give any impression that Wikipedia agrees with those reasons or thinks they are scientifically confirmed. The linked article is indeed a medical review paper, so I'd very much expect a beginner to think it was just fine. Instead the editors is told it isn't a MEDRS review and on their user page pointed at Wikipedia:CITEWATCH. Quite how any beginner is supposed to make sense of a table for bots I don't know but in big bold letters at the start it says this page "does not answer whether it is appropriate to cite them". Personally I find this "You cited a predatory journal" reason-why-I'm-justified-in-edit-warring-with-you to be a bit of a clever-dick landmine issue for this project. It is nearly impossible for most editors to figure this stuff out, but get it wrong and you'll be threatened with a block (as here) for trying to restore your apparently MEDRS compliant text which keeps getting removed by some know-it-all vandal.
    Secondly I find it offensive that the editor's imperfect prose has led to him to being told to go edit on Turkish Wikipedia. "Comments made by students on this talk page indicate your knowledge of English grammar is poor. There is a Wikipedia in Turkish. Please edit there, not here". This is repeated on the user's talk page. And in among all the ranting about predatory journals, the student is lectured on punctuation and citation sequencing, as though this is something that matters on your first article edit. This is the encyclopaedia that anyone can edit. Literacy (and numeracy) skills have been notably lacking in some well known WPMED members over the years and I don't recall anyone telling them to go edit somewhere else for those reasons.
    Thirdly the student is told "It seems odd to me ..that graduate students are permitted to do their first encyclopedia editing on a medical topic (this requires expertise)" The main problem over the years with student editing has been (a) undergraduate students doing a 101 course who, well, know nothing about their subject, obviously, and are attempting to write effectively textbook level prose on said subject and (b) courses where the teacher has only just mastered putting three 's together to make bold text. I would love if Wikipedia got edits from graduates as this one, a "molecular biology master degree student". I wonder what kind of "expertise" is "required" to edit Wikipedia's biomedical articles? Would my first aid badge do? This elitism is killing the project.

    -- Colin°Talk 14:33, 8 January 2024 (UTC)Reply[reply]

    Thank you so much for your wise comment, Colin. That really helps :) I agree that the interaction reflects negatively on Wikipedia and our hope to continue as a project with new editors. I think more than one user is affected. That probably affects the whole class. On the Neuroenhancement talk page new users are told that they don’t have “permission” from Wiki Education Foundation to edit. And many others who have edited the article have their edits reverted. I’ve just posted welcome messages on some of those new users’ talk pages. --Dustfreeworld (talk) 18:30, 8 January 2024 (UTC); 18:25, 10 January 2024 (UTC)Reply[reply]
    AIUI the Wiki Edu Foundation only supports classes in the US and maybe Canada, so they wouldn't be supporting a class in Turkey. Someone like Justinianus could tell us whether m:WMTR supports university classes, but in general, this is the encyclopedia anyone can edit, and that includes students just as much as anyone else. WhatamIdoing (talk) 18:53, 8 January 2024 (UTC)Reply[reply]
    To clarify... This is indeed "the encyclopaedia anyone can edit" but the important word is "can". Not "made to" or "paid to". Once you go beyond voluntary participation, the usual contract with the community breaks down. We had a very very few wise lecturers years ago who understood this and ensured the students were aware of the toes they might step on, but they were exceptions. The fault with any of this is the teachers, not the students, and frustrations with unprepared students being made to edit Wikipedia should be laid at their door. We were all new once and I would guess that 99.999% of the world population think a "predatory journal" is one on big cats or sharks. -- Colin°Talk 21:00, 8 January 2024 (UTC)Reply[reply]
    @Colin: Not just students, *very experienced* users can be bitten or wikibullied as well, not to mention teachers who have less experience in editing Wikipedia (e.g. [3][4]). --Dustfreeworld (talk) 11:45, 26 January 2024 (UTC)Reply[reply]
    It may or may not be the teacher’s fault. I think almost all students we are talking about are studying in the university. I suppose they should know what is self-learning. The problem is, if we don’t even has a link to WP:MEDRS in our WP:G [5], how can they learn about it? Even the teachers can’t. I don’t think the students need to be “trained”. They need to learn by themselves. I do think our information is somewhat scattered / difficult to understand, etc. Further, more can be done by experienced editors to offer help to new users and equip them with the needed information (e.g. by posting a comprehensive welcome template instead of warnings).
    Sometimes student edits seem especially problematic, likely because there are too much of them (in one topic) at one time, as compared with other individual new users. I don’t think the difficulties in understanding how Wikipedia works are specific to students. --Dustfreeworld (talk) 12:46, 26 January 2024 (UTC); 14:21, 26 January 2024 (UTC)Reply[reply]
    There might be a case for putting some work into the WP:MEDFAQ. If would-be medical editors read that it could at least convey the basics. Bon courage (talk) 09:11, 27 January 2024 (UTC)Reply[reply]
    Sounds good to me. --Dustfreeworld (talk) 17:25, 27 January 2024 (UTC)Reply[reply]
    Related discussions:
    --Dustfreeworld (talk) 17:30, 27 January 2024 (UTC); 11:05, 14 February 2024 (UTC)Reply[reply]
    And problem persists weeks after this discussion started, e.g.,
    --Dustfreeworld (talk) 22:00, 29 January 2024 (UTC)Reply[reply]
    One help would be to, instead of using just a generic warning template by default, to individualize and de-formalize the wording. Adding links to the specific incident in question should be done, to avoid potential ambiguity. And we should civilly, respectfully, and nicely explain specifically what was wrong with the way the editor originally worded/cited it. (Why is Wikipedia often so lacking in civility, respect, and niceness, by the way..?)
    I'm personally not in favor of Wikipedia editing being used as a school assignment, but given that it is, and regardless of if the editor in question is editing as part of school or as a "regular" editor, the same should apply as to how to deal with it and guide them. Remember that there are editors with good intentions who simply need guidance as to how Wikipedia should work (in which case a formal, and often vague, warning could be confusing to them at best, and offensive and scare them off at worst), but there are also editors who actually do have bad intentions for whom a formal warning would make sense.
    You (Dustfreeworld) said "I don’t think the difficulties in understanding how Wikipedia works are specific to students". This is true that the difficulties are probably not specific, but what is specific to most students who are editing as part of a class assignment is the motivation and the reason for why they are editing Wikipedia to begin with. Most editors have intrinsic motivations as to why we edit. Most students have extrinsic motivations to edit Wikipedia. Extrinsic, rather than intrinsic motivation, almost always results in inferior results. Vontheri (talk) 00:28, 30 January 2024 (UTC)Reply[reply]
    ...all else being equal, except that when you compare a graduate-level class against a random newbie, all else is not equal. A grad student after a grade is probably going to make a better contribution than someone who's finding television boring tonight.
    I have been missing the old Wikipedia:Requests for comment/User conduct process recently. Some of the reverters may be aware that an individual editor or two disagrees with their approach, but there is no longer a good way to determine whether the community in general feels the same way. WhatamIdoing (talk) 04:38, 30 January 2024 (UTC)Reply[reply]
    A grad student after a grade is probably going to make a better contribution than someone who's finding television boring tonight.
    I'm not so sure about that. Those two categories of editors (grad student and bored person) tend to make very different kinds of edits. The former group is more likely to make long edits, and the latter group short edits, for example. And how many people actually begin editing Wikipedia because they happened to be bored one night and thought "Hey, maybe I could randomly start editing Wikipedia to pass the time!" I know that's certainly not at all how or why I began editing. I began editing because I saw an article about a topic I was quite familiar with that I felt was lacking important information, so I decided to start adding information, learning on my own the way things were supposed to be formatted and such. In other words: for reasons of intrinsic motivation.
    I'm not quite sure what you mean by, "A grad student after a grade" in the sentence, "A grad student after a grade is probably going to make a better contribution than someone who's finding television boring tonight." Do you mean by "after a grade" as in after they completed the class assignment that involved editing Wikipedia? And then the assumption is that they will continue to make edits long-term after their class is over? I'm curious, does anyone have any data for what % of people who first edited Wikipedia as part of school assignments go on to continue to become regular editors? My guess is that it is not very many.
    I remember once running across an article (it was a long time ago and I can't remember what the article was, sorry) and I thought, "This reminds me of the writing style of some of the poorly-written papers I've seen before written by university students in the class of a professor I know." (This professor is a graduate-level professor at a school that is... let's just say not very selective in its admissions. I've seen some atrociously horrible writing from some of her students before.) I soon found out that the article I had just read had, in fact, been written by a student as part of a class using Wikipedia editing as an assignment! Extrinsic motivation just simply tends to result in bad writing. (Not always, of course, but very often.) If we have Wikipedia articles that are written by students who don't actually care about Wikipedia but whose goal is to simply get a "passing grade," then we are going to have a lot of poor-quality articles.
    I also have observed that there seems to be a near-universal assumption that if someone is editing due to a class assignment, then this necessarily means that they have never seriously edited Wikipedia before and don't already have any way of knowing how things are supposed to work. Imagine if you were currently a student in a class and found out you were going to be treated like you knew nothing about Wikipedia, when you already likely know even more than the professor knows about how it works. It would feel pretty condescending and frustrating, wouldn't it? Vontheri (talk) 18:16, 30 January 2024 (UTC)Reply[reply]
    I wonder whether our glorification of intrinsic motivation would stand up to scrutiny. I doubt that any of us would say that getting a paycheck makes us do a bad job in our day jobs, so why would extrinsic motivation be fine there and bad here? I'd say that bad writers are going to produce bad writing regardless of their motivation. We have to watch out for incompatible motivations (e.g., Wikipedia wants encyclopedic content; the spammer wants people to click an external link), but I don't think we need to be concerned about whether the student's short-term motivation is extrinsic (or perhaps really intrinsic at one remove: they're taking that class voluntarily, which shows some intrinsic motivation).
    I'm not sure that your experience is entirely typical. My first edits (as an IP, originally) were just a case of https://xkcd.com/386/, except for typos. Editors who begin contributing because they have something to tell the world tend not to be retained as long as those of us who like fixing typos or doing other gnoming tasks. They post their content about the subject they care about, and then they're pretty much done. It may take them 10 edits or 1,000 to tell the world about their subject, but it won't take 100,000.
    Wiki Education Foundation does not track student retention. However, several editors say that they have continued (sometimes in a new account), which is more than we can say about most non-student editors. I think I've "met" approximately as many retained student editors as I've met former vandals, although the pool of vandals is much bigger than the pool of student editors. For context, 70% of accounts never make even the first edit. Of the minority that make one, most of them make only one or two edits, and never edit again. In the last month, there were only about 25K Wikipedia:Extended confirmed editors who made even a single edit, and only about 10K who averaged one edit per day in the last month. Editors like you are the top 0.1% – the equivalent, in income terms, to an American resident who makes several million US dollars per year. There just haven't been enough students to produce very many like you. WhatamIdoing (talk) 06:14, 31 January 2024 (UTC)Reply[reply]
    I don't think "throw random statistics" and "add some anecdotes from recollection" is really addressing the issues. These comparisons with other things are terrible. For example, there are several reasons I do a good job, but some of them include the degree I have, the years of experience I have and that I'm being asked to do something within my competency. And any boss looking for people to do a non-trivial task will be asking the same things: qualifications, experience, appropriateness. If someone asked to go be a dentist for a day, or an optician, or fix the wheel alignment on someone's car, I'd be rubbish no matter how much you paid me or no matter how much fun I might think those things are. So saying, WAID, that our arguments don't stand up to scrutiny because being paid doesn't make you a bad employee is a rubbish argument. I'd be the worst dentist ever, whether you paid me or not. It would never have crossed my mind to be a dentist for a day. Similarly, no newbie would ever set themselves the tasks these students are being compelled to do.
    There may well be some student classes, following all the rules, who are being asked to do far more reasonable things, like some first aid, that they have actually had some appropriate training for. But that doesn't deny the existence of classes that are awful, and every time we look, the teachers are awful, have never seriously edited Wikipedia, and students are not being supervised. Nothing in that last sentence is changed by comparisons with newbies or employees.
    The 70% stat isn't worth repeating, WAID. You yourself have said that a big chunk of that is auto-created en:wp accounts for users on other projects who merely glance at a page here while logged in. And there isn't really a hard dividing line between IP and account in terms of being able to edit most articles. There are times when a statistic has too many unknowns for it to be useful. This is one of them.
    From what the teacher and the students have said about this class at AN/I, this has been a terrible experience for all of them. But these are graduate students. So they are bright, capable and they already know some useful stuff. They could have been great editors, but they were required to do something that was beyond their abilities, by someone who hasn't a clue. -- Colin°Talk 08:48, 31 January 2024 (UTC)Reply[reply]
    To a first approximation, all newbies are bad. We have no evidence behind, and not even any common sense support for, the idea that a newbie who is incentivized to do something plausibly relevant and correct (e.g., by getting graded) is going to be worse than a newbie who doesn't.
    While all newbies are bad, we also know that student editors are less-bad than others. Students almost never vandalize articles, they almost never engage in block-worthy behaviors, and they are more likely to respond to complaints than non-student newbies. (NB: I am making a comparison of the relative chances of getting a response between class-based newbies and non-class-based newbies; I am not saying that an absolute majority of students respond to messages we post). In the medical area specifically, garbage from newbies is an ongoing problem. We have banned all newbies from editing articles like COVID-19 pandemic and Cancer to keep them from being stuffed with conspiracy theories, quackery, and whatever is lighting up social media this week. Students may re-write sex-specific articles to sound gender neutral, but they don't generally replace conventional medical treatments with advertisements for the Supplement o' the Week. WhatamIdoing (talk) 17:01, 31 January 2024 (UTC)Reply[reply]
    @Colin, IMO that last sentence you wrote is a very big assumption that was based on your interpretation of what the instructor had said about how they felt. FYI, both the instructor and the graduates hasn’t posted at AN/I. The instructor has posted at the Education noticeboard, and I think that’s the remark that you based your assumption on.
    The instructor said, “my students are afraid of editing Wikipedia and then during their editing experience some felt discouraged and quite exhausted due to some unfriendly approach or comments from some users.” I believe this is one of those comments the instructor is referring to:
    which is “offensive, factually incorrect and misguided, particularly in their attitude that graduate students shouldn't be editing” and that comment was directed to the *whole class*, just after they introduced themselves.
    I think “this has been a terrible experience for all of them” because *all of them have been wikibullied*. I believe there maybe some misread and misunderstanding here. I do believe all of us would agree that the WikiBullying should be halted and not going further. I hope the assumption/accusation can stop (better yet, be striked out) especially when the instructor’s RL identity was disclosed elsewhere at WP. Respectfully, --Dustfreeworld (talk) 18:19, 31 January 2024 (UTC)Reply[reply]
    That comment ("There is a Wikipedia in Turkish. Please edit there, not here") was one of the ones I had in mind when I said that I missed the old RFC/U process. It was eliminated years ago, but when it was active, it was a place to talk to users about whether they understood that a comment like that might come across as being racist. Someone could genuinely intend such a comment to be purely helpful and in support of both the person it is addressed to and the Turkish Wikipedia, but that's not the way I "hear" such a comment. WhatamIdoing (talk) 22:37, 31 January 2024 (UTC)Reply[reply]
    You don't "know that student editors are less-bad than others". Sure, their class assignment is unlikely to ask them to remind readers that Trump won the 2020 election or that ivermectin cures Covid 19. But then, students in class are also not out smoking pot or driving while drunk. What evidence do you have that these classes make any different to that person's behaviour on Wikipedia at other times, likely with a different account or as an IP. That they are less likely to make drunken "amusing" edits. Or that someone in a psychology 101 class is less likely to believe right wing conspiracy theories or be anti-vax solely because they once were required to edit Wikipedia for a grade?
    But their class assignment, largely unsupervised it seems, is likely to end up with them selecting non-recent primary-research papers and just reproducing the paper's text into our article in some random place. They aren't, AFAICS, being asked to seriously study the topic of the "sympathetic nervous system", select among the best recent secondary sources, and then summarise that to fill in the gaps or improve what is there. This is classic "find a factoid on PubMed and insert into Wikipedia".
    Being self motivated and being externally motivated have different pros and cons. One isn't 100% bad. Sure, people can be self motivated to vandalise or push conspiracy theories, which are unlikely to be motivators in a decent class. But with the worse classes we see newbies make bigger and more challenging edits than typical newbies might otherwise, on topics that they really really don't yet understand. I can't see how that is anything but trouble. They either then plagiarise their one and only source, or attempt to write it in the words of someone who doesn't yet understand. That someone taking a class teaching the basics of stem cell biology, say, is then asked to Teach The World via Wikipedia about stem cell biology. -- Colin°Talk 10:36, 1 February 2024 (UTC)Reply[reply]
    What evidence do I have that students aren't running WP:BADHAND accounts? Exactly the same as the evidence that I have that for the regulars on this page, including you.
    The evidence that we do have indicates that the students making their first edits are more likely to be productive (by every measure I've heard of: getting reverted, getting blocked, adding sources, editing on more than one day, etc.) than non-students making their first edits.
    I don't think we should judge students by "the worst classes" any more than we should judge other newbies by the worst of other newbies. The worst classes require, at minimum, a bunch of reverting. The worst other editors require police reports.
    I think that it's also a mistake to classify students as extrinsically motivated when they are voluntarily signing up for a class that edits Wikipedia. A person who chooses to take a class that is advertised as editing Wikipedia (and at least some of them are, including one grad school class whose whole reason for existence is to improve Wikipedia) is already intrinsically motivated. WhatamIdoing (talk) 19:53, 1 February 2024 (UTC)Reply[reply]
    I didn't say they were consciously running BADHAND accounts. Consider your reasoning by any other circumstance. Their behaviour while editing Wikipedia using accounts registered to the class and potentially observably by teacher is going to be similar in many ways to student behaviour in the class room. On the other hand, outside of the classroom or lab, student behaviour is notoriously poor on many measures (though better on some others due to being brighter and better off than average). So when you say these students are model editors in many aspects, I'm rolling my eyes.
    Students often get choices of modules to pick but once chosen it becomes as much an obligation as if there was no choice of module. If it counts for their grade that's extrinsic motivation. If the choice of what to do on Wikipedia isn't entirely up to the students, that's extrinsic motivation.
    WAID I repeat that your "at least they don't require police reports" argument is really inappropriate and somewhat offensive. Please stop comparing students to vandals or, now, criminals. Would you be happy in real life if hostile workplace behaviour against you, or a moderate level crime against you was dismissed with an "just be glad you weren't...." severe crime? It isn't in any way a valid argument. It's a sort of dishonest politician argument. There's probably a Wikipedia article for it.
    There exist bad classes. There exist students making copyvio edits of random papers they found. There exist students adding material to articles that is already there because they were told to add material, not to improve what was there. There exist students creating new articles for topics we already cover, because they were told to create new articles. There exist students to keep reverting back their edits because otherwise they fear they won't get their grade. There exist classes where the teacher has no skill or knowledge or experience of the subject, which isn't how good education works. There exist classes where the teacher assumed Wikipedia would fix the problems and correct mistakes. And there exist classes where students are asked to do something so beyond their abilities on articles that matter deeply to editors here, that those editors behave in a hostile and unacceptable way in return. And so on. Imaginations about what random newbies might do on a random night are entirely irrelevant. -- Colin°Talk 12:46, 3 February 2024 (UTC)Reply[reply]
    Yes, there exist bad classes. But: Even the bad classes aren't worse than other newbies.
    The problem here is more like:
    We have 10,000 newbies running around a festival. Most of them are okay, but some of them are causing problems that annoy staff, sometimes out of ignorance (ranging from "Hey, y'all, watch this!" to "I thought this was the line for the toilets") and sometimes out of malice (e.g., pickpockets and taggers).
    All our attention is on one group of 10 guys wearing matching T-shirts. They're trying to do (what they believe is) the right thing, but they're really not figuring it out: they were blocking the path when others needed to get past, confused when people tried to talk to them, and generally caused small, temporary, reversible problems. The security team tries to tell them what to do, but it doesn't seem to help. Eventually the group, having had a miserable day, goes home. Meanwhile, the security team has had to eject 1,000 individuals from the event.
    We go home, too, and we talk about how horrible it is those ten guys were for doing what they thought they were supposed to be doing. We talk about banning groups, even though there were lots of other groups doing well. We don't talk at all about the 1,000 individuals that were tossed out of the event.
    Why is our attention focus on 1% of the problem? Is it because we find a group inherently more threatening?
    More than 10% of accounts created last year were so bad that they get blocked after making their first edit. None of these students – in a "bad class" – were so bad that they got blocked. Why are we saying that these students are worse than the ones who got blocked? We had editors (not you, of course) proposing banning all classes because this one group of newbies caused some non-block-worthy problems, but we don't have editors proposing banning all newbies, even though a really sizeable minority of newbies cause block-worthy problems and almost all of them, especially if they make more than a couple of edits, cause non-block-worthy problems. Proposing to ban the category of newbies that causes fewer problems does not seem rational to me. WhatamIdoing (talk) 19:04, 3 February 2024 (UTC)Reply[reply]
    [Sigh] Why this topic started by me: How do we welcome our new (medical) editors (including teachers/PG/UG, etc.) ?
    Now becomes: How do we *criticise* our new editors? ... [Sigh] ... --Dustfreeworld (talk) 21:01, 3 February 2024 (UTC)Reply[reply]
    Well there's a false dichotomy, as though it is a choice between students or newbies. Both of them are newbies. And I wager, outside of their class assignment, which they generally edit with an account created for the purpose and assigned to the class, their editing behaviour, should they edit, is virtually indistinguishable from the behaviour of matched peers who happened to not get an assignment. So you've created two population groups that are actually just one population group: newbies.
    Your measure, whether they get blocked, is fairly extreme, and doesn't measure any of the other bad stuff like copy vio or plagiarism. Nobody has ever suggested that teachers are asking students to vandalise or asking students to insert racial slurs or do anything remotely like that which cause your 10% of first edits are blocked scenario. So why is that in any way relevant.
    WAID, I'm really unconvinced you comparing students to newbies or vandals or criminals is in any way helpful. In the UK, we don't let learner drivers on the motorways. Someone just beginning to remember to look in their mirrors before signalling before maneuvering to the next lane, is not going to interact well with the asshole in a BMW doing 90mph when they swerve out into their path unanticipated. If driving instructors took it into their heads that the motorway was a great place to learn (nice straight road, wide lanes, no traffic lights or roundabouts) we'd criticise these driving instructors for not appreciating how motorways work. That criticism would be valid. But what I'm hearing from you is that learner drivers under instruction never get arrested for driving under the influence of alcohol. They never get done for speeding at 100mph. Their car is never uninsured and they never drive without a (provisional) licence. Whereas thousands of "drivers" do all those things. So clearly we should focus on these problem "drivers" and totally ignore the problem "learners on motorways". Especially as the learner drivers have a big L painted or stuck on their car, so we are especially aware of them. If anyone tried that on you, you'd respond "So what, my criticism is still valid". In fact, some student classes are worse: the students are like learners whose first vehicle is actually an articulated lorry and it turns out their driving instructor can't drive but once watched Top Gear and "how hard can it be"? -- Colin°Talk 14:23, 5 February 2024 (UTC)Reply[reply]
    (Translation note for the above: motorway = freeway). I agree, plus student newbies are likely to get added overconfidence from being told they have been sufficiently trained, & being told, indeed instructed, to make edits, often pretty bold ones. Admittedly, the majority never seem to make any actual articlespace edits at all. Johnbod (talk) 15:33, 5 February 2024 (UTC)Reply[reply]

    I don’t think comparing “editing Wikipedia” with “driving on the motorways” is relevant.

    We welcome new editors. We want more people to become part of *us*, especially people who are experts in their field. Classes that teach how to edit at Wikipedia is a good way to promote Wikipedia (both editing and browsing). I’ve read student editors wrote that they thought only certain elite group could edit Wikipedia, but when they found out (through their course) that they could edit too they found it really satisfying. I don’t think there are persistent wikibullying ([8] ..., etc.), WP:OWN/elitism/etc. on the motorways (BTW, according to the definition of *that regular user*, I think most of *us* in this thread should be OUT of this WP Project MEDICINE, I don’t know why we can still discuss / are still discussing here ;-) I don’t think they are promoting the motorways by teaching people how to drive.

    I agree that edits from classes may cause problems for regulars here. I don’t think that has much to do with “who brings the new editors here”. As noted by me and others, it’s an issue mainly because there can be a large number of edits in a short time, usually in the same topic. Further, people immediately bristle when a cluster of students start editing because they’ve seen similar problems happened before (but I suspect those issues have long been exaggerated by some of our regular users, due to their own behavioural problems / mindset that I’ve mentioned), and this can lead to subsequent escalating conflicts.

    IMO, most of the problems can be dealt with through better communication (and less incivility and WP:OWN/elitism mindset) between regulars and new users, better enforcement of disciplinary actions against obviously problematic senior users, and more support for classes.

    As to support for classes, it seems to me that it all comes down to resources. As said by Rhododendrites at the Education noticeboard [9]: “... there is no staff support outside the US/CA ... the international education program has been extremely under-funded. Meanwhile, it seems like there are fewer resources for educators outside NA today than there were ~8 years ago. The education program extension has been deprecated after it was abandoned by the foundation, there were once a lot of resources over at the Outreach Wiki, but that's been rolled into meta:Education, which has almost no content. I hope that's temporary, …”

    That said, with limited resource, I believe there are still much that we can do, e.g., informing new users about our rules as soon as they register (by a welcome template for instance), improving our (navigation of) guidelines and documentation, be nice and explain more patiently instead of posting a vague warning, etc.

    It seems to me that most users involved in this discussion aren’t very interested in discussing all these. --Dustfreeworld (talk) 18:10, 5 February 2024 (UTC); 22:13, 5 February 2024 (UTC); 14:32, 6 February 2024 (UTC)Reply[reply]

    More on support for classes, posted by Ian (Wiki Ed): [10] --Dustfreeworld (talk) 18:34, 5 February 2024 (UTC)Reply[reply]
    @Vontheri,

    One help would be to, instead of using just a generic warning template by default, to individualize and de-formalize the wording ... And we should civilly, respectfully, and nicely explain specifically what was wrong with the way the editor originally worded/cited it. (Why is Wikipedia often so lacking in civility, respect, and niceness, by the way..?)

    ... regardless of if the editor in question is editing as part of school or as a "regular" editor, the same should apply as to how to deal with it and guide them. Remember that there are editors with good intentions who simply need guidance as to how Wikipedia should work (in which case a formal, and often vague, warning could be confusing to them at best, and offensive and scare them off at worst), but there are also editors who actually do have bad intentions for whom a formal warning would make sense.

    Agreed. --Dustfreeworld (talk) 21:25, 3 February 2024 (UTC)Reply[reply]
    I'm not comparing editing Wikipedia with driving on the motorway. I think most countries let beginners out onto the roads, rather than requiring them to take lessons on private ground. Many people, however, find a big empty car part in which to learn how to start and stop and turn the steering wheel around. And in my country, nobody would dream of practicing a three-point-turn on a motorway slipway, or parallel parking on the hard shoulder. Any instructor doing that would likely get some kind of ban and disallowed from teaching. Some classes use sandboxes (and some never seem to escape them). Other classes ask for small edits. But many it seems ask them to make big edits, usually adding new material rather than fixing what's there, and this can end up just repeating existing material or being a copyvio. And usually that material is something the student is on a topic the student is only just learning about. I don't think that is anything to do with the students themselves being newbies. It is the teacher's fault.
    I think students could be asked to do assignments on Wikipedia that we would be happy with. But when they are not, mostly I think this is related to the teacher not understanding how Wikipedia works due to inexperience and over-confidence, and the "obey authority" roles between student and teacher that means the student has to do what they are asked, rather than voicing their discomfort or suggesting alternatives. There is also, as you note, a matter of scale. Years ago the medical project had a huge class (think over a thousand) taking psychology 101 being asked to make edits by a guy who had essentially watched Top Gear and though driving on the motorway was easy and fun thing for their students to do, and he could put his feet up and let everyone else mark his homework assignments. But even a few students all being asked to go find some latest medical research on pub med and add it to a Wikipedia article can create a monster.
    I agree there are civility problems with the example that started this, and I've gone through them already. Wikipedia, for some reason, puts up with people who have civility issues that would have got them sacked from most office workspaces long ago, usually because they are highly productive editors doing thankless tasks. While it would be wonderful if some of the issues you see got addressed, Wikipedia has been going long enough for me to doubt they will. In other words, these classes will have to learn not to poke the bears.
    Wrt what people are interested in. This is a volunteer project. (well, outside of class assignments and paid editing it is). If you are going to cajole editors into helping out with the education projects, a discussion like this probably isn't the place to do it. Colin°Talk 08:52, 6 February 2024 (UTC)Reply[reply]
    It’s not true that Wikipedia puts up with people who have civility issues because they are highly productive editors doing thankless tasks. We’ve seen many long-term editors blocked indefinitely, including former administrators and former bureaucrats, who were *really* “highly productive editors doing thankless tasks”. The issues didn’t got addressed probably because no one bothers to complain. Regulars won’t because it’s thankless, they aren’t the victims, they believe that does more harm than good to themselves, etc. Newbies won’t because they don’t know how to (or even don’t know that they can). --Dustfreeworld (talk) 10:46, 14 February 2024 (UTC)Reply[reply]
    Well I've seen many editors who Wikipedia puts up with (or at least, survived for a remarkable amount of time) because of the perceived value they gave despite their constant hostility to others. I do think you hit the nail on the head with "*really*" before the "highly productive editors". Not because Wikipedia failed them, but because Wikipedia became their life. In my experience, editors who spend their lives on Wikipedia or Commons, burning the midnight oil so you can't even work out what timezone they are in, uploading or categorising millions of photos or making hundreds of thousands of edits, end up being asked to leave. It's just not a sane or healthy thing to do. (Operating a bot account is another sure fire way). -- Colin°Talk 12:01, 14 February 2024 (UTC)Reply[reply]
    On a related note, I do think too much value is given to the quantity of edits someone has made. Quantity of edits tells nothing about quality of edits. I have observed editors who, in my opinion, are using Wikipedia like it's a game where number of edits = points scored. It's hard to imagine it being an indication of good mental health when you see someone making hundreds of edits a day at all hours of the clock nearly every day of the year.
    Even if such an editor is doing productive tasks, if they are constantly acting in incivility, then perhaps the number of editors they scare away outweighs their productivity? Vontheri (talk) 07:26, 16 February 2024 (UTC)Reply[reply]
    @Vontheri, Totally agree. --Dustfreeworld (talk) 22:12, 22 February 2024 (UTC)Reply[reply]
    I believe it's somewhat situational. I'm a medical student who does some editing while studying things. In many cases, I find that pages are lacking expanded explanations or recent knowledge, and in this case it's better for me (or an undergraduate, or anyone else) to add content, provided it's well-sourced. But when there is an expert who knows more about the subject, I would immediately defer. Authority and expertise has its place, and ideally every bit of info on every medicine page would be written by specialist physicians. But there just aren't enough of them volunteering their time to expand Wikipedia, so that's not realistic. But we can make way when they do come around.
    For what it's worth, I've had no trouble as a newer editor, even when I make relatively large changes or ones I think may be controversial (of course, I cite these changes as best I can). Just-a-can-of-beans (talk) 19:26, 12 January 2024 (UTC)Reply[reply]
    WikiProject Medicine was originally created by medical students. We've always got a handful of current and prospective medical students around, and they tend to be great contributors. WhatamIdoing (talk) 16:58, 15 January 2024 (UTC)Reply[reply]
    But when there is an expert who knows more about the subject, I would immediately defer ← I wouldn't be too deferential. Wikipedia has had some experts (even Nobel Prize winners) who have very odd ideas and are terrible at editing Wikipedia. Expertise at identifying and summarizing sources in an encyclopedic manner needn't correspond to subject-matter expertise. Bon courage (talk) 09:07, 28 January 2024 (UTC)Reply[reply]
    I wouldn't let the few oddballs contaminate the basic principle. You know, if someone actually is a neurologist of many years experience, rather than a student who has only ever opened an introductory neurology textbook a few months ago. But a medical degree is not required nor is it a guarantee of wisdom over the entire topic domain. A cardiologist who last heard anything about epilepsy drugs in a 30 minute lecture in the early 1990s, for example. I wish we had more topic experts because to create a really great article (vs adding factoids or a couple of formulaic lead paragraphs) requires a lot of effort and source resources and a deep understanding of the topic. -- Colin°Talk 15:06, 28 January 2024 (UTC)Reply[reply]
    @Just-a-can-of-beans ideally every bit of info on every medicine page would be written by specialist physicians
    I have to strongly disagree with that. One of the advantages of Wikipedia is that it allows people from diverse backgrounds and perspectives to contribute. If everything written about medicine were written by physicians then Wikipedia might as well just be a medical school textbook--or worse, articles written with the target audience being patients who are all assumed to read at a 5th grade level. There are countless ways to learn and be knowledge and wise about medicine (or any topic) besides formally holding a degree.
    That said, I would certainly hope that someone editing an article has at least intermediate understanding of the topic, and at least near-advanced understanding of the topic if it's a medical-related article. (minor edits such as correcting typos are an exception, obviously.) But there are countless ways of gaining advanced knowledge about medicine besides attending medical school or practicing as a physician.
    I've personally met M.D.s who didn't know what renin or pulse pressure were, another who didn't seem to understand how buccal administration works, as well as one who didn't know the difference between hypopnea and hypoxia, and another who didn't know that Cymbalta wasn't an SSRI, and, perhaps most shockingly, a very experienced M.D. with a high reputation who didn't even know the difference between phenotype and genotype. Those are just a few examples; I could go on forever... My point is that having a medical degree, or having any certain specific medical specialty, certainly does not infer infallibility, nor does it mean that someone who isn't a doctor isn't capable of knowing more about a given medical topic than someone who is a doctor. Doctors should certainly contribute to medical sections of Wikipedia, but so should lots of other sorts of people, and Wikipedia is stronger and more complete because of that diversity. Vontheri (talk) 19:39, 29 January 2024 (UTC)Reply[reply]
    @Colin I'm no fan of Wikipedia being used for class exercises, either. I think editing Wikipedia is something that should be done out of intrinsic motivation, and not for the purpose of getting some grade in some class. Articles written by students (warning: I'm hugely over-generalizing here) tend to be poorer-quality in more ways than one. Vontheri (talk) 19:10, 29 January 2024 (UTC)Reply[reply]
    Sorry for my late arrival to this discussion. For the last two falls (2022 and 2023) my Novembers have been taken up by fixing students edits from the University of Georgia Microbiology course (Wikipedia:Wiki Ed/University of Georgia/MIBO 3500 Introduction to Microbiology (Fall 2023)). My experience has not been great. To me it seems the students are just let loose: their mistakes go unchallenged by their course teachers and worse, their assigned articles are abandoned by the course after the students have completed their assignments. You would think the teachers would at least clean up after their students, but no. The students are only motivated by grades and will, well on at least one occasion, edit war to preserve their edits. Most students don't even know that "bacteria" is plural and that the species of bacteria and the diseases they cause are not the same thing. And this is a university level microbiology course! At the completion of the courses I am left feeling exploited by the university. (Rant over). Graham Beards (talk) 11:12, 6 February 2024 (UTC)Reply[reply]

    Dana-Farber Cancer Institute edit

    Errors found in dozens of papers by top scientists at Dana-Farber Cancer Institute has been popping up in the news today in about the last day or so. I don't really have time to dig into it further, so just something for folks to keep an eye out for. KoA (talk) 23:13, 23 January 2024 (UTC)Reply[reply]

    interesting read, thanks--Ozzie10aaaa (talk) 13:45, 2 February 2024 (UTC)Reply[reply]

    We were contributing to the page on Complex Regional Pain Syndrome and discovered this page on Amplified Musculoskeletal Pain Syndrome. While it's definitely true that humans can experience pain disproportionate to any pathophysiology/nociception, we should discuss the potential benefits and potential harms of creating numerous illness constructions (social constructions about illness), such as CRPS and AMPS on the one hand, versus just having a page about disproportionate discomfort and incapability on the other. We favor the later. Unecomeditor1 (talk) 23:39, 24 January 2024 (UTC)Reply[reply]

    @Unecomeditor1, who is "we", and can we invite all of them to this discussion? WhatamIdoing (talk) 15:42, 25 January 2024 (UTC)Reply[reply]
    Yes, I work with @Dr311 Unecomeditor1 (talk) 11:11, 26 January 2024 (UTC)Reply[reply]
    For example, the AMPS page discusses EDS and other rheumatological diseases along with AMPS. But this is confusing and misleading because those conditions each have a pathophysiology that can be measured and verified. We suggest using words of association rather than causation on these pages until there is adequate experimental support for a pathophysiology in these conditions. At this time, the evidence is still speculative and based on observational studies, rather than experimental. Unecomeditor1 (talk) 16:31, 1 February 2024 (UTC)Reply[reply]
    I think your changes yesterday were helpful. I particularly appreciate the very concise explanation of what "amplified pain" means. WhatamIdoing (talk) 20:05, 1 February 2024 (UTC)Reply[reply]
    Thank you! We appreciate the positive feedback. Unecomeditor1 (talk) 13:54, 7 February 2024 (UTC)Reply[reply]
    To further expand, It’s more accurate to say there is no measurable pathophysiology and the diagnosis is conceptual. A section of the AMPS page mentions that the condition is “often not diagnosed when it first presents.” Since the diagnosis is conceptual rather than experimental, it cannot be framed as a delay in diagnosis. The main issue is whether this concept of AMPS and its use with individual patients is good for their health. Unecomeditor1 (talk) 12:47, 9 February 2024 (UTC)Reply[reply]

    Requested move at Talk:NC ratio#Requested move 19 January 2024 edit

     

    There is a requested move discussion at Talk:NC ratio#Requested move 19 January 2024 that may be of interest to members of this WikiProject. – robertsky (talk) 07:15, 31 January 2024 (UTC)Reply[reply]

    commented--Ozzie10aaaa (talk) 13:41, 2 February 2024 (UTC)Reply[reply]

    For plague/pandemic experts: Volcanism as driver of Yersinia pestis/Black Death evolution and spread edit

    Fell, H. G., Baldini, J. U., Dodds, B., & Sharples, G. J. (2020). Volcanism and global plague pandemics: Towards an interdisciplinary synthesis. Journal of Historical Geography, 70, 36-46. hypothesizes that the climate disturbance caused by the 1257 Samalas eruption triggered/helped cause several disease outbreaks across Eurasia, including the initial Yersinia pestis outbreak that became the Black Death. I have refrained from adding this information so far b/c it seems like a big claim and I don't know anything about the wider Black Death literature to tell whether it has any acceptance. Jo-Jo Eumerus (talk) 10:07, 1 February 2024 (UTC)Reply[reply]

    @Jo-Jo Eumerus, I don't know whether it has acceptance (I leave that question to others) and I haven't read the paper, but I think an idea like this could be presented fairly, e.g., "Volcanoes can trigger chains of events; for example, some researchers have speculated that this eruption might have caused climate disturbances that triggered, among other things, zoonotic disease outbreaks."
    In the specific case of Y. pestis, this isn't exactly an extraordinary claim. It's transmitted by fleas and lice that usually bother rats but sometimes find themselves around humans. Outbreaks are correlated with an increased reports of dead rats (whose plague-bearing fleas then jump ship for the nearest target), which are correlated with sudden changes in plant growth (e.g., no food here, so the rat decides to investigate that grain silo), which is correlated with changes to sudden changes to weather patterns, which can be triggered by a volcano belching a bunch of dust into the sky. Also, crop failures cause human migration, which is another opportunity to spread everyone's favorite biting insects and arthropods.
    The only real question here is likely to be how strong of a claim is WP:DUE.
    (List of deadliest animals to humans doesn't have an entry for fleas. I assume that they're not looking at historical numbers.) WhatamIdoing (talk) 23:21, 1 February 2024 (UTC)Reply[reply]
    Here's a list of all papers mentioning Samalas and Yersinia at once. 'bout 73. Jo-Jo Eumerus (talk) 13:16, 3 February 2024 (UTC)Reply[reply]
    Anyone else? Jo-Jo Eumerus (talk) 15:36, 5 February 2024 (UTC)Reply[reply]
    Eh, tentatively added a section. Jo-Jo Eumerus (talk) 11:41, 6 February 2024 (UTC)Reply[reply]

    Essential medicine or not? edit

    Daptomycin doesn't seem to have decided whether it is still a WHO essential medicine or not. Jo-Jo Eumerus (talk) 16:46, 1 February 2024 (UTC)Reply[reply]

    Can you tell us more about your concern? It's not in https://iris.who.int/bitstream/handle/10665/371090/WHO-MHP-HPS-EML-2023.02-eng.pdf and the article says it was removed from the list in 2019. It looks like someone needs to add an end date to the Wikidata entry. (I'm not sure how to do that.) WhatamIdoing (talk) 23:30, 1 February 2024 (UTC)Reply[reply]
    No, it seems like I merely didn't read the sentences in the lead correctly. Jo-Jo Eumerus (talk) 13:11, 3 February 2024 (UTC)Reply[reply]
    Added in 2017 and removed in 2019 --Whywhenwhohow (talk) 06:28, 6 February 2024 (UTC)Reply[reply]

    Nodular vasculitis edit

    I'm having a hard time defining Nodular vasculitis and I would appreciate others input on the topic. There seems to be two main definitions of it. One being a synonym for Erythema induratum and the other being a distinct condition.

    Here is what I've been able to find.

    1. Nodular vasculitis as a synonym for Erythema induratum:

    "Nodular vasculitis (NV) is a rare kind of panniculitis marked by erythematous plaques or nodules that appear mostly on the calves and have the potential to ulcerate and drain."[11]

    "Erythema induratum, also known as nodular vasculitis or Bazin disease, is classified as a tuberculid skin eruption, a collection of skin disorders linked to a silent or underlying tuberculosis (TB) focus." [12]

    "Nodular vasculitis is a type of panniculitis"[13]

    2. Nodular vasculitis as a distinct disease:

    "Nodular lymphocytic vasculitis was discussed in three generations of a family by Reed et al. (1972). There were two different types of lesions: (1) several small to medium-sized nodules on the arms, legs, and buttocks; and (2) several larger, firm nodules over bony prominences that resembled rheumatoid nodules." [14]

    Mesh ID entry[15]

    SNOMED CT entry[16]

    MONDO entry[17]

    Both descriptions sound similar and I'm not sure what should be done with this article. If anyone has any advice or insight please let me know. CursedWithTheAbilityToDoTheMath (talk) 23:23, 2 February 2024 (UTC)Reply[reply]

    maybe use this--Ozzie10aaaa (talk) 13:25, 5 February 2024 (UTC)Reply[reply]
    My only thing is that it lists the medscape page for Erythema induratum under other websites implying that it is reffering to Erythema induratum. If I can't find a solution I will probably just make a page based off [18] and [19]. Thank you for the suggestion! CursedWithTheAbilityToDoTheMath (talk) 13:52, 5 February 2024 (UTC)Reply[reply]
    Hey @CursedWithTheAbilityToDoTheMath I was able to find this source on DermNet [20]. It has a breakdown of the cause, who gets it, clinical features, how its diagnosed, and different varietals. Hope this helps! Reachforthestarz (talk) 21:54, 8 February 2024 (UTC)Reply[reply]

    Abraham Wolbarst edit

    Hello all - I have created the following article regarding a notable physician. I thought I would make this WikiProject aware of it as it relates to a contentious subject in medicine (male circumcision in the United States) - please let me know of any improvements I can make to this article, or if you have any other feedback. Thank you. GnocchiFan (talk) 22:31, 8 February 2024 (UTC)Reply[reply]

    thanks for post--Ozzie10aaaa (talk) 13:28, 12 February 2024 (UTC)Reply[reply]

    Merging Adiposis dolorosa to Dercum's disease edit

    Adiposis dolorosa seems to be a direct synonym for Dercum's disease[21][22][23] yet it has its own page. Would it be appropriate to merge the sections and add the content from Adiposis dolorosa to the history section of Dercum's disease? CursedWithTheAbilityToDoTheMath (talk) 22:10, 9 February 2024 (UTC)Reply[reply]

    This sounds like a definite maybe. Wikipedia:Merging has the process if that's what you think is best, but the question you'll have to settle first is whether that's a case of "one old thing → one new thing" or "one old thing → two different diseases". For example, Da Costa's syndrome ("soldier's heart") turned out to be at least two things (some of the soldiers had PTSD; some of them had Mitral valve prolapse), so we can't really merge and redirect it to one or the other. If AD included both Dercum's disease and also lipedema, then it's probably better to have a short article saying that it's an outdated category that lumped together two conditions that we now split apart, instead of just redirecting it. WhatamIdoing (talk) 16:34, 10 February 2024 (UTC)Reply[reply]
    Sounds good. I wasn't sure with the historical context what to do. CursedWithTheAbilityToDoTheMath (talk) 19:23, 10 February 2024 (UTC)Reply[reply]

    Requested move at Talk:Factitious dermatitis#Requested move 2 February 2024 edit

     

    There is a requested move discussion at Talk:Factitious dermatitis#Requested move 2 February 2024 that may be of interest to members of this WikiProject. Bensci54 (talk) 06:10, 10 February 2024 (UTC)Reply[reply]

    This looks like a request to switch from the ICD-10 name to the ICD-11 name. There have been no responses yet. WhatamIdoing (talk) 17:32, 10 February 2024 (UTC)Reply[reply]

    Requested move at Talk:Ehlers–Danlos syndromes#Requested move 3 February 2024 edit

     

    There is a requested move discussion at Talk:Ehlers–Danlos syndromes#Requested move 3 February 2024 that may be of interest to members of this WikiProject. – Hilst [talk] 23:00, 10 February 2024 (UTC)Reply[reply]

    The remaining question here is whether we would prefer to have this article using the singular or plural. Some high-quality sources use one and other high-quality sources use the other. WhatamIdoing (talk) 17:24, 12 February 2024 (UTC)Reply[reply]

    Students? edit

    My watchlist has suddenly lit up from new editors, at least with:

    Does anyone know more? Bon courage (talk) 15:46, 13 February 2024 (UTC)Reply[reply]

    I don't see the standard student/university template on any of them ...--Ozzie10aaaa (talk) 13:55, 17 February 2024 (UTC)Reply[reply]

    Alaskapox edit

    Is probably[24] going to need eyes. Bon courage (talk) 05:10, 14 February 2024 (UTC)Reply[reply]

    More than 50,000 page views in just the last two days. I saw a headline yesterday about the first known death from this (kind of new) virus. That may be driving the interest.
    It looks like Clpo13 and Heroeswithmetaphors are keeping an eye on it. Do you two need anything from us, or do you feel like you've got it for now? WhatamIdoing (talk) 16:41, 14 February 2024 (UTC)Reply[reply]

    initials after a physician's name meaning?Like Dr.-Doctor/New One Not Seen Before.(P.A.)? Physician's Assistant? edit

    Meaning of new medical ranking initials after the name P.A. or PA 199.16.109.103 (talk) 07:43, 14 February 2024 (UTC)Reply[reply]

    PA is Physician assistant. See Pa#Job titles for more options.
    Note that there is a proposal in the US to not call them by the full/original name, but just to call them "PAs". They don't feel like "assistant" is a fair description of their abilities. WhatamIdoing (talk) 16:38, 14 February 2024 (UTC)Reply[reply]
    For a similar reason, in the UK, they're known as Physician associates. Ngram, though, doesn't suggest that its yet time for a page name change. Klbrain (talk) 04:44, 21 February 2024 (UTC)Reply[reply]
    At least one state in the US also has an Assistant physician rank (looks like someone who finished medical school but did not attend residency after graduation). WhatamIdoing (talk) 07:01, 21 February 2024 (UTC)Reply[reply]

    MPH efficacy & trial quality edit

    There was some text in the methylphenidate article which was mostly based on fairly old (and, in my opinion, problematic) narrative reviews. More recent Cochrane reviews have seriously criticized the quality of the evidence base for methylphenidate and have said that conclusions regarding efficacy and safety must therefore be drawn very tentatively or even should not really be drawn at all. I posted about it on the MPH talk page, got no responses, and after some time removed the problematic text in the article. There's since been a bit of discussion but more input would certainly be appreciated from anyone who wants to take a look. Feline negativity (talk) 21:35, 14 February 2024 (UTC)Reply[reply]

    commented--Ozzie10aaaa (talk) 13:58, 15 February 2024 (UTC)Reply[reply]

    Urticarial dermatoses edit

    Can anyone help me understand what Urticarial dermatoses is supposed to be reffering to? From my understanding dermatoses just refers to a general skin condition so it seems like this term is very broad. The closest thing I could find was Urticarial dermatitis.[25] CursedWithTheAbilityToDoTheMath (talk) 03:55, 15 February 2024 (UTC)Reply[reply]

    Good question, the article does not provide any useful information, and Google does not help much either. · · · Peter Southwood (talk): 11:43, 16 February 2024 (UTC)Reply[reply]
    I'm wondering if it might be appropriate to redirect it to hives? There is also Urticarial syndromes which is equally undescriptive and vague. CursedWithTheAbilityToDoTheMath (talk) 16:33, 16 February 2024 (UTC)Reply[reply]
    Have you tried to track down that textbook? That might help. The title's in the plural, so it's a group of skin diseases. A quick search says there is a rare disease called "Neutrophilic urticarial dermatosis", which is presumably an example of a urticarial dermatosis. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9524803/table/j_rir-2021-0030_tab_001/ lists several others.
    My impression is that it's trying to draw a distinction between something that itches (e.g., a random little itch, maybe a mosquito bite) and a longer-term skin condition that has itchiness as a significant feature. WhatamIdoing (talk) 18:27, 16 February 2024 (UTC)Reply[reply]
    I found the textbook. Urticarial dermatoses is talked about in the chapter Urticaria and Angioedema. It is talked about in the context of a differential diagnosis.
    "It is important to distinguish urticaria from urticarial dermatoses, such as urticarial drug eruptions, eosinophilic cellulitis and bullous pemphigoid. The individual wheals of urticaria are ‘here today and gone tomorrow’ (i.e. they last less than 24 hours), whereas with urticarial dermatoses, the individual lesions last for days or longer. Although urticarial vasculitis is usually included in classifications of urticaria because the wheals resemble urticaria, it is actually an urticarial dermatosis. Clinically, the lesions last longer than 24 hours (as determined by circling and observing individual wheals), and histologically there is evidence of leukocytoclastic vasculitis."
    This definition also seems to differ from the article you were able to find which is odd. CursedWithTheAbilityToDoTheMath (talk) 20:23, 16 February 2024 (UTC)Reply[reply]
    The text of the article is too close to the source for comfort, so I've significantly re-written it, and added the examples from that table. WhatamIdoing (talk) 18:47, 17 February 2024 (UTC)Reply[reply]

    Cataract surgery nominated for FAC edit

    Just a heads-up for anyone interested, as it is within the scope of this project. Constructive comments etc. are welcome. Cheers, · · · Peter Southwood (talk): 11:47, 16 February 2024 (UTC)Reply[reply]

    Please comment at Wikipedia:Featured article candidates/Cataract surgery/archive1.
    If you've never done this before, then I suggest reading the Wikipedia:Featured article criteria and then picking a criteria that appeals to you, and reviewing the article (or even just a section of it) for that one thing. For example, maybe you want to read the article and see whether it's "comprehensive". Did it leave you with unanswered questions? Are there important sections (see the list at Wikipedia:Manual of Style/Medicine-related articles#Content sections for some ideas) that have been omitted? And then, whether you see something that needs improved or if you think it's perfect just like it is, please go to Wikipedia:Featured article candidates/Cataract surgery/archive1 (despite the name, it's not really an archive!) and start a little subsection that says something like "I read the ==History== section and I think it's well-written" or "I checked the sources in the ==Outcomes== section, and I think it should be updated to use the numbers from this better source" or whatever else you can do.
    Reviewing FA candidates is a lot of work overall, but many hands make light work. Even if you think you can only contribute a little bit, we need that little bit. WhatamIdoing (talk) 19:00, 17 February 2024 (UTC)Reply[reply]

    Facial onset sensory and motor neuropathy edit

    Hello everyone, I noticed that there are 2 articles which I believe are regarding the same disease process. The two articles are: facial onset sensory and motor neuropathy and facial onset sensory and motor neuronopathy. Is there a way we can merge these two pages? Thank you. Golan1911 (talk) 01:33, 18 February 2024 (UTC)Reply[reply]

    @Golan1911, have you ever tried Wikipedia:Merging two articles before? WhatamIdoing (talk) 02:29, 18 February 2024 (UTC)Reply[reply]
    I have not Golan1911 (talk) 03:37, 18 February 2024 (UTC)Reply[reply]
    I think that's the right thing to do. It's not too difficult, but it will take a bit of time. Just follow the numbered list of steps at Wikipedia:Merging#How to merge. (The first one takes the longest.) WhatamIdoing (talk) 22:20, 18 February 2024 (UTC)Reply[reply]
    @WhatamIdoingI merged FOSM neuropathy into FOSM neuronopathy (the more complete article), thank you for explaining the process. Golan1911 (talk) 04:18, 19 February 2024 (UTC)Reply[reply]
    Looks good! I moved one of the tags to its usual location. Everything else looks good. WhatamIdoing (talk) 20:55, 19 February 2024 (UTC)Reply[reply]

    Merge proposal - Melancholic depression into Melancholia edit

    See Talk:Melancholia#Merge_proposal. cheers, Cas Liber (talk · contribs) 23:57, 20 February 2024 (UTC)Reply[reply]

    Quantitative interpretation of double-blind study edit

    I just posted at Talk:Anterior cutaneous nerve entrapment syndrome after noticing a significant discrepancy between .nl and .en wikipedias in reported efficacy of treatment with anaesthetic injections based on the same referenced study. I'm not competent to judge which is correct, so I hope someone can take a look. Cheers, Hv (talk) 21:45, 22 February 2024 (UTC)Reply[reply]

    Merger of Boot (medicine)  5 and Walking boot edit

    See discussion at Talk:Boot_(medicine)#Merger_discussion.-TonyTheTiger (T / C / WP:FOUR / WP:CHICAGO / WP:WAWARD) 23:34, 23 February 2024 (UTC)Reply[reply]

    coomented--Ozzie10aaaa (talk) 13:35, 24 February 2024 (UTC)Reply[reply]

    Polio at FAR edit

    I have nominated Polio for a featured article review here. Please join the discussion on whether this article meets the featured article criteria. Articles are typically reviewed for two weeks. If substantial concerns are not addressed during the review period, the article will be moved to the Featured Article Removal Candidates list for a further period, where editors may declare "Keep" or "Delist" in regards to the article's featured status. The instructions for the review process are here. Z1720 (talk) 15:01, 24 February 2024 (UTC)Reply[reply]

    thanks for post--Ozzie10aaaa (talk) 13:36, 25 February 2024 (UTC)Reply[reply]

    A53T Mutation edit

    I'm confused about the validity of A53T Mutation as its own separate entity. To me it seems like it is more of a theory regarding Parkinson's disease than an actual disorder. If anyone could help provide some clarity or input that would be appreciated. CursedWithTheAbilityToDoTheMath (talk) 00:47, 25 February 2024 (UTC)Reply[reply]

    might help..(case report/literature review)Xiong, Wei-Xi; Sun, Yi-Min; Guan, Rong-Yuan; Luo, Su-Shan; Chen, Chen; An, Yu; Wang, Jian; Wu, Jian-Jun (1 October 2016). "The heterozygous A53T mutation in the alpha-synuclein gene in a Chinese Han patient with Parkinson disease: case report and literature review". Journal of Neurology. 263 (10): 1984–1992. doi:10.1007/s00415-016-8213-1. ISSN 1432-1459.--Ozzie10aaaa (talk) 13:34, 25 February 2024 (UTC)Reply[reply]
    Thank you. I read through it and it seems like A53T Mutations are found in some cases of Parkinson's disease. I'm wondering if it would be appropriate to redirect the page to Causes of Parkinson's disease? CursedWithTheAbilityToDoTheMath (talk) 16:06, 25 February 2024 (UTC)Reply[reply]

    Abderhalden–Kaufmann–Lignac syndrome VS Cystinosis edit

    I'm confused as to the distinction between Abderhalden–Kaufmann–Lignac syndrome and Cystinosis. The wikipedia page for Abderhalden–Kaufmann–Lignac syndrome makes it seem as though it is a type of Cystinosis however different sources seem to say different things.

    This article[26] states "Cystinosis was first described in literature in 1903 by the Swiss biochemist Emil Abderhalden (1877–1950) as the familial cystine accumulation disease [1]. Abderhalden referred to a child initially encountered by Eduard Kaufmann, Basel, Switzerland (1860–1931). This patient died at the age of 21 months with massive cystine accumulation in multiple organs that were discovered at the postmortem examination. The Dutch pathologist George Lignac (1891–1954) was the first to provide a clear systematic description of the disease in 1924, and the first to associate cystinosis with its major clinical manifestations such as rickets, renal disease and growth retardation [2]. This is why cystinosis was initially termed as the Abderhalden-Kaufmann-Lignac syndrome." This implies that Abderhalden–Kaufmann–Lignac syndrome is a historical name for Cystinosis.

    MONDO lists Abderhalden–Kaufmann–Lignac syndrome under the name nephropathic cystinosis as a type of cystinosis.[27]

    Any insights would be appreciated.CursedWithTheAbilityToDoTheMath (talk) 01:00, 25 February 2024 (UTC)Reply[reply]

    James Morton (baker) nominated for deletion edit

    Link: Wikipedia:Articles for deletion/James Morton (baker). George Ho (talk) 03:59, 25 February 2024 (UTC)Reply[reply]

    commented--Ozzie10aaaa (talk) 17:03, 25 February 2024 (UTC)Reply[reply]

    Good article reassessment for Mental status examination edit

    Mental status examination has been nominated for a good article reassessment. If you are interested in the discussion, please participate by adding your comments to the reassessment page. If concerns are not addressed during the review period, the good article status may be removed from the article. ~~ AirshipJungleman29 (talk) 04:20, 25 February 2024 (UTC)Reply[reply]

    List of instruments used in endocrinology Did you know nomination edit

    I came across this list during the Unreferenced Articles's February 2024 backlog drive and worked on it a bit. Everyone's contribution is welcome. NikosGouliaros (talk) 07:49, 25 February 2024 (UTC)Reply[reply]

    WikiProject links archiving edit

    Hi, External links require archiving. Some of them are already dead. Pereoptic Talk✉️   08:45, 25 February 2024 (UTC)Reply[reply]