Many-Body Quantum Chaos and Emergence of Ginibre Ensemble.

We show that non-Hermitian Ginibre random matrix behaviors emerge in spatially extended many-body quantum chaotic systems in the space direction, just as Hermitian random matrix behaviors emerge in chaotic systems in the time direction. Starting with translational invariant models, which can be associated with dual transfer matrices with complex-valued spectra, we show that the linear ramp of the spectral form factor necessitates that the dual spectra have nontrivial correlations, which in fact fall under the universality class of the Ginibre ensemble, demonstrated by computing the level spacing distribution and the dissipative spectral form factor. As a result of this connection, the exact spectral form factor for the Ginibre ensemble can be used to universally describe the spectral form factor for translational invariant many-body quantum chaotic systems in the scaling limit where t and L are large, while the ratio between L and L_{Th}, the many-body Thouless length is fixed. With appropriate variations of Ginibre models, we analytically demonstrate that our claim generalizes to models without translational invariance as well. The emergence of the Ginibre ensemble is a genuine consequence of the strongly interacting and spatially extended nature of the quantum chaotic systems we consider, unlike the traditional emergence of Hermitian random matrix ensembles.

Many-body quantum chaos and space-time translational invariance.

We study the consequences of having translational invariance in space and time in many-body quantum chaotic systems. We consider ensembles of random quantum circuits as minimal models of translational invariant many-body quantum chaotic systems. We evaluate the spectral form factor as a sum over many-body Feynman diagrams in the limit of large local Hilbert space dimension q. At sufficiently large t, diagrams corresponding to rigid translations dominate, reproducing the random matrix theory (RMT) behaviour. At finite t, we show that translational invariance introduces additional mechanisms via two novel Feynman diagrams which delay the emergence of RMT. Our analytics suggests the existence of exact scaling forms which describe the approach to RMT behavior in the scaling limit where both t and L are large while the ratio between L and LTh(t), the many-body Thouless length, is fixed. We numerically demonstrate, with simulations of two distinct circuit models, that the resulting scaling functions are universal in the scaling limit.

A systematic scoping review of communication skills training in medical schools between 2000 and 2020.

BACKGROUND: Communication skills training (CST) remains poorly represented and prioritised in medical schools despite its importance. A systematic scoping review (SSR) of CST is proposed to better appreciate current variability in their structure, content, and assessment. This is to guide their future design in medical school curricula. METHODS: The Systematic Evidence-Based Approach (SEBA) was used to guide concurrent SSRs of teaching and assessment in CST. After independent database searches, concurrent thematic and content analysis of included articles were conducted separately. Resultant themes/categories were combined via the jigsaw perspective to provide a more holistic view of the data. These were then compared to tabulated summaries of the included articles to create funnelled domains. RESULTS: 52,300 papers were identified, 150 full-text articles included, and four funnelled domains were identified: Indications, Design, Assessment, and Barriers and Enablers of CST. CSTs confer numerous benefits to physicians and patients. It saw increased confidence, improved diagnostic capabilities and better clinical management, as well as greater patient satisfaction and treatment compliance. Skills may be divided into core, prerequisite competencies, and advanced skills pertinent to more challenging and nuanced scenarios - such as population or setting-specific situations. CST teaching and assessment modalities were found to align with Miller's Pyramid, with didactic teaching gradually infused with experiential approaches to enhance their understanding and integration. A plethora of CST frameworks, teaching and assessment methods were identified and are presented together. CONCLUSION: While variable in approach, content and assessment, CST in medical schools often employ stage-based curricula to instil competency-based topics of increasing complexity throughout medical school education. This process builds on the application of prior knowledge and skills, influencing practice and, potentially, the students' professional identity formation. In addition, the institution plays a critical role in overseeing training, ensuring longitudinal guidance and holistic assessments of the students' progress.

Spectral Statistics of Non-Hermitian Matrices and Dissipative Quantum Chaos.

We propose a measure, which we call the dissipative spectral form factor (DSFF), to characterize the spectral statistics of non-Hermitian (and nonunitary) matrices. We show that DSFF successfully diagnoses dissipative quantum chaos and reveals correlations between real and imaginary parts of the complex eigenvalues up to arbitrary energy scale (and timescale). Specifically, we provide the exact solution of DSFF for the complex Ginibre ensemble (GinUE) and for a Poissonian random spectrum (Poisson) as minimal models of dissipative quantum chaotic and integrable systems, respectively. For dissipative quantum chaotic systems, we show that the DSFF exhibits an exact rotational symmetry in its complex time argument τ. Analogous to the spectral form factor (SFF) behavior for Gaussian unitary ensemble, the DSFF for GinUE shows a "dip-ramp-plateau" behavior in |τ|: the DSFF initially decreases, increases at intermediate timescales, and saturates after a generalized Heisenberg time, which scales as the inverse mean level spacing. Remarkably, for large matrix size, the "ramp" of the DSFF for GinUE increases quadratically in |τ|, in contrast to the linear ramp in the SFF for Hermitian ensembles. For dissipative quantum integrable systems, we show that the DSFF takes a constant value, except for a region in complex time whose size and behavior depend on the eigenvalue density. Numerically, we verify the above claims and additionally show that the DSFF for real and quaternion real Ginibre ensembles coincides with the GinUE behavior, except for a region in the complex time plane of measure zero in the limit of large matrix size. As a physical example, we consider the quantum kicked top model with dissipation and show that it falls under the Ginibre universality class and Poisson as the "kick" is switched on or off. Lastly, we study spectral statistics of ensembles of random classical stochastic matrices or Markov chains and show that these models again fall under the Ginibre universality class.

Classification of symmetry-protected topological many-body localized phases in one dimension.

We provide a classification of symmetry-protected topological (SPT) phases of many-body localized (MBL) spin and fermionic systems in one dimension. For spin systems, using tensor networks we show that all eigenstates of these phases have the same topological index as defined for SPT ground states. For unitary on-site symmetries, the MBL phases are thus labeled by the elements of the second cohomology group of the symmetry group. A similar classification is obtained for anti-unitary on-site symmetries, time-reversal symmetry being a special case with a [Formula: see text] classification (see [Wahl 2018 Phys. Rev. B 98 054204]). For the classification of fermionic MBL phases, we propose a fermionic tensor network diagrammatic formulation. We find that fermionic MBL systems with an (anti-)unitary symmetry are classified by the elements of the (generalized) second cohomology group if parity is included into the symmetry group. However, our approach misses a [Formula: see text] topological index expected from the classification of fermionic SPT ground states. Finally, we show that all found phases are stable to arbitrary symmetry-preserving local perturbations. Conversely, different topological phases must be separated by a transition marked by delocalized eigenstates. Finally, we demonstrate that the classification of spin systems is complete in the sense that there cannot be any additional topological indices pertaining to the properties of individual eigenstates, but there can be additional topological indices that further classify Hamiltonians.

Spectral Statistics and Many-Body Quantum Chaos with Conserved Charge.

We investigate spectral statistics in spatially extended, chaotic many-body quantum systems with a conserved charge. We compute the spectral form factor K(t) analytically for a minimal Floquet circuit model that has a U(1) symmetry encoded via spin-1/2 degrees of freedom. Averaging over an ensemble of realizations, we relate K(t) to a partition function for the spins, given by a Trotterization of the spin-1/2 Heisenberg ferromagnet. Using Bethe ansatz techniques, we extract the "Thouless time" t_{Th} demarcating the extent of random matrix behavior, and find scaling behavior governed by diffusion for K(t) at t≲t_{Th}. We also report numerical results for K(t) in a generic Floquet spin model, which are consistent with these analytic predictions.

Eigenstate Correlations, Thermalization, and the Butterfly Effect.

We discuss eigenstate correlations for ergodic, spatially extended many-body quantum systems, in terms of the statistical properties of matrix elements of local observables. While the eigenstate thermalization hypothesis (ETH) is known to give an excellent description of these quantities, the phenomenon of scrambling and the butterfly effect imply structure beyond ETH. We determine the universal form of this structure at long distances and small eigenvalue separations for Floquet systems. We use numerical studies of a Floquet quantum circuit to illustrate both the accuracy of ETH and the existence of our predicted additional correlations.

Spectral Statistics in Spatially Extended Chaotic Quantum Many-Body Systems.

We study spectral statistics in spatially extended chaotic quantum many-body systems, using simple lattice Floquet models without time-reversal symmetry. Computing the spectral form factor K(t) analytically and numerically, we show that it follows random matrix theory (RMT) at times longer than a many-body Thouless time, t_{Th}. We obtain a striking dependence of t_{Th} on the spatial dimension d and size of the system. For d>1, t_{Th} is finite in the thermodynamic limit and set by the intersite coupling strength. By contrast, in one dimension t_{Th} diverges with system size, and for large systems there is a wide window in which spectral correlations are not of RMT form. Lastly, our Floquet model exhibits a many-body localization transition, and we discuss the behavior of the spectral form factor in the localized phase.