Bibliographic record
Abstract
Case 1 Chest wall reconstruction a 43-year-old woman who previously had left breast cancer, and had undergone chemotherapy and radiation therapy.She underwent delayed reconstruction with tissue expansion.Unfortunately, her tissue expander extruded and required removal.She has been treating this wound with dressing changes for six months.Case 2 Phalanx fractures a 37-year-old right hand dominant woman presents to your office with an injury to her nondominant ring finger sustained the previous day.Objective 1: The candidate can interpret imaging appropriately.Question 1: Please describe the x-ray findings (see additional photo).Key Answers 1: Comminuted, intra-articular, displaced fracture of the ring finger proximal phalanx visible on PA and lateral films.The intra-articular segment involves approximately 50% of the joint space.The distal fragment is displaced proximally and volarly contributing to shortening of the finger and there is associated ulnar deviation.Remainder of the x-ray appears normal.Objective 2: The candidate can demonstrate options for treating this fracture pattern.Question 2: Please describe the options for treatment of this fracture. Key Answers 2: Traction pin Open reduction internal fixation with K-wires Open reduction internal fixation with lag screw Open reduction internal fixation with intra-osseous wire or sutureObjective 3: The candidate demonstrates an understanding of the potential complications of phalanx fractures.Question 3: What are the possible complications associated with treatment of this fracture?Key Answers 3: Pin-site infection Mal-Union Non-Union PIPJ osteoarthritis Decreased range of motion Pain PIPJ instability Objective 4: The candidate demonstrates knowledge of the role of hand therapy in the treatment of phalanx fractures.Question 4: You decide to proceed with a transverse traction pin through the proximal portion of the middle phalanx.What instructions will you give to your hand therapist regarding the management of this fracture?Key Answers: Appropriate traction -guided by serial x-ray -3 to 6 weeks Early limited range of motion within splint Strategies to reduce swelling A/PROM when traction pin is discontinued Aggressive movement of joint above/joint below additional photo
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot 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.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.002 | 0.001 |
| Insufficient payload (model declined to judge) | 0.008 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
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".