Bibliographic record
Abstract
This chapter is drawn largely from a chapter in another book, the Users’ Guide to the Medical Literature ( 1 ). As the first reference to evidence-based medicine (EBM) in the published literature makes evident, EBM is about solving clinical problems ( 2 ). Historically, clinicians found solutions to problems in manuals, textbooks, or in counsel from senior colleagues. Time and experience were seen as sufficient to impart clinical wisdom. As it turned out, however, this paradigm of education and practice resulted in wide practice variations across institutions. At the same time, although important clinical research was available, few clinicians had the skillset required to critically evaluate that literature and decide on the best way to incorporate findings into clinical practice. These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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 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 | 0.010 | 0.009 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.002 | 0.017 |
| Scholarly communication | 0.007 | 0.008 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.004 | 0.011 |
| Insufficient payload (model declined to judge) | 0.009 | 0.005 |
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".