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The Integration of Clinical Medicine with the Preclinical Sciences 1937

2004· article· en· W1978021512 on OpenAlexaffabout
Meakins Jl

Bibliographic record

VenueAcademic Medicine · 2004
Typearticle
Languageen
FieldMedicine
TopicHealth and Medical Research Impacts
Canadian institutionsMcGill University
Fundersnot available
KeywordsBlameSubject (documents)PsychologyMedical educationMedicinePhysiologyPsychiatry

Abstract

fetched live from OpenAlex

I think it may be taken as a truism that the majority of young men and women who enter medical school do so with the intention of eventually pursuing the practice of medicine. The reasons that prompt them to this end are undoubtedly manifold; but, in the final analysis, they are most influenced to do so as it seems a respectable and pleasant way of making a living. …A few enter on the study of medicine through pure love of pursuing a biological science. To these students the study of anatomy, physiology and biochemistry is an intellectual joy, and they are even more exhilarated when they enter on the intricate and often uncharted seas of pathology, immunology and scientific medicine. But these individuals are comparatively few in number. The majority who approach their medical studies with a utilitarian objectiveness naturally think of the individual patient and his illness as the important goal. Therefore, they are inclined to find the meticulous study of anatomy, physiology and biochemistry rather boring, and they are impatient, as they think their study a waste of time. …Now, these may be hard words, but there is much truth in them. It can with equal justice be asked, “To what extent has the teacher of medicine or surgery or gynecology and obstetrics employed the knowledge, language and technique of these subjects in the teaching of his own subject?” It is of little future use for one to blame the other for the faults of the past, particularly as the problem is easier of criticism than of solution. Nor is a ready answer to be found unless there be a desire on the part of all teachers to coordinate and cooperate. There are, however, to my mind, certain primary principles that should be accepted. The first of these is to introduce the student to the sick person as early in his curriculum as possible. The interpretation of the function of “possible” will vary considerably in different minds. It might mean the first week of the medical student’s first year, or it might be deferred, as at present, to the end of his second or the beginning of his third year. …A proper integration of all these subjects toward themselves as well as toward medicine, surgery and obstetrics, is the ideal to be attained…Anatomy and physiology would not be first year subjects nor medicine and surgery final year subjects. They would all start together and end together. …This conception of the teaching of medicine may seem to you bizarre and heretical; but, there has been much searching of heart in the body medical of how the teaching of this subject might be brought into line with its practice…I am bold enough to believe that the medical faculty which first adopts such a general plan for their curriculum will blaze a trail which all will eventually be forced to follow. J. C. Meakins McGill University Faculty of Medicine

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)0.015
metaresearch head score (Gemma)0.027
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesScience and technology studies
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: Theoretical or conceptual
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.997
Threshold uncertainty score0.080

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0150.027
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0040.002
Science and technology studies0.0030.039
Scholarly communication0.0140.010
Open science0.0010.015
Research integrity0.0070.014
Insufficient payload (model declined to judge)0.0170.005

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.

Opus teacher head0.514
GPT teacher head0.621
Teacher spread0.106 · 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.

Study designTheoretical or conceptual
Domainnot available
GenreEmpirical

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".

Quick stats

Citations7
Published2004
Admission routes2
Has abstractyes

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