Bibliographic record
Abstract
Bridgewater and colleagues have studied the surgical results of surgeons in each of their first four years of independent practice and report that there is a learning curve.1 To explain the concept of a learning curve a surgeon writing in the New Yorker magazine chose for his example the insertion of a central venous line into the subclavian vein by the subclavicular route.2 His chosen example was a good one. Pneumothorax and major bleeding are common in inexperienced hands and the technique merits special precautions, but in Gawande's experience it is taught, resident to resident, at the bedside, on a “see one, do one” basis. He uses it to explain the inescapable fact—that there is risk in being a patient. Our duty in providing health care is to get that risk to a minimum while at the same time learning …
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 | 0.012 | 0.114 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.005 | 0.007 |
| Scholarly communication | 0.006 | 0.011 |
| Open science | 0.002 | 0.007 |
| Research integrity | 0.012 | 0.021 |
| Insufficient payload (model declined to judge) | 0.028 | 0.014 |
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".