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Record W1990265755 · doi:10.1097/acm.0b013e31827c6cd3

Medical Education in the Caribbean

2012· article· en· W1990265755 on OpenAlex
Marta van Zanten, John R. Boulet

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueAcademic Medicine · 2012
Typearticle
Languageen
FieldHealth Professions
TopicGlobal Health Workforce Issues
Canadian institutionsnot available
Fundersnot available
KeywordsWorkforceSpecialtyFamily medicineMedicineEconomic shortageMedical schoolPrimary careQuarter (Canadian coin)CommissionMedical educationPolitical scienceGovernment (linguistics)Geography

Abstract

fetched live from OpenAlex

PURPOSE: There is a projected shortage of primary care physicians in the United States, and providers other than U.S medical graduates may be needed to fill the gap. The authors conducted this study to quantify the contribution that Caribbean-educated physicians make to the U.S. primary care workforce. METHOD: Using May 2011 American Medical Association Physician Masterfile and Educational Commission for Foreign Medical Graduates data, the authors identified physicians whose Masterfile records indicated that they provided direct patient care. They classified these physicians according to the type of medical school from which they graduated: graduates of Caribbean medical schools (C-IMGs), graduates of other international medical schools (non-C-IMGs), graduates of U.S. MD-granting medical schools (USMGs), and graduates of U.S. DO-granting medical schools (DOs). They then calculated the frequencies and percentages of self-designated primary care specialties for each physician classification. RESULTS: There were 684,469 physicians in direct patient care categories for whom data were available concerning medical school and self-designated specialty. About one-quarter of these physicians were graduates of international medical schools (C-IMGs: 3.0%, n = 20,333; non-C-IMGs: 20.4%, n = 139,415), and approximately three-quarters were U.S. medical school graduates (USMGs: 70.3%, n = 481,061; DOs: 6.4%, n = 43,660). Overall, C-IMGs had the highest proportion of physicians practicing in primary care specialties (56.7%) compared with non-C-IMGs (42.3%), USMGs (32.9%), and DOs (54.0%). CONCLUSIONS: More than half of Caribbean-educated physicians involved in direct patient care are practicing in primary care specialties, thereby making an important contribution to the U.S. primary care workforce.

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.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.006
metaresearch head score (Gemma)0.003
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesResearch integrity, Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.325
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0060.003
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.002
Insufficient payload (model declined to judge)0.0030.001

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.

Opus teacher head0.071
GPT teacher head0.528
Teacher spread0.456 · 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