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Record W2093888997 · doi:10.1055/s-2002-32797

Politics and Judgment

2002· article· en· W2093888997 on OpenAlex
Peter R. Müeller

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

VenueSeminars in Interventional Radiology · 2002
Typearticle
Languageen
FieldSocial Sciences
TopicCanadian Identity and History
Canadian institutionsnot available
Fundersnot available
KeywordsMedicinePoliticsGeneral surgeryLawPolitical science

Abstract

fetched live from OpenAlex

If you have to smile, it isn't a sport. That is what I am thinking about as I watch the Olympics in Salt Lake. Is skating really a sport? Is snowboarding the ``half-pipe'' really a sport? Is anything where ``judgment'' is involved really a sport? Did you watch the Norway vs. Italy biathlon or the Canada vs. Russia hockey game? These are real sports. There is great competition, heart-stopping excitement, and real action decided by skills, not judgment issues. Did the Canadian pairs really beat the Russian pairs skaters, or was this event decided by the press? I never really have liked these types of events. Gymnastics, ice skating, snowboarding, ballroom dancing are not and have never really been sports to my eye. Yet, as ``antijudgment'' as I am, about deciding these things, I and you are affected a lot by ``judges'' of what we do. Do we really do many objective things in interventional radiology? Yes and no. We certainly have to be successful in our work, and that is very objective. Multiple complications would lead to fewer referrals. On the other hand, there is a lot of ``marketing,'' smiling and being available at the right times for the referring physician, which makes us more attractive as a referral service. These ``high smile scores'' are present in all areas of medicine. It is rare that a gastroenterologist will refer patients to a surgeon if he or she is a real jerk. Certainly, in academics, the acceptance of a paper is one of the most ``subjective'' things we see in medicine. Many times, it is not the science but the presentation or even the subjective response of the reviewer that can determine whether a paper is accepted in a prestigious journal. Is this any different from the French judge who decided that someone should win the gold medal in pairs skating over another team because of nonskating reasons? Is this any different from someone not referring a case to you because you told someone at lunch that he was a jerk? Politics and judgment are in everything we do; many years ago we wrote a paper on the value of clinical rounds on patients who were on the ``ward'' and who had interventional catheters in place. We stated that about 20% of patients had findings that we noted and acted on, which changed the clinical course of the patient. Now, 20 years later, we still make rounds, but it seems clear that more important than clinical findings is the fact that referring physicians actually ``see us'' on the ward and interact with us. It matters less that we see the patient than that we are there. Our version of smiling at the judges? Subjective, not objective findings. In reality, we are being judged by our referring physicians not only by our objective results of a successful biliary dilation in a postlaparoscopic patient but also by the rather subjective observation that we are actually on clinical rounds seeing patients. We all know that interventionists in the United States are talking about having a clinic, seeing patients without referrals, and so forth to gain more vascular patients. Sure, we are doing this to gain more control of these types of patients. But, also, we are trying to show the nonradiologists that we are ``really taking care of patients,'' like them. Subjective. Judgmental. You bet it is. You know what, maybe we should smile and we will get the ``gold medal'' like the figure skaters. Maybe the subjectivity and judgmental ideas are more part of our fabric than we thought!

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)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.824
Threshold uncertainty score0.997

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0040.000

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 head0.021
GPT teacher head0.271
Teacher spread0.250 · 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