Bibliographic record
Abstract
I have just read Dr Roger Strasser’s article1 on training rural physicians. He suggests beginning by aiming our attention at rural high school students and then continuing to support and encourage these students during their undergraduate years. I then read Cal Gutkin’s article2 on a common first year of postgraduate training (PGY-1) and the Wilson and Cox reports3,4 suggesting that there should be three PGY-1 streams: one for family medicine residents, one for specialists, and one for those who have not yet decided. I then read the letters to the editor5-12 about extending residency to include a third year—be it an extra year of family practice or a year to focus on a speciality, such as emergency medicine, which has historically caused residents to practise in that area of interest, rather than in family medicine. Now putting these thoughts all together, should we not be looking at the undergraduate years? In the past, Canada had a 2-year premedical program. Returning to this system would capitalize on Dr Strasser’s suggestion and allow for more help to rural students. If all medical students were in the same undergraduate program, rural students could then receive the extra attention that Dr Strasser considers necessary. Students currently complain that MD really means “mega debt,” and adding years of study compounds this, as some of the letters to the editor argued. Many medical schools now require a 4-year undergraduate degree before admission to medical school. McMaster’s first class of medical students essentially consisted of PhD students, the second class, Master’s students, and the third and subsequent classes, students with 3-year undergraduate degrees. This implies that less is equally good. If we went back to a 2-year premedical program, or even if we required a 3-year undergraduate degree, then adding a PGY-3 requirement would not be the hardship that many students currently fear. If we went back to a 2-year premedical program, then attention and help could be given to rural students, and these students could be encouraged to practise family 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 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 | 0.003 | 0.013 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.003 | 0.003 |
| Scholarly communication | 0.004 | 0.006 |
| Open science | 0.001 | 0.005 |
| Research integrity | 0.009 | 0.010 |
| Insufficient payload (model declined to judge) | 0.045 | 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".