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Record W2590102731 · doi:10.1097/acm.0000000000001564

In Reply to Lenchus

2017· letter· en· W2590102731 on OpenAlexaffabout
A Vaisman, Peter Cram

Bibliographic record

VenueAcademic Medicine · 2017
Typeletter
Languageen
FieldMedicine
TopicRadiology practices and education
Canadian institutionsUniversity of TorontoMount Sinai Hospital
Fundersnot available
KeywordsMiamiReimbursementReferralHealth careMedicineMedical educationFamily medicineNursingPolitical science

Abstract

fetched live from OpenAlex

We agree with Dr. Lenchus’s assertion that referral of procedures to interventional radiology can lead to less efficient patient care. In these scenarios, it is important for internists to take into account not just direct costs, such as physician reimbursement, or indirect costs, such as equipment and patient transportation, but also lost opportunities in teaching procedures to trainees and system costs, such as delays in patient discharge from hospital. We commend the University of Miami on the procedure service described by Dr. Lenchus. This model could well prove scalable to other academic health centers. This is certainly one area for future study and potential quality improvement intervention with the aim of solving the problems outlined in our article. Alon Vaisman, MDInternist and current trainee, Faculty of Medicine, University of Toronto, Ontario, Canada; [email protected] Peter Cram, MDDirector, Division of General Internal Medicine and Geriatrics, University Health Network and Mount Sinai Hospital, Toronto, Ontario, Canada.

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)0.003
metaresearch head score (Gemma)0.028
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.030
Threshold uncertainty score0.026

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.028
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0040.003
Scholarly communication0.0030.004
Open science0.0020.002
Research integrity0.0300.039
Insufficient payload (model declined to judge)0.0060.005

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 head0.083
GPT teacher head0.416
Teacher spread0.332 · 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.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

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

Citations0
Published2017
Admission routes2
Has abstractyes

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