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Record W2610786796 · doi:10.1001/jama.2017.2233

Is There a Conflict of Interest?

2017· article· en· W2610786796 on OpenAlexaff
Shiphra Ginsburg, Wendy Levinson

Bibliographic record

VenueJAMA · 2017
Typearticle
Languageen
FieldHealth Professions
TopicHealthcare cost, quality, practices
Canadian institutionsSt. Michael's HospitalThe Wilson CentreUniversity of Toronto
Fundersnot available
KeywordsMedicineMultidisciplinary approachMultidisciplinary teamDiseaseVariety (cybernetics)General surgeryIntensive care medicineLawNursingInternal medicine

Abstract

fetched live from OpenAlex

Dr Patel is an internist who recently joined a large multidisciplinary clinic. She often refers her patients to 1 of the 6 cardiologists who work there. She has noticed that when her patients are seen by Dr Wells, they almost always undergo stenting procedures, whereas when her patients are seen by the other cardiologists, a larger variety of treatment approaches are used. At first she thought it was a coincidence or that perhaps she was somehow sending patients with more severe heart disease to Dr Wells. But then a colleague made an offhand comment that “If you want your patient to get stented, send them to Dr Wells.” She is concerned that her patients may have been overtreated and subjected to needless risk and that Dr Wells may not be acting in the best interests of his patients.

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)0.008
metaresearch head score (Gemma)0.062
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesResearch integrity
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 score0.989
Threshold uncertainty score0.374

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0080.062
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0030.001
Bibliometrics0.0010.002
Science and technology studies0.0020.002
Scholarly communication0.0040.002
Open science0.0030.003
Research integrity0.0110.005
Insufficient payload (model declined to judge)0.1120.027

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 head0.831
GPT teacher head0.617
Teacher spread0.214 · 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.

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

Citations3
Published2017
Admission routes1
Has abstractyes

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