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Record W2621063853 · doi:10.3899/jrheum.170238

Slow Advances in Supply of Canadian Rheumatologists

2017· letter· en· W2621063853 on OpenAlexvenueaboutno aff
Manfred Harth

Bibliographic record

VenueThe Journal of Rheumatology · 2017
Typeletter
Languageen
FieldMedicine
TopicMusculoskeletal Disorders and Rehabilitation
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineRheumatologyWorkforceInternal medicineFamily medicineEconomic growth

Abstract

fetched live from OpenAlex

The recent article by Barber, et al presents important data on the Canadian rheumatology workforce and the quantitative shortcomings that require remediation 1 . I wish to make a small correction. The authors state on page 255 of their article "to our knowledge, ours is the first national rheumatology workforce survey in Canada." There actually was a previous survey by the Royal College of Physicians and Surgeons of Canada and the Federal Department of National Health and Welfare 2 . That survey showed that in 1975 there was 1 rheumatologist per 180,000 population. The report expressed the wish for a ratio of 1:118,200 to be achieved at some unspecified time in the future. In 2017, we are better off than we were in 1975, although the advance has occurred at a less than dizzying pace. It remains to be seen how the 10 provincial and 3 territorial healthcare systems (not to mention the federal one) will address the challenges identified in 2017 for more rheumatologists and a better distribution. The prospects of early success are not rosy in a country that still ranks low in access to healthcare 3 .

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)0.024
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 score0.918
Threshold uncertainty score0.592

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0030.024
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0020.002
Science and technology studies0.0080.002
Scholarly communication0.0040.002
Open science0.0030.002
Research integrity0.0070.010
Insufficient payload (model declined to judge)0.0180.003

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 head0.012
GPT teacher head0.274
Teacher spread0.263 · 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

Citations1
Published2017
Admission routes2
Has abstractyes

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