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Record W2799962413 · doi:10.3399/bjgp18x695885

A new model of undergraduate clinical education?

2018· editorial· en· W2799962413 on OpenAlex
Maggie Bartlett, Fiona Muir

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

VenueBritish Journal of General Practice · 2018
Typeeditorial
Languageen
FieldMedicine
TopicInnovations in Medical Education
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineMedical educationData scienceComputer science

Abstract

fetched live from OpenAlex

In UK medical schools there is a growing interest in a new model of undergraduate medical education; the Longitudinal Integrated Clerkship (LIC). In this model, the central principles are continuity, integration, and longitudinality;1,2 students participate in ‘the comprehensive care of patients over time’,3 continuing learning relationships with patients’ clinicians, and meet the majority of the core curricular competencies across multiple disciplines simultaneously.1 They do this by focusing on patients rather than morbidity categorised by specialty. The model grew out of initiatives to address rural medical workforce shortages in the US in the 1970s and spread during the 1980s to Australia, Canada, and South Africa. There is now a variety of different models worldwide with a median duration of 40 weeks4 and most are based in primary care. In a LIC, students follow a group of patients through episodes of care wherever they take place. Their initial encounters with these patients take place in a variety of settings throughout the clerkships; some in primary care, some in emergency departments or acute assessment units, and some in outpatient clinics. Educational supervisors help the students develop a diverse patient group so that their learning is broad and meets the requirements of the curriculum. LIC students perform at least as well and often better than those in more traditional curricula. Their consultation skills are well-developed, they understand more about the psychosocial aspects of medicine, take on more responsibility for patients and have more confidence in dealing with ethical issues.5 Continuity of relationships with clinical teachers and patients is consistently quoted as the reason why LICs are effective in promoting learning.6 Participation in the care of patients over time has benefits for students as a result of the social aspects of having a role7,8 …

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)0.004
metaresearch head score (Gemma)0.068
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Research integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Editorial · Consensus signal: Editorial
Teacher disagreement score0.227
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.068
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0010.003
Insufficient payload (model declined to judge)0.0000.000

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 head0.029
GPT teacher head0.426
Teacher spread0.397 · 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