The Value of a Rapid Access Internal Medicine Clinic – An Observational Perspective
Bibliographic record
Abstract
Background Rapid access Internal Medicine (IM) clinics aim to reduce burden on inpatient services. Despite an increased prevalence of these clinics across Canada, there is a lack of evidence demonstrating their value. Methods An observational retrospective review was undertaken to identify the usage of our IM clinic. A prospective analysis of Internal Medicine Clinical Teaching Unit (CTU) diverted admissions and a subsequent cost benefit analysis was performed. Results Referrals were primarily from emergency room physicians (47%) and general practitioners (34%). Of the requests for admission over a 4-week period, 6.1% were diverted with clinic follow-up within four days. A potential $30,000 of inpatient care costs were prevented over the study period. Conclusion Rapid access IM clinics help reduce demand on emergency departments and inpatient services. A significant percentage of hospital admissions may be avoided by implementing rapid access clinics. Further study is needed to better quantify the overall benefit.
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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 | 0.006 | 0.040 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.003 |
| Science and technology studies | 0.001 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
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.
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".