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Record W2903789252 · doi:10.4324/9781315187518-31

Quality Assurance in North American Medical Schools

2018· book-chapter· en· W2903789252 on OpenAlexaboutno aff
Marie C. Matte, Joel H. Lanphear

Bibliographic record

Venuenot available
Typebook-chapter
Languageen
FieldMedicine
TopicInnovations in Medical Education
Canadian institutionsnot available
Fundersnot available
KeywordsQuality assuranceQuality (philosophy)Medical educationPolitical scienceMedicinePhilosophyEpistemologyPathology

Abstract

fetched live from OpenAlex

The primary process for assuring levels of quality assurance in North American (US and Canadian) medical schools has, since the early 1900s, been through voluntary review and engagement with the Liaison Committee on Medical Education (LCME) and the Canadian Association on the Accreditation of Medical Schools (CACMS). Impacted by the political, economic, socio-cultural and historical events of the last century the accreditation process has moved the concept of continuous quality improvement forward at a pace too swift for some, painfully slow for others. In addition to mentioning the genesis of the North American process, the authors have described not only the changes in the accreditation standards themselves, but how institutions have had to respond to them to maintain satisfactory accreditation status. Changes to standards by the LCME have on occasion led to consequences that they themselves had not anticipated. The authors have also spent a considerable amount of time discussing their experiences with the application of the standards and the entire process at the medical school level and providing what they hope will be helpful to individuals and institutions in meeting the challenges in implementation of accreditation standards.

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)0.001
metaresearch head score (Gemma)0.002
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch
Consensus categoriesnone
DomainCandidate signal: Evaluation · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.999
Threshold uncertainty score0.114

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0010.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0010.003
Science and technology studies0.0060.003
Scholarly communication0.0050.002
Open science0.0010.002
Research integrity0.0020.003
Insufficient payload (model declined to judge)0.0100.002

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 head0.031
GPT teacher head0.375
Teacher spread0.344 · 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 designObservational
DomainEvaluation
GenreEmpirical

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
Published2018
Admission routes1
Has abstractyes

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