016 Establishing a Multidisciplinary, Academic Program in Penile Inversion Vaginoplasty
Bibliographic record
Abstract
Individuals seeking penile inversion vaginoplasty (PIV) in Canada receive government support to obtain surgery in the Canadian province of Quebec, the United States, or overseas due to poor local access throughout the country. Travelling for surgical care is associated with poorer outcomes and a significant psychosocial burden. In 2019 the first model of a publically funded, academic, multidisciplinary trans surgical program was established to offer this surgery to the over 800 individuals waiting for PIV in the Canadian province of Ontario (population 14.5 million). This program serves a paradigm for the establishment of future trans surgical programs in jurisdictions with poor access. To describe the processes involved in establishing a multidisciplinary, academic program in PIV in a large jurisdiction with no prior access to this surgery. The additional resources, training and partnerships necessary in the establishment of a new PIV program are described and initial outcomes of the first three cases are reported.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot 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.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.001 | 0.002 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.000 | 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 teacher head, 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".