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Record W4229873331 · doi:10.1177/229255030801600104

Doing Surgery

2008· article· en· W4229873331 on OpenAlexvenueno aff
John R. Taylor

Bibliographic record

VenueCanadian Journal of Plastic Surgery · 2008
Typearticle
Languageen
FieldArts and Humanities
TopicMedical History and Innovations
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineSurgeryGeneral surgery

Abstract

fetched live from OpenAlex

Doing surgeryT o do surgery you must be a surgeon.Sounds obvious, but some of our provincial governing bodies don't agree and they have a dilemma.They think a physician should be able to change their scope of practice.That laudable idea has problems.Who decides how much training is enough to perform a few operations?How do you find a surgeon training assessor if surgeons are opposed to the idea of a physician trained to do a few operations only?A surgeon is broadly trained.It takes five or more years after the MD, then rigorous examinations.Only then do surgeons subspecialize.This method of training is over 60 years old and replaced the physician who was both physician and surgeon -the family doctor who did occasional surgery.Is there a shortcut to surgery?Is it smart to train a physician to do a few operations?This is an attractive idea to some.It looks progressive, is certainly shorter and might be cheaper.It gives physicians opportunities in an era where many things are restricted and centrally controlled.We disagree.The best way to surgery is the difficult way.It takes five years after the MD degree to become a surgeon.This broad training remarkably benefits the patient because the surgeon has a wide knowledge of many surgical disciplines.The training is in performing the operation, in preoperative assessment, the consent and especially in the diagnosis and treatment of postoperative complications.Some physicians would prefer a shortcut to surgical training.No shortcut exists.If a physician wants to do surgery, become a surgeon.Join us! Find a good training program and work hard.These training positions are limited.To get accepted, the candidate needs to be patient and convince the powers that be that you would be a good surgeon.Your marks will have to be high, so study hard.Then you can begin an exciting surgical life.

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)0.002
metaresearch head score (Gemma)0.011
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Other · Consensus signal: Other
Teacher disagreement score0.424
Threshold uncertainty score0.822

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0020.011
Meta-epidemiology (narrow)0.0010.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.001
Science and technology studies0.0040.002
Scholarly communication0.0070.004
Open science0.0010.006
Research integrity0.0030.004
Insufficient payload (model declined to judge)0.4240.277

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 head0.070
GPT teacher head0.194
Teacher spread0.125 · 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 designNot applicable
Domainnot available
GenreOther

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
Published2008
Admission routes1
Has abstractyes

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