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Record W4239965084 · doi:10.30770/2572-1852-107.1.3

From the Editor

2021· article· en· W4239965084 on OpenAlex
Heidi M. Koenig

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

VenueJournal of Medical Regulation · 2021
Typearticle
Languageen
FieldEconomics, Econometrics and Finance
TopicOccupational and Professional Licensing Regulation
Canadian institutionsnot available
Fundersnot available
KeywordsLicensureCertificationPublic relationsMedical educationStakeholderReputationProcess (computing)MedicinePsychologyPolitical scienceLawComputer science

Abstract

fetched live from OpenAlex

AMERICAN AUTHOR and organizational behavior expert Margaret Wheatley reminds us that professional communities grow in meaningful ways when they discover common values and priorities — a process that can only occur when there is a willingness to ask many questions and be open to new perspectives. In this issue of JMR, we offer three articles that reflect the spirit of such discovery, starting with “Saskatchewan Physicians’ Opinions of their Personalized Prescribing Profiles” (page 7). Authors from Canada studied how regulators perceive physician prescribing of controlled substances and physicians’ reflections on their own prescribing practices — drawing interesting conclusions that could decrease the tensions that sometimes arise around the process of monitoring controlled-substance prescribing. Reflection on one’s prescribing practice can be hard, especially when presented by regulatory bodies. But it can also be a good thing — leading to enlightenment, more appropriate prescribing and enhanced patient safety. In “Public Knowledge and Beliefs Regarding Licensure, Certification and Medical Education of Physician Assistants” (page 26), authors from the National Commission on Certification of Physician Assistants take a serious look at how the physician assistant (PA) profession is perceived by the public. As a relatively new medical profession, PA numbers are small and patients have limited knowledge of how they are trained and credentialed. The profession’s inquiry into patients’ perspectives will help as it works to enhance public understanding and inform decisions regarding regulation. In “Strategies to Enhance Boards of Medicine Responses to Medical Error” (page 17), we learn, through stakeholder interviews, that reinventing state medical boards’ review process is urgent. The traditional review of physicians in isolation is obsolete. Health care, increasingly provided by teams in large health care systems, often leaves practitioners reported to a medical board as victims of system-induced errors. The article helps us reflect on the need for collaboration between health care systems and regulators to identify good physicians, distinguishing them from ones who truly have knowledge or skills deficits. Improved strategies for regulators are needed to address these issues, which bring unintended consequences for practitioners and for patients.

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)0.001
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.391
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0020.000

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 head0.030
GPT teacher head0.272
Teacher spread0.242 · 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