Abraham Flexner’s Lasting Effects on Medical Education in the United States and Canada
Bibliographic record
Abstract
In 1910, a document produced by an American educator changed the course of medical education ushering in a new philosophy based on the scientific method, active learning, and competency-based education. Abraham Flexner’s report, Medical Education in the United States and Canada: A Report to the Carnegie Foundation for the Advancement of Teaching, was a groundbreaking study undertaken to improve the quality of medical education and ensure capable, competent physicians and surgeons in the United States and Canada. However, the Flexner Report was not without consequences, both intended and unintended. A large majority of schools examined by Flexner did not meet the standards by which he judged them. Nearly half of the schools in the report closed; most of those were programs dedicated to medical education for African Americans, women, and working-class students changing the demographics of the medical profession in ways that it has only recently begun to remedy.
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 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 | 0.008 | 0.018 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.026 | 0.010 |
| Scholarly communication | 0.011 | 0.004 |
| Open science | 0.002 | 0.006 |
| Research integrity | 0.006 | 0.013 |
| Insufficient payload (model declined to judge) | 0.016 | 0.002 |
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.
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".