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Record W651676178

Almost a legend-John Fry : leading reformer of general practice

2007· article· en· W651676178 on OpenAlexaboutno aff
Max Blythe

Bibliographic record

VenueMedical Entomology and Zoology · 2007
Typearticle
Languageen
FieldHealth Professions
TopicPrimary Care and Health Outcomes
Canadian institutionsnot available
Fundersnot available
KeywordsLegendGeneral practiceHistorySkepticismMedicineSociologyClassicsArt historyFamily medicine
DOInot available

Abstract

fetched live from OpenAlex

No one championed evidence-based general practice more than Fry, arguably the world's most influential GP of his day. Fry, 1922-1994, made unparalleled contributions to the reformation of British general practice in the second half of the 20th Century. In the 1950s and 1960s he dominated the movement for evidence-based primary care and the operational intelligence of better practice management. He became the most prolific publisher of facts and figures in the history of general practice, and the first systematic surveyor of all the everyday diseases of a single practice, monitoring their natural histories and the effectiveness of treatments. His pioneering, evidence-based approach was fundamental to the transformation of general practice into a specialty and its modern strengths as the bedrock of UK health care. Almost a Legend documents the journey of a young immigrant Polish boy to becoming the best known GP in the world, beginning with Jewish origins and remarkable family heritage. It follows his career from public school, through medical school and into General Practice, including his contributions to the Royal College of GPs, the Royal Society of Medicine, the GMC, WHO and Royal Army Medical Corps. John Fry was a radical, unique and unheralded sceptic anxious to improve the delivery of patient care by questioning existing practice in a nice iconoclastic fashion. Sadly, from the patient's perspective, only in recent times are many of his sensible ideas being taken up by his conservative profession. Alan Maynard, Professor of Health Economics, University of York, UK Many of us in the United States and Canada and many other countries consider Fry a legend because of his seminal contributions to our thinking about the care of patients with common diseases, and his concept of primary care as a functional level of care from where secondary care and long-term support can be mobilised and coordinated. His work contributed directly to the Report of the US Institute of Medicine A Manpower Policy for Primary Care published in 1978. Fry never blew his horn, but his ideas travelled widely and influenced thinking about primary care world wide. Few physicians contributed more to medicine in the second half of the 20th century. Philip R Lee, Professor of Social Medicine Emeritus and Chancellor Emeritus,University ofCalifornia, San Francisco

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 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)0.003
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: Observational · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.622
Threshold uncertainty score0.998

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0030.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0030.000

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 head0.039
GPT teacher head0.460
Teacher spread0.421 · 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 teacher head, not a consensus.

Study designObservational
Domainnot available
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

Citations2
Published2007
Admission routes1
Has abstractyes

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