Case 8 : Is it too Late to Re-evaluate? Creating Client-centered Changes within Canada’s Medical Surveillance System
Bibliographic record
Abstract
Mia is a program officer in the Public Health Liaison Unit at Immigration, Refugees, and Citizenship Canada’s Migration Health Branch. Mia works with her team to oversee medical surveillance notifications related to tuberculosis. Mia and her team identify migrants arriving to Canada who require tuberculosis testing and care, and connect them with the appropriate Provincial/Territorial Public Health Authority in the province or territory they want to reside in. Lately, Mia has noticed that the number and type of client concerns filling up her email inbox are increasing. These client concerns range from knowledge, language, and interpretation barriers, to difficulties understanding where to report for medical surveillance. Mia wants to conduct a program evaluation to determine exactly where client barriers exist within the medical surveillance system. She wants to use this information to suggest transformation to areas that require change.
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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 | 0.005 | 0.022 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.021 | 0.004 |
| Scholarly communication | 0.004 | 0.003 |
| Open science | 0.003 | 0.004 |
| Research integrity | 0.006 | 0.012 |
| Insufficient payload (model declined to judge) | 0.006 | 0.001 |
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".