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Record W81606695

Defensive medicine--a comment.

2011· letter· en· W81606695 on OpenAlexaboutno aff
Bryce I. Fleming

Bibliographic record

VenuePubMed · 2011
Typeletter
Languageen
FieldHealth Professions
TopicVeterinary Practice and Education Studies
Canadian institutionsnot available
Fundersnot available
KeywordsMedicineCommissionLawMedical educationPolitical science
DOInot available

Abstract

fetched live from OpenAlex

Dear Editor, Dr. Rollin’s comments on the practice of “defensive medicine” (Can Vet J 2011;52:1048–1050) are absolutely spot on: veterinarians appear to be becoming more concerned with keeping their legal advisor happy than actually curing animals. The lecture by Dr. Forsgren that Dr. Rollin alludes to should be required curriculum for all veterinary professionals everywhere. I would absolutely love to hear that lecture because it speaks to my own deeply held fears that “defensive medicine” is becoming a cancer, eating at the heart of our ability to provide timely, practical, and affordable veterinary service. Dr. Forsgren’s comments about veterinary medicine falling into the trap of ordering a plethora of expensive tests to cover ourselves against liability reminds me of something my father told me 25 years ago. My father was an ophthalmic surgeon with a commission in the Royal Canadian Air Force for much of his career. His comment on extensive medical testing was, “You can do all the reconnaissance you wish, Boy, but in the end, to take a beachhead, you have to land soldiers.” At the time, his comment was a mystery, but after 25 years of practice, I now completely understand: you can do all the testing you want, but in the end, you have to take timely, appropriate action to cure the disease. Sometimes, this means making “best guess” decisions on incomplete diagnostics, but in the end, that is our job: to make decisions and, yet, to live with the consequences. In life, everything has consequences, even doing nothing.

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)0.006
metaresearch head score (Gemma)0.046
Version: metacan-v3-hybrid-931329e0061cValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.048
Threshold uncertainty score0.047

Distilled classifier scores by category (both heads)

CategoryCodexGemma
Metaresearch0.0060.046
Meta-epidemiology (narrow)0.0010.001
Meta-epidemiology (broad)0.0010.002
Bibliometrics0.0010.001
Science and technology studies0.0060.004
Scholarly communication0.0050.008
Open science0.0050.004
Research integrity0.0480.060
Insufficient payload (model declined to judge)0.0140.010

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 head0.527
GPT teacher head0.466
Teacher spread0.061 · 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.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreCommentary

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
Published2011
Admission routes1
Has abstractyes

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