scholarly journals Fundamental trends within falling match rates: insights from the past decade of Canadian residency matching data

Author(s):  
Andy Zeng ◽  
Connor Brenna ◽  
Silvio Ndoja

Background: The number of unmatched Canadian Medical Graduates (CMGs) has risen dramatically over the last decade. To identify long-term solutions to this problem, an understanding of the factors contributing to these rising unmatched rates is critical.  Methods: Using match and electives data from 2009-2019, we employed machine learning algorithms to identify three clusters of disciplines with distinct trends in match and electives behaviours. We assessed the relationships between unmatched rates, competitiveness, rates of parallel planning, and program selection practices at a discipline level.  Results: Across Canada, growth in CMGs has outpaced growth in residency seats, narrowing the seat-to-applicant ratio. Yet not all disciplines have been affected equally - a subset of surgical disciplines experienced a consistent decline in residency seats over time. Applicants to these disciplines are also at disproportionate risk of becoming unmatched, and this is associated with lower rates of parallel planning as quantified through clinical electives and match applications. This, in turn, is associated with the program selection practices of these disciplines.  Conclusion: Long term solutions to the unmatched CMG crisis require more nuance than indiscriminately increasing residency seats and should consider cluster specific match ratios as well as regulations around clinical electives and program selection practices.

Risks ◽  
2020 ◽  
Vol 9 (1) ◽  
pp. 4 ◽  
Author(s):  
Christopher Blier-Wong ◽  
Hélène Cossette ◽  
Luc Lamontagne ◽  
Etienne Marceau

In the past 25 years, computer scientists and statisticians developed machine learning algorithms capable of modeling highly nonlinear transformations and interactions of input features. While actuaries use GLMs frequently in practice, only in the past few years have they begun studying these newer algorithms to tackle insurance-related tasks. In this work, we aim to review the applications of machine learning to the actuarial science field and present the current state of the art in ratemaking and reserving. We first give an overview of neural networks, then briefly outline applications of machine learning algorithms in actuarial science tasks. Finally, we summarize the future trends of machine learning for the insurance industry.


2020 ◽  
Vol 12 (15) ◽  
pp. 5972
Author(s):  
Nicholas Fiorentini ◽  
Massimo Losa

Screening procedures in road blackspot detection are essential tools for road authorities for quickly gathering insights on the safety level of each road site they manage. This paper suggests a road blackspot screening procedure for two-lane rural roads, relying on five different machine learning algorithms (MLAs) and real long-term traffic data. The network analyzed is the one managed by the Tuscany Region Road Administration, mainly composed of two-lane rural roads. An amount of 995 road sites, where at least one accident occurred in 2012–2016, have been labeled as “Accident Case”. Accordingly, an equal number of sites where no accident occurred in the same period, have been randomly selected and labeled as “Non-Accident Case”. Five different MLAs, namely Logistic Regression, Classification and Regression Tree, Random Forest, K-Nearest Neighbor, and Naïve Bayes, have been trained and validated. The output response of the MLAs, i.e., crash occurrence susceptibility, is a binary categorical variable. Therefore, such algorithms aim to classify a road site as likely safe (“Accident Case”) or potentially susceptible to an accident occurrence (“Non-Accident Case”) over five years. Finally, algorithms have been compared by a set of performance metrics, including precision, recall, F1-score, overall accuracy, confusion matrix, and the Area Under the Receiver Operating Characteristic. Outcomes show that the Random Forest outperforms the other MLAs with an overall accuracy of 73.53%. Furthermore, all the MLAs do not show overfitting issues. Road authorities could consider MLAs to draw up a priority list of on-site inspections and maintenance interventions.


Cancers ◽  
2019 ◽  
Vol 11 (5) ◽  
pp. 606 ◽  
Author(s):  
Pablo Sala Elarre ◽  
Esther Oyaga-Iriarte ◽  
Kenneth H. Yu ◽  
Vicky Baudin ◽  
Leire Arbea Moreno ◽  
...  

Background: Although surgical resection is the only potentially curative treatment for pancreatic cancer (PC), long-term outcomes of this treatment remain poor. The aim of this study is to describe the feasibility of a neoadjuvant treatment with induction polychemotherapy (IPCT) followed by chemoradiation (CRT) in resectable PC, and to develop a machine-learning algorithm to predict risk of relapse. Methods: Forty patients with resectable PC treated in our institution with IPCT (based on mFOLFOXIRI, GEMOX or GEMOXEL) followed by CRT (50 Gy and concurrent Capecitabine) were retrospectively analyzed. Additionally, clinical, pathological and analytical data were collected in order to perform a 2-year relapse-risk predictive population model using machine-learning techniques. Results: A R0 resection was achieved in 90% of the patients. After a median follow-up of 33.5 months, median progression-free survival (PFS) was 18 months and median overall survival (OS) was 39 months. The 3 and 5-year actuarial PFS were 43.8% and 32.3%, respectively. The 3 and 5-year actuarial OS were 51.5% and 34.8%, respectively. Forty-percent of grade 3-4 IPCT toxicity, and 29.7% of grade 3 CRT toxicity were reported. Considering the use of granulocyte colony-stimulating factors, the number of resected lymph nodes, the presence of perineural invasion and the surgical margin status, a logistic regression algorithm predicted the individual 2-year relapse-risk with an accuracy of 0.71 (95% confidence interval [CI] 0.56–0.84, p = 0.005). The model-predicted outcome matched 64% of the observed outcomes in an external dataset. Conclusion: An intensified multimodal neoadjuvant approach (IPCT + CRT) in resectable PC is feasible, with an encouraging long-term outcome. Machine-learning algorithms might be a useful tool to predict individual risk of relapse. A small sample size and therapy heterogeneity remain as potential limitations.


Materials ◽  
2020 ◽  
Vol 13 (18) ◽  
pp. 4133
Author(s):  
Seungbum Koo ◽  
Jongkwon Choi ◽  
Changhyuk Kim

Soundproofing materials are widely used within structural components of multi-dwelling residential buildings to alleviate neighborhood noise problems. One of the critical mechanical properties for the soundproofing materials to ensure its appropriate structural and soundproofing performance is the long-term compressive deformation under the service loading conditions. The test method in the current test specifications only evaluates resilient materials for a limited period (90-day). It then extrapolates the test results using a polynomial function to predict the long-term compressive deformation. However, the extrapolation is universally applied to materials without considering the level of loads; thus, the calculated deformation may not accurately represent the actual compressive deformation of the materials. In this regard, long-term compressive deformation tests were performed on the selected soundproofing resilient materials (i.e., polystyrene, polyethylene, and ethylene-vinyl acetate). Four levels of loads were chosen to apply compressive loads up to 350 to 500 days continuously, and the deformations of the test specimens were periodically monitored. Then, three machine learning algorithms were used to predict long-term compressive deformations. The predictions based on machine learning and ISO 20392 method are compared with experimental test results, and the accuracy of machine learning algorithms and ISO 20392 method are discussed.


Author(s):  
Andreas Tsamados ◽  
Nikita Aggarwal ◽  
Josh Cowls ◽  
Jessica Morley ◽  
Huw Roberts ◽  
...  

AbstractResearch on the ethics of algorithms has grown substantially over the past decade. Alongside the exponential development and application of machine learning algorithms, new ethical problems and solutions relating to their ubiquitous use in society have been proposed. This article builds on a review of the ethics of algorithms published in 2016 (Mittelstadt et al. Big Data Soc 3(2), 2016). The goals are to contribute to the debate on the identification and analysis of the ethical implications of algorithms, to provide an updated analysis of epistemic and normative concerns, and to offer actionable guidance for the governance of the design, development and deployment of algorithms.


in the course of latest a long term, system gaining knowledge of (ML) has superior from the task of barely any laptop devotees abusing the plausibility of desktops figuring out a way to play around, and a chunk of mathematics (facts) that superb occasionally belief to be computational methodologies, to a free research area that has now not just given the essential base to measurable computational requirements of studying systems, yet moreover has created wonderful calculations which can be generally carried out for content material material translation, layout acknowledgment, and a numerous excellent commercial enterprise features or has precipitated a simply one among a type studies eagerness for data removal to differentiate wearing a veil regularities or abnormality within group facts that developing via way of next. This thesis centers round clarifying the concept and development of device learning, a portion of the mainstream device gaining knowledge of calculations and attempt to reflect onconsideration on 3 most ordinary calculations relying on a few essential thoughts. Sentiment140 dataset turn out to be utilized and execution of each estimate concerning getting ready time, expectation time and precision of forecast had been archived and analyzed.


Sign in / Sign up

Export Citation Format

Share Document