A carbon footprint study of the Canadian medical residency interview tour.

BACKGROUND: Each spring, thousands of Canadian medical students travel across the country to interview for residency positions, a process known as the CaRMS tour. Despite the large scale of travel, the CaRMS tour has received little environmental scrutiny. PURPOSE: To estimate the national carbon footprint of flights associated with the CaRMS tour, as well as reductions in emissions achievable by transitioning to alternative models. METHODS: We developed a three-question online commuter survey to collect the unique travel itineraries of applicants in the 2020 CaRMS tour. We calculated the emissions associated with all flights and modelled expected emissions for two alternative in-person interview models, and two virtual interview models. RESULTS: We collected 960 responses out of 2943 applicants across all 17 Canadian medical schools. We calculated the carbon footprint of flights for the 2020 CaRMS as 4239 tCO2e (tonnes of carbon dioxide equivalents), averaging 1.44 tCO2e per applicant. The average applicant's tour emissions represent 35.1% of the average Canadian's annual household carbon footprint, and the emissions of 26.7% of respondents exceeded their entire annual '2050 carbon budget.' Centralized in-person interviews could reduce emissions by 13.7% to 74.7%, and virtual interviews by at least 98.4% to 99.9%. CONCLUSIONS: Mandatory in-person residency interviews in Canada contribute significant emissions and reflect a culture of emissions-intensive practices. Considerable decarbonization of the CaRMS tour is possible, and transitioning to virtual interviews could eliminate the footprint almost entirely.

Quality of Online Information Regarding Cervical Cancer.

Introduction The internet is an important source of health information, and yet the quality of the resources that patients' access can vary widely. Previous research has evaluated the quality of information for several types of cancer; however, this has not yet been done for cervical cancer beyond treatment information. The goal of this project was to systematically evaluate the quality of resources for cervical cancer information available against a range of metrics, including content breadth and accuracy, readability, and accountability.  Methods An internet search was performed using the term "cervical cancer" using Google and two meta-search engines, Dogpile and Yippy. The top-100 websites returned across all three engines were evaluated using a validated structured rating tool.  Results Only 32% of websites disclosed their author and only 38% used citations, while 64% of websites had been updated in the last two years. Readability was at university-level or higher for 19% of websites, and high-school level for 78%. Coverage was highest for etiology and risk factors (93% of websites) and prevention strategies such as pap smears and vaccines (92%); coverage was lowest for prognosis (49%), staging (52%), side effects (47%), and follow-up (25%). When a topic was covered the information was predominantly accurate, and few websites had inaccurate information. At least one social-media platform was linked to by 79% of websites.  Conclusions This project highlights the strengths and limitations in the quality of the top-100 informational cervical cancer websites. These findings can inform the dialogue between health care providers and patients around selecting and evaluating information resources. These findings can also inform specific improvements to make online resources for cervical cancer more accessible, comprehensive, and relevant to patients.

The Sprawlter Graph Readability Metric: Combining Sprawl and Area-Aware Clutter.

Graph drawing readability metrics are routinely used to assess and create node-link layouts of network data. Existing readability metrics fall short in three ways. The many count-based metrics such as edge-edge or node-edge crossings simply provide integer counts, missing the opportunity to quantify the amount of overlap between items, which may vary in size, at a more fine-grained level. Current metrics focus solely on single-level topological structure, ignoring the possibility of multi-level structure such as large and thus highly salient metanodes. Most current metrics focus on the measurement of clutter in the form of crossings and overlaps, and do not take into account the trade-off between the clutter and the information sparsity of the drawing, which we refer to as sprawl. We propose an area-aware approach to clutter metrics that tracks the extent of geometric overlaps between node-node, node-edge, and edge-edge pairs in detail. It handles variable-size nodes and explicitly treats metanodes and leaf nodes uniformly. We call the combination of a sprawl metric and an area-aware clutter metric a sprawlter metric. We present an instantiation of the sprawlter metrics featuring a formal and thorough discussion of the crucial component, the penalty mapping function. We implement and validate our proposed metrics with extensive computational analysis of graph layouts, considering four layout algorithms and 56 layouts encompassing both real-world data and synthetic examples illustrating specific configurations of interest.