The complaint was that biostatistics and research ethics were the same thing
filed twice. They were — and under them the topic tree had no home for
research, biostatistics, ethics, patient safety or quality improvement at all.
Domains 23 (Ethics, 2%) and 24 (Patient Safety, QI and Research Methods, 2%)
both pointed at the single row "Professional Topics", and 19 (Nephrology, 3%)
and 20 (Genitourinary, 3%) both claimed "Nephrology & Urology". Six per cent of
the paper rested on two rows that could not be told apart, so an adaptive
session could not weight either half of any of those pairs.
Every domain now owns its own topics, with none shared: 19 takes the kidney
topics and 20 the genital and urological ones, and Professional Topics gains
Ethics, Patient Safety & Quality Improvement, and Research & Biostatistics. A
blueprint-shaped paper draws from all 24 domains with no shortfall; two of
them — Psychosocial Issues and Child Abuse and Neglect, 3% each — had a pool of
literally zero before.
And 93 topics that were one idea under two names are now one: 25 "Pediatric X"
leaves under a root already called X, on a site that is paediatric throughout;
66 plain synonyms (Nocturnal Enuresis and Enuresis, Down Syndrome and Trisomy
21, Eczema and Atopic Dermatitis, Chlamydia filed once per discipline that
mentioned it); and two abuse topics onto the ABP's own headings. Every merge is
written out by id *and* name and refuses to run if either has moved — no
normaliser, no fuzzy key, because a key that ignores digits puts Trisomy 18
into Trisomy 21. Questions move before any row is deleted, and a cross-filing
that would have been lost becomes a link instead.
566 topics, 2,924 questions, none without a primary topic, none without an
organ system. Backups either side in backups/topics_*_reorg_*.sql.
Co-Authored-By: Claude Opus 5 <noreply@anthropic.com>
Claude-Session: https://claude.ai/code/session_01TqXevQJhxFrM7jJg82cgZN
b2a353cf58