{"id":"W2611473341","doi":"10.36834/cmej.36639","title":"Moral distress and burnout in internal medicine residents","year":2017,"lang":"en","type":"article","venue":"Canadian Medical Education Journal","topic":"Ethics in medical practice","field":"Health Professions","cited_by":90,"is_retracted":false,"has_abstract":true,"ca_institutions":"St. Paul's Hospital; Centre for Advancing Health Outcomes; University of British Columbia","funders":"","keywords":"Burnout; Depersonalization; Distress; Emotional exhaustion; Interquartile range; Medicine; Psychology; Clinical psychology; Psychiatry; Internal medicine","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":true,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"codex-gemma-dda1882f352a","candidate_categories":["metaresearch","sts","research_integrity","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.007658888,0.0001200556,0.0002371244,0.0002759727,0.002499816,0.00006802697,0.0007738929,0.0004414538,0.03684178],"category_scores_gemma":[0.3006991,0.00009779102,0.00002153314,0.00006509347,0.0008414746,0.0003571055,0.00009231471,0.007717997,0.0001107667],"about_ca_system_candidate":true,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0005653036,"about_ca_system_score_gemma":0.02690407,"about_ca_topic_candidate":true,"about_ca_topic_consensus":true,"about_ca_topic_score_codex":0.2218565,"about_ca_topic_score_gemma":0.3560709,"domain_scores_codex":[0.9964651,0.001173574,0.0006835932,0.0002059644,0.0009344391,0.0005373523],"domain_scores_gemma":[0.9890575,0.001143692,0.0004600778,0.0003825501,0.0003362354,0.00861998],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"observational","study_design_scores_codex":[0.0000367998,0.00005815657,0.4427077,0.0001195981,0.00002127311,0.0004518238,0.00754947,1.232137e-7,0.000002274024,0.02751045,0.4534028,0.06813958],"study_design_scores_gemma":[0.001853553,0.00005557954,0.7425362,0.004824451,0.00002356718,0.0004193839,0.01183922,0.0001065698,3.590037e-7,0.06715842,0.170997,0.0001856896],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.1005078,0.001019242,0.00003939071,0.6642867,0.01096581,0.0002473245,0.00000568453,0.00001067261,0.2229175],"genre_scores_gemma":[0.9419209,0.0008226541,0.0001492975,0.04922039,0.003637529,0.00001800904,0.00000611412,0.00001714849,0.004208004],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.8414131,"threshold_uncertainty_score":0.9987988,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.07781952719115097,"score_gpt":0.5217003977701624,"score_spread":0.4438808705790114,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}