{"id":"W2990732773","doi":"10.1016/j.annemergmed.2019.09.002","title":"Becoming Less Wrong (and More Rational) in Clinical Decisionmaking","year":2019,"lang":"en","type":"letter","venue":"Annals of Emergency Medicine","topic":"Clinical Reasoning and Diagnostic Skills","field":"Medicine","cited_by":12,"is_retracted":false,"has_abstract":false,"ca_institutions":"Dalhousie University","funders":"","keywords":"Medicine; Emergency physician; Core competency; Emergency department; Core (optical fiber); MEDLINE; Medical emergency; Psychiatry; Management","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0112668,0.0005494684,0.000785151,0.0009029442,0.008628843,0.009342367,0.001963872,0.06111175,0.006282726],"category_scores_gemma":[0.08964159,0.0006486205,0.0008025484,0.0008305949,0.01265675,0.008415405,0.003497426,0.06927894,0.002813492],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.008062605,"about_ca_system_score_gemma":0.01194694,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.009782628,"about_ca_topic_score_gemma":0.01688293,"domain_scores_codex":[0.9844544,0.007734749,0.001591399,0.001262425,0.003207014,0.00175005],"domain_scores_gemma":[0.9352937,0.04283859,0.003077566,0.00146295,0.008136827,0.009190351],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"theoretical_or_conceptual","study_design_scores_codex":[0.0001266965,0.0001817972,0.003919111,0.0001460555,0.00003735899,0.01314721,0.004197071,0.0002859654,0.0004168394,0.04698688,0.9091566,0.02139829],"study_design_scores_gemma":[0.0002754661,0.0001175904,0.003475569,0.001076405,0.00006243534,0.02705168,0.01087565,0.002275357,0.0006538187,0.1921088,0.761823,0.0002043281],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":null,"genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.0006054336,0.0002040197,0.0001155309,0.9929191,0.002781861,0.000003612064,0.000005108212,0.000004477492,0.003360851],"genre_scores_gemma":[0.02402318,0.0005243156,0.0007699374,0.9534886,0.0167944,0.00002382982,0.000008084588,0.00001593853,0.004351804],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.06111175,"threshold_uncertainty_score":0.05958521,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.3322266579956812,"score_gpt":0.5152843948473019,"score_spread":0.1830577368516207,"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."}}