{"id":"W3016046571","doi":"10.12968/jpar.2020.12.4.138","title":"The paramedic profession: disruptive innovation and barriers to further progress","year":2020,"lang":"en","type":"article","venue":"Journal of Paramedic Practice","topic":"Emergency and Acute Care Studies","field":"Medicine","cited_by":28,"is_retracted":false,"has_abstract":true,"ca_institutions":"","funders":"","keywords":"Pace; Emergency Care Practitioner; Software deployment; Major trauma; Emergency medical services; Ambulance service; Medical emergency; Medicine; Continuing professional development; Business; Medical education; Professional development; Public relations; Nursing; Political science; Engineering","routes":{"ca_aff":false,"ca_fund":false,"ca_venue":false,"about_ca":true,"invisible_to_affiliation_only":true},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.05896757,0.0003787128,0.0004501404,0.002816699,0.01142069,0.01891378,0.002778741,0.00585938,0.006269175],"category_scores_gemma":[0.1170449,0.0005445734,0.0005716872,0.001637521,0.01844714,0.01221006,0.02194921,0.00866014,0.001292851],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.01004923,"about_ca_system_score_gemma":0.03249915,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.007431264,"about_ca_topic_score_gemma":0.006111681,"domain_scores_codex":[0.9387318,0.0341149,0.003203281,0.003453491,0.01117153,0.009324979],"domain_scores_gemma":[0.7955201,0.1187419,0.01641368,0.007536581,0.01929257,0.04249516],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"qualitative","study_design_gemma":"theoretical_or_conceptual","study_design_scores_codex":[0.0002423629,0.0005601885,0.0636226,0.001356211,0.00008651028,0.004018999,0.4565664,0.0009833587,0.001454336,0.2147107,0.03952578,0.2168726],"study_design_scores_gemma":[0.0000861411,0.000520571,0.02894183,0.002558118,0.00002540221,0.001662625,0.5894415,0.001533794,0.0004969788,0.06187082,0.3126897,0.0001724588],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.5412668,0.007128009,0.006414725,0.3391183,0.001513926,0.0003444481,0.00009233971,0.000182323,0.1039391],"genre_scores_gemma":[0.9853317,0.001919503,0.001933341,0.00594879,0.0002729928,0.0001254364,0.0000250312,0.00003735761,0.004405856],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.05896757,"threshold_uncertainty_score":0.3118541,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02547025006781428,"score_gpt":0.3752630029002321,"score_spread":0.3497927528324178,"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."}}