{"id":"W4206378432","doi":"10.1001/jama.2021.24988","title":"The Rational Diagnostician and Achieving Diagnostic Excellence","year":2022,"lang":"en","type":"article","venue":"JAMA","topic":"Clinical Reasoning and Diagnostic Skills","field":"Medicine","cited_by":16,"is_retracted":false,"has_abstract":true,"ca_institutions":"Dalhousie University","funders":"","keywords":"Medicine; Excellence; Intensive care medicine; Medical physics; Epistemology","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":[0.03512275,0.0007576712,0.0007512054,0.003940689,0.004637449,0.00944283,0.00180576,0.006081818,0.003586871],"category_scores_gemma":[0.06378405,0.0003666733,0.0007740038,0.001005335,0.05477924,0.0101365,0.008426159,0.009757031,0.001054996],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.007332903,"about_ca_system_score_gemma":0.02237126,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00356094,"about_ca_topic_score_gemma":0.00410555,"domain_scores_codex":[0.9655247,0.02281535,0.001369182,0.002042984,0.006050263,0.00219754],"domain_scores_gemma":[0.9706862,0.0166085,0.00235636,0.002548301,0.003981576,0.003818982],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"theoretical_or_conceptual","study_design_gemma":"theoretical_or_conceptual","study_design_scores_codex":[0.00001923809,0.00003689652,0.001353692,0.0000874879,0.00001536734,0.0001606735,0.001904708,0.0002847953,0.00008148349,0.9532475,0.01759781,0.02521029],"study_design_scores_gemma":[0.00004004706,0.0000360233,0.0005903411,0.0002823025,0.00001090107,0.000455385,0.001392544,0.0004623737,0.000178113,0.9495667,0.04696197,0.00002338126],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":"theoretical_or_conceptual","genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.006461481,0.01332374,0.05030177,0.8162351,0.003460945,0.00009070033,0.0000403868,0.0001506623,0.1099352],"genre_scores_gemma":[0.7117571,0.01526403,0.1053789,0.1473222,0.007618616,0.0003471065,0.00007991448,0.0001839207,0.01204814],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.03512275,"threshold_uncertainty_score":0.1857491,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01597990388090042,"score_gpt":0.2944704211804765,"score_spread":0.2784905172995761,"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."}}