{"id":"W4210659271","doi":"10.1016/j.acra.2021.11.025","title":"Review of Challenges to the Implementation of Competence by Design in Post-Graduate Medical Education: What Can Diagnostic Radiology Learn from the Experience of Other Specialty Disciplines?","year":2022,"lang":"en","type":"review","venue":"Academic Radiology","topic":"Innovations in Medical Education","field":"Medicine","cited_by":20,"is_retracted":false,"has_abstract":false,"ca_institutions":"St. Paul's Hospital; Vancouver General Hospital; University of British Columbia","funders":"","keywords":"Specialty; Subspecialty; Competence (human resources); Medicine; Graduate medical education; Medical education; Curriculum; Radiology; Medical physics; Family medicine; Accreditation; Psychology; Pedagogy","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":"codex-gemma-dda1882f352a","candidate_categories":["metaresearch","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.00337021,0.0002880276,0.001792263,0.0003189835,0.00006149895,0.000002108319,0.001149936,0.0003949445,0.00137501],"category_scores_gemma":[0.01315107,0.0001708475,0.0001568545,0.001412292,0.0007314082,0.00006116772,0.0001816983,0.001480566,0.0000045599],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0002171092,"about_ca_system_score_gemma":0.002789374,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0006520114,"about_ca_topic_score_gemma":0.0000937048,"domain_scores_codex":[0.9944253,0.002154356,0.002073326,0.0004847207,0.0005703966,0.0002918776],"domain_scores_gemma":[0.9924595,0.005150424,0.001368236,0.0007340412,0.0002077685,0.00007998698],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"not_applicable","study_design_scores_codex":[0.00001512036,0.00008447011,0.0001903313,0.005471923,0.0001006992,0.000001185004,0.007641224,6.681282e-7,0.000005219266,0.0006825823,0.03642121,0.9493853],"study_design_scores_gemma":[0.000281729,0.0003079627,0.001125095,0.03601871,0.0004429051,0.0002306403,0.01246387,0.000003346127,0.00001020879,0.0001401356,0.9487938,0.0001815474],"study_design_candidate":"not_applicable","study_design_consensus":null,"genre_codex":"review","genre_gemma":"review","genre_scores_codex":[0.001697429,0.9499673,0.00006921354,0.04460005,0.001174228,0.002403761,0.00005995419,0.000006642862,0.00002145504],"genre_scores_gemma":[0.0002705903,0.9883027,0.0002773131,0.008591591,0.0005907002,0.001331198,0.0005909107,0.00003056438,0.00001442609],"genre_candidate":"review","genre_consensus":"review","teacher_disagreement_score":0.9492038,"threshold_uncertainty_score":0.9995379,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.105360297418563,"score_gpt":0.4504330629689119,"score_spread":0.345072765550349,"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."}}