{"id":"W4221035659","doi":"10.1227/neu.0000000000001921","title":"Moral Distress and Moral Injury Among Attending Neurosurgeons: A National Survey","year":2022,"lang":"en","type":"article","venue":"Neurosurgery","topic":"Ethics in medical practice","field":"Health Professions","cited_by":18,"is_retracted":false,"has_abstract":true,"ca_institutions":"Novelis (Canada)","funders":"National Center for Advancing Translational Sciences","keywords":"Burnout; Medicine; Distress; Psychiatry; Clinical psychology","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","sts","research_integrity","insufficient_payload"],"consensus_categories":[],"category_scores_codex":[0.01132481,0.0002287977,0.0003702008,0.0002390788,0.00348894,0.00004020408,0.0002973445,0.0001706418,0.001403685],"category_scores_gemma":[0.02672911,0.000245128,0.00008265182,0.0006067269,0.0003920051,0.0003646885,0.0009685541,0.006204586,0.00004987543],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0001574946,"about_ca_system_score_gemma":0.0003980228,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.0007081752,"about_ca_topic_score_gemma":0.0001076268,"domain_scores_codex":[0.9860354,0.01041434,0.0007823522,0.0006116673,0.001460212,0.0006960162],"domain_scores_gemma":[0.9757081,0.02295209,0.0004642401,0.0003495706,0.000222745,0.0003033125],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0001452118,0.00008035397,0.9290611,0.00006758478,0.00001026023,0.00009737504,0.0001899329,0.00003806852,0.0001020132,0.004330508,0.06562196,0.0002556007],"study_design_scores_gemma":[0.0003167968,0.00005419977,0.9797078,0.00003883404,0.00001377299,0.00001930472,0.0002937143,0.0008959153,0.00000414031,0.004972646,0.01342951,0.0002533597],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9796446,0.00007180795,0.00001628378,0.003878374,0.006032745,0.0004390133,0.0006926398,0.0001971008,0.009027454],"genre_scores_gemma":[0.9877479,0.00005922266,0.00002900376,0.009775345,0.000310763,0.0002713429,0.0001380259,0.00006568141,0.00160272],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.05219245,"threshold_uncertainty_score":0.9996029,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1693687816558481,"score_gpt":0.4463168660672924,"score_spread":0.2769480844114443,"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."}}