{"id":"W4387296434","doi":"10.1111/medu.15242","title":"We the system: A call for a perspective shift towards systems agency in trainees","year":2023,"lang":"en","type":"letter","venue":"Medical Education","topic":"Organizational Learning and Leadership","field":"Business, Management and Accounting","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"McMaster University","funders":"","keywords":"Negotiation; Agency (philosophy); Perspective (graphical); Paradigm shift; Medical education; Healthcare system; Health care; Psychology; Public relations; Pedagogy; Sociology; Medicine; Political science; Computer science; 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":"codex-gemma-dda1882f352a","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0009628711,0.0002231481,0.000284231,0.0003675793,0.0001690643,0.0002636365,0.0004418941,0.0005111593,0.0001164587],"category_scores_gemma":[0.003724676,0.0001612338,0.00009733786,0.0007124101,0.00006935353,0.000148744,0.00004069537,0.00101022,0.0003588625],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.000302649,"about_ca_system_score_gemma":0.001007235,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.004487745,"about_ca_topic_score_gemma":0.0001499225,"domain_scores_codex":[0.9981079,0.00007265396,0.0003638717,0.0003836206,0.0007489712,0.0003230255],"domain_scores_gemma":[0.9990206,0.0002758059,0.0002304258,0.0002110751,0.0002488472,0.00001329211],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"not_applicable","study_design_scores_codex":[0.000004557814,0.00003840256,0.00006323634,0.002284115,0.00002513117,0.00001516244,0.002982775,0.00001446401,1.291143e-7,0.009057117,0.9848759,0.0006389766],"study_design_scores_gemma":[0.0002101813,0.000007812764,0.0008099129,0.001324473,0.0000834735,0.00000616378,0.01498905,0.003390086,4.70915e-8,0.0006334418,0.978311,0.0002343809],"study_design_candidate":"not_applicable","study_design_consensus":"not_applicable","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.000338089,0.0005596735,0.0003941313,0.9883785,0.005911614,0.0008257282,0.000006707933,0.000211321,0.003374245],"genre_scores_gemma":[0.1584831,0.00002974857,0.00003281766,0.6903117,0.1303218,0.001390516,0.001429684,0.000226649,0.0177739],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.2980667,"threshold_uncertainty_score":0.6784158,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.02935803028371519,"score_gpt":0.277633326432553,"score_spread":0.2482752961488378,"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."}}