{"id":"W4393316449","doi":"10.1111/jep.13986","title":"ReThinking clinical reasoning: A paradigm shift","year":2024,"lang":"en","type":"article","venue":"Journal of Evaluation in Clinical Practice","topic":"Clinical Reasoning and Diagnostic Skills","field":"Medicine","cited_by":2,"is_retracted":false,"has_abstract":true,"ca_institutions":"Toronto Metropolitan University; McMaster University","funders":"","keywords":"Paradigm shift; Equity (law); Health care; Medical education; Health equity; Engineering ethics; Psychology; Public relations; Medicine; Sociology; Political science; Epistemology; Law","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":["metaresearch"],"consensus_categories":[],"category_scores_codex":[0.3298406,0.001424513,0.002539172,0.009220314,0.01285447,0.0345329,0.01031057,0.0173311,0.002903927],"category_scores_gemma":[0.2094776,0.00150995,0.00265321,0.004258801,0.1082082,0.04841528,0.0261175,0.04176686,0.001071484],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.02468823,"about_ca_system_score_gemma":0.05095138,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.003715211,"about_ca_topic_score_gemma":0.004956346,"domain_scores_codex":[0.7048697,0.2388458,0.01104854,0.01318108,0.02785487,0.004199999],"domain_scores_gemma":[0.4503041,0.4683791,0.01095827,0.02371849,0.03602268,0.01061728],"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":[0.0001664549,0.000211547,0.001132666,0.002957901,0.0001543416,0.0003401751,0.09731513,0.0006297312,0.0007791467,0.7030032,0.03307864,0.1602311],"study_design_scores_gemma":[0.0001225566,0.00014306,0.0005697006,0.0047227,0.00004870986,0.0005011773,0.02680062,0.001084701,0.0006749148,0.8031604,0.1620405,0.0001309016],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":"theoretical_or_conceptual","genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.006031767,0.02982291,0.080305,0.8595273,0.0121038,0.0002645556,0.00003312935,0.000155585,0.01175604],"genre_scores_gemma":[0.2942276,0.03420611,0.2830123,0.3608143,0.02007161,0.001916824,0.0001073767,0.000577084,0.005066744],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.3298406,"threshold_uncertainty_score":0.8264258,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.1735692255548164,"score_gpt":0.5474817057273106,"score_spread":0.3739124801724942,"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."}}