{"id":"W4404556718","doi":"10.1101/2024.11.19.24316016","title":"A Realist Evaluation of a Fatigue Risk Management Plan (FRMP) Implementation in Obstetrics and Gynecology Residency: Calls for Systemic, Structural and Cultural Reform","year":2024,"lang":"en","type":"preprint","venue":"medRxiv","topic":"Hospital Admissions and Outcomes","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Alberta Health Services; University of Calgary","funders":"","keywords":"Accreditation; Obstetrics and gynaecology; Medicine; Family medicine; Graduate medical education; Forgetting; Medical education; Psychology; Nursing; Pregnancy","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":[0.001013558,0.0001979992,0.0004734594,0.0003077161,0.0000459219,0.00002960286,0.00007133617,0.0001770719,0.00001943421],"category_scores_gemma":[0.0008431746,0.0001431525,0.00006829478,0.0001404657,0.0000443223,0.00003660325,0.0002551774,0.0002700223,4.879087e-7],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0004768116,"about_ca_system_score_gemma":0.0001548569,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001006648,"about_ca_topic_score_gemma":0.000656409,"domain_scores_codex":[0.9983042,0.0001118967,0.0006241792,0.0004178009,0.0003555857,0.0001863751],"domain_scores_gemma":[0.9988973,0.000296912,0.0002750153,0.0002448093,0.0001914537,0.00009456947],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"observational","study_design_gemma":"observational","study_design_scores_codex":[0.0002534287,0.00005834945,0.7543143,0.019192,0.0007611842,0.000151273,0.009755838,0.00008703319,0.0003609216,0.01047624,0.0004052143,0.2041842],"study_design_scores_gemma":[0.003568222,0.0003305225,0.9564755,0.001695061,0.001519157,0.00006060056,0.007035398,0.006166205,0.0002759608,0.02247439,0.0001255783,0.0002733794],"study_design_candidate":"observational","study_design_consensus":"observational","genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9916117,0.004294355,0.00001942215,0.0006380624,0.0004118336,0.002575667,0.0001468652,0.00002088485,0.0002812326],"genre_scores_gemma":[0.9958657,0.001544941,0.001815309,0.00002495515,0.00003956323,0.000265914,0.0003147211,0.00001877834,0.0001101171],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.2039109,"threshold_uncertainty_score":0.583759,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.05676988040891002,"score_gpt":0.3828358792065063,"score_spread":0.3260659987975963,"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."}}