{"id":"W4406953852","doi":"10.1097/acm.0000000000005986","title":"Dealing With Medical Realities—Pessimism or Realism?","year":2025,"lang":"en","type":"article","venue":"Academic Medicine","topic":"Optimism, Hope, and Well-being","field":"Psychology","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"Western University","funders":"","keywords":"Pessimism; Realism; Psychology; Epistemology; Social psychology; Philosophy","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":[],"consensus_categories":[],"category_scores_codex":[0.01592821,0.0004451609,0.0008232676,0.001645523,0.002698155,0.009962671,0.001409936,0.004257649,0.002643342],"category_scores_gemma":[0.0455372,0.0003077366,0.0005995564,0.0009314327,0.02412737,0.007137692,0.00443745,0.0121546,0.000272421],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.002807481,"about_ca_system_score_gemma":0.00445861,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001827506,"about_ca_topic_score_gemma":0.002320197,"domain_scores_codex":[0.993337,0.004964361,0.0002304807,0.0002319081,0.0008478637,0.0003884252],"domain_scores_gemma":[0.9774827,0.01257684,0.004133046,0.001080213,0.001494591,0.003232643],"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":[0.0004932689,0.0009085784,0.03524809,0.001136122,0.0006852905,0.0009758566,0.05275791,0.001760407,0.0007173258,0.7241896,0.0342556,0.146872],"study_design_scores_gemma":[0.0001491622,0.0002022346,0.01345619,0.001434603,0.0001346407,0.0007782727,0.04065374,0.002139661,0.0002304228,0.9142174,0.02650637,0.00009733796],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":"theoretical_or_conceptual","genre_codex":"commentary","genre_gemma":"commentary","genre_scores_codex":[0.06352512,0.030972,0.00632513,0.8570161,0.002841221,0.00003989628,0.00004390998,0.00003556962,0.03920114],"genre_scores_gemma":[0.9576841,0.009826089,0.001630728,0.02740549,0.002618398,0.00004101504,0.00001912994,0.00001286067,0.000762167],"genre_candidate":"commentary","genre_consensus":"commentary","teacher_disagreement_score":0.01592821,"threshold_uncertainty_score":0.0842374,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.0292952133271174,"score_gpt":0.3924805614516079,"score_spread":0.3631853481244905,"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."}}