{"id":"W4414658855","doi":"10.1111/medu.70060","title":"Beyond ‘use it or lose it’: Retention of competence","year":2025,"lang":"en","type":"article","venue":"Medical Education","topic":"Ultrasound in Clinical Applications","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Western University","funders":"","keywords":"Competence (human resources); Knowledge retention; Bolus (digestion); Educational measurement","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":[0.009234016,0.0003365541,0.0004801695,0.0007538746,0.003548691,0.008523565,0.001529474,0.004230593,0.006434974],"category_scores_gemma":[0.01991879,0.000218297,0.0006265112,0.0004476942,0.02015852,0.01027723,0.009828464,0.01046117,0.002173636],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.003443158,"about_ca_system_score_gemma":0.00729466,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.004175888,"about_ca_topic_score_gemma":0.004394944,"domain_scores_codex":[0.9936062,0.003133141,0.0002442333,0.0005157514,0.001576933,0.0009237851],"domain_scores_gemma":[0.9886087,0.005903567,0.001115389,0.0009916,0.001739951,0.001640835],"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":[0.0001082926,0.0003527614,0.004168741,0.0003751906,0.00002660422,0.0003400735,0.08580545,0.0002708816,0.001691284,0.639511,0.06437017,0.2029795],"study_design_scores_gemma":[0.0000705803,0.00075074,0.005536027,0.001972875,0.00004136874,0.001332722,0.03465907,0.0009961856,0.005320666,0.393842,0.5553274,0.0001504572],"study_design_candidate":"theoretical_or_conceptual","study_design_consensus":"theoretical_or_conceptual","genre_codex":"commentary","genre_gemma":"empirical","genre_scores_codex":[0.06148978,0.01470312,0.04633293,0.5887607,0.00532509,0.0001130088,0.00008281196,0.0003780668,0.2828144],"genre_scores_gemma":[0.8424128,0.00680148,0.01161044,0.07150429,0.001749158,0.0002331215,0.00005109092,0.0003123955,0.06532516],"genre_candidate":"empirical","genre_consensus":null,"teacher_disagreement_score":0.009234016,"threshold_uncertainty_score":0.04883468,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.04190090126031872,"score_gpt":0.4148456495735718,"score_spread":0.3729447483132531,"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."}}