{"id":"W4415263552","doi":"10.1136/bmjmilitary-2025-nato.13","title":"A13 Skill acquisition and skill decay in medical first response skills: when more is more","year":2025,"lang":"en","type":"article","venue":"BMJ Military Health","topic":"Innovations in Medical Education","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":true,"ca_institutions":"Université de Montréal; Hôpital du Sacré-Cœur de Montréal","funders":"","keywords":"Dreyfus model of skill acquisition; Presentation (obstetrics); Patient care; Telemedicine; Medical care; Knowledge acquisition","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":[0.003613164,0.0002232108,0.0004951839,0.0006602143,0.0002108913,0.000006128626,0.0001636675,0.0003236555,0.0006406839],"category_scores_gemma":[0.002761005,0.0002065018,0.00005821775,0.0009396157,0.0003269057,0.0001260681,0.00009706006,0.0006208876,0.00002791646],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0007005036,"about_ca_system_score_gemma":0.002283875,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.001368026,"about_ca_topic_score_gemma":0.0003826583,"domain_scores_codex":[0.9969068,0.0002742503,0.000987371,0.0005455739,0.0007909419,0.0004950308],"domain_scores_gemma":[0.9982949,0.0004504195,0.00009286149,0.000636345,0.0002163288,0.0003091279],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"not_applicable","study_design_gemma":"observational","study_design_scores_codex":[0.002425148,0.00211368,0.1146774,0.002754587,0.00009773229,0.0002247008,0.05041442,0.00001034933,0.00001445265,0.001555794,0.7042087,0.1215031],"study_design_scores_gemma":[0.003268576,0.0003921973,0.945949,0.003134554,0.00003049617,0.0001658359,0.00565784,0.002849156,0.00005406388,0.0009090852,0.03736021,0.0002290463],"study_design_candidate":"observational","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.6292533,0.002755195,0.0003326616,0.3658626,0.0004193236,0.0009887274,0.00001690513,0.00005782866,0.0003134662],"genre_scores_gemma":[0.7818122,0.001658652,0.009084758,0.2039862,0.0004617879,0.0002969979,0.0003649623,0.00004413018,0.002290276],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.8312715,"threshold_uncertainty_score":0.84209,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.009707530444287172,"score_gpt":0.388187376645144,"score_spread":0.3784798462008568,"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."}}