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. 2019 Aug 6;8(8):e13151. doi: 10.2196/13151

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©Valy Fontil, Elaine C Khoong, Mekhala Hoskote, Kate Radcliffe, Neda Ratanawongsa, Courtney Rees Lyles, Urmimala Sarkar. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 06.08.2019.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on http://www.researchprotocols.org, as well as this copyright and license information must be included.

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Workflow for participants. At baseline clinicians complete their normally-scheduled clinical sessions and complete their notes in the electronic health record. A study scribe examines each note and determines inclusion based on a study rubric. The study scribe enters the case into the collective intelligence (CI) platform within 24 hours and online contributors provide their own assessments to generate a CI within 36 hours. The CI output is sent to the study team, who randomize each case, and send the CI output to participants for cases randomized to the intervention. Participants receive a post visit questionnaire for all study cases (intervention and control).