{"id":"https://openalex.org/W4409227486","doi":"https://doi.org/10.1212/wnl.0000000000212324","title":"Does Entrustment Match Performance? A Multi-institutional Simulation Study to Evaluate Validity of Entrustable Professional Activity-based Assessment for Neurocritical Care Advanced Practice Providers (S28.001)","display_name":"Does Entrustment Match Performance? A Multi-institutional Simulation Study to Evaluate Validity of Entrustable Professional Activity-based Assessment for Neurocritical Care Advanced Practice Providers (S28.001)","publication_year":2025,"publication_date":"2025-04-07","ids":{"openalex":"https://openalex.org/W4409227486","doi":"https://doi.org/10.1212/wnl.0000000000212324"},"language":"en","primary_location":{"id":"doi:10.1212/wnl.0000000000212324","doi":"https://doi.org/10.1212/wnl.0000000000212324","is_oa":false,"landing_page_url":"https://doi.org/10.1212/wnl.0000000000212324","pdf_url":null,"source":{"id":"https://openalex.org/S79704628","display_name":"Neurology","issn_l":"0028-3878","issn":["0028-3878","1526-632X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurology","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5049548185","display_name":"Daniel S. Harrison","orcid":"https://orcid.org/0000-0001-5381-9878","observed_orcids":["https://orcid.org/0000-0001-5381-9878"]},"institutions":[{"id":"https://openalex.org/I1286490081","display_name":"Boston Medical Center","ror":"https://ror.org/010b9wj87","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1286490081"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Daniel Harrison","raw_affiliation_strings":["Boston Medical Center"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Boston Medical Center","institution_ids":["https://openalex.org/I1286490081"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110801695","display_name":"Christa O\u2019Hana S. Nobleza","orcid":"https://orcid.org/0000-0001-7223-2650","observed_orcids":["https://orcid.org/0000-0001-7223-2650"]},"institutions":[{"id":"https://openalex.org/I4210109921","display_name":"Baptist Memorial Health Care","ror":"https://ror.org/01nst5m10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210109921"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Christa O'hana Nobleza","raw_affiliation_strings":["Baptist Memorial Health Care"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Baptist Memorial Health Care","institution_ids":["https://openalex.org/I4210109921"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5024676890","display_name":"Matthew B. Bevers","orcid":"https://orcid.org/0000-0003-0878-8464","observed_orcids":["https://orcid.org/0000-0003-0878-8464"]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Matthew Bevers","raw_affiliation_strings":["Brigham and Women's Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham and Women's Hospital","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058388782","display_name":"Sahar F. Zafar","orcid":"https://orcid.org/0000-0001-5252-5376","observed_orcids":["https://orcid.org/0000-0001-5252-5376"]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Sahar Zafar","raw_affiliation_strings":["Massachusetts General Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts General Hospital","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5006409438","display_name":"Ariel Nowicki","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1283280774","display_name":"Brigham and Women's Hospital","ror":"https://ror.org/04b6nzv94","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I121934306","https://openalex.org/I1283280774","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ariel Nowicki","raw_affiliation_strings":["Brigham and Women's Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Brigham and Women's Hospital","institution_ids":["https://openalex.org/I1283280774"]}]},{"author_position":"middle","author":{"id":null,"display_name":"Elizabeth Woods","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210087915","display_name":"Massachusetts General Hospital","ror":"https://ror.org/002pd6e78","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210087915","https://openalex.org/I48633490"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Elizabeth Woods","raw_affiliation_strings":["Massachusetts General Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Massachusetts General Hospital","institution_ids":["https://openalex.org/I4210087915"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5094167993","display_name":"Kelly Peronti","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I132943300","display_name":"Emory Healthcare","ror":"https://ror.org/00yksxf10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I132943300","https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Kelly Peronti","raw_affiliation_strings":["Emory Healthcare"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emory Healthcare","institution_ids":["https://openalex.org/I132943300"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5094167992","display_name":"Erica Perets","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1305001552","display_name":"Grady Memorial Hospital","ror":"https://ror.org/009hj8759","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1305001552","https://openalex.org/I4210092882"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erica Perets","raw_affiliation_strings":["Grady Memorial Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Grady Memorial Hospital","institution_ids":["https://openalex.org/I1305001552"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5034269789","display_name":"Erika Sigman","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I132943300","display_name":"Emory Healthcare","ror":"https://ror.org/00yksxf10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I132943300","https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Erika Sigman","raw_affiliation_strings":["Emory Healthcare"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emory Healthcare","institution_ids":["https://openalex.org/I132943300"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5091797612","display_name":"Rashid Ali Ahmed","orcid":"https://orcid.org/0000-0002-3966-4942","observed_orcids":["https://orcid.org/0000-0002-3966-4942"]},"institutions":[{"id":"https://openalex.org/I4210106223","display_name":"Upstate University Hospital","ror":"https://ror.org/019zp2770","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I4210106223"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Rashid Ahmed","raw_affiliation_strings":["Upstate University Hospital"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Upstate University Hospital","institution_ids":["https://openalex.org/I4210106223"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5073617777","display_name":"Casey Albin","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I132943300","display_name":"Emory Healthcare","ror":"https://ror.org/00yksxf10","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I132943300","https://openalex.org/I150468666"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Casey Albin","raw_affiliation_strings":["Emory Healthcare"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Emory Healthcare","institution_ids":["https://openalex.org/I132943300"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":7,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":1.0243,"has_fulltext":false,"cited_by_count":1,"citation_normalized_percentile":{"value":0.75432018,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":92,"max":95},"biblio":{"volume":"104","issue":"7_Supplement_1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11238","display_name":"Simulation-Based Education in Healthcare","score":0.5127000212669373,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11238","display_name":"Simulation-Based Education in Healthcare","score":0.5127000212669373,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10254","display_name":"Innovations in Medical Education","score":0.4458000063896179,"subfield":{"id":"https://openalex.org/subfields/3304","display_name":"Education"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10916","display_name":"Surgical Simulation and Training","score":0.011300000362098217,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/entrustment","display_name":"entrustment","score":0.7519999742507935},{"id":"https://openalex.org/keywords/neurocritical-care","display_name":"neurocritical care","score":0.8299999833106995},{"id":"https://openalex.org/keywords/advanced-practice-providers","display_name":"advanced practice providers","score":0.9990000128746033},{"id":"https://openalex.org/keywords/simulation-based-assessment","display_name":"simulation-based assessment","score":0.8230000138282776},{"id":"https://openalex.org/keywords/neurological-emergencies","display_name":"neurological emergencies","score":0.7459999918937683},{"id":"https://openalex.org/keywords/supervisor-evaluation","display_name":"supervisor evaluation","score":0.5360000133514404},{"id":"https://openalex.org/keywords/self-assessment","display_name":"self-assessment","score":0.9929999709129333},{"id":"https://openalex.org/keywords/assessment-validity","display_name":"assessment validity","score":0.6159999966621399},{"id":"https://openalex.org/keywords/clinical-competence","display_name":"clinical competence","score":0.33399999141693115}],"concepts":[{"id":"https://openalex.org/C165455791","wikidata":"https://www.wikidata.org/wiki/Q7002299","display_name":"Neurointensive care","level":2,"score":0.9233497381210327},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4358977675437927},{"id":"https://openalex.org/C19527891","wikidata":"https://www.wikidata.org/wiki/Q1120908","display_name":"Medical physics","level":1,"score":0.38243624567985535},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.3537634611129761},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3366466164588928},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.2847239673137665}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1212/wnl.0000000000212324","doi":"https://doi.org/10.1212/wnl.0000000000212324","is_oa":false,"landing_page_url":"https://doi.org/10.1212/wnl.0000000000212324","pdf_url":null,"source":{"id":"https://openalex.org/S79704628","display_name":"Neurology","issn_l":"0028-3878","issn":["0028-3878","1526-632X"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-2","medline","norway-2","poland-140","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Neurology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8371999859809875}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W7119532523","https://openalex.org/W3011764956","https://openalex.org/W4281386296","https://openalex.org/W3128693640","https://openalex.org/W4318171703","https://openalex.org/W6982238112","https://openalex.org/W2894932396","https://openalex.org/W2567153919","https://openalex.org/W7203452758","https://openalex.org/W4385349887"],"abstract_inverted_index":{"Objective:":[0],"To":[1],"assess":[2,73],"the":[3,110,122,134,150,166,231,269,318,333,352,371,401,431,456,483,507,528,549,629,662,701,735,754],"relationship":[4],"between":[5,158,179,248,262],"checklist-based":[6],"performance":[7,74,164,267],"in":[8,63,149,194,268,304,332,351,370,400,430,455,482,506,527,548,628,661,700,734,753,775],"simulated":[9],"neurologic":[10],"emergencies":[11],"and":[12,14,35,79,94,112,163,184,197,223,250,266,301,314],"supervisor-":[13],"self-assessed":[15,106,198],"entrustment":[16,108,162,183,205,217,244],"among":[17],"neurocritical":[18],"care":[19],"(NCC)":[20],"advanced":[21],"practice":[22],"providers":[23],"(APPs).":[24],"Background:":[25],"APPs":[26,105,144],"are":[27,57],"key":[28],"contributors":[29],"to":[30,72,76,102,392,680,685,689,693,726,798],"NCC":[31,43,104,143,186,289,305],"teams.":[32],"Six":[33],"core":[34,78,111],"47":[36],"nested":[37,113],"entrustable":[38],"professional":[39],"activities":[40],"(EPAs)":[41],"for":[42,53,138,285,298,337,342,356,361,375,386,405,417,435,441,460,466,487,493,511,517,532,538,553,559,633,645,666,671,705,717,739,744,758,770],"APP":[44,119,241,278],"training":[45,129],"have":[46],"been":[47],"developed.":[48],"These":[49,280],"could":[50],"be":[51,294],"leveraged":[52],"EPA-based":[54,286],"assessment,":[55],"however,":[56],"not":[58,310,316],"supported":[59],"by":[60,210,239,312],"validity":[61,283],"evidence":[62,284],"this":[64],"context.":[65],"Design/Methods:":[66],"Two":[67],"simulation":[68],"scenarios":[69],"were":[70,87,236,309],"created":[71],"related":[75],"six":[77],"15":[80],"nested-EPAs.":[81],"The":[82,562,573,589,606],"simulations\u2019":[83],"critical":[84,135,167],"action":[85,136,168],"checklists":[86,137],"iteratively":[88],"developed":[89],"based":[90],"upon":[91],"guideline":[92],"recommendations":[93],"consensus":[95],"opinion":[96],"from":[97,145,571,587,603,620,653,783,794],"five":[98],"collaborating":[99],"institutions.":[100],"Prior":[101],"participation,":[103],"their":[107],"on":[109,165,377],"EPAs":[114,199],"(the":[115],"\u201cEPA":[116],"Assessment":[117],"Tool\u201d).":[118],"supervisors":[120,212],"completed":[121,133],"same":[123],"assessment.":[124],"After":[125],"completing":[126],"a":[127,154,174,295,340,359,378,669,672,742,795],"rater":[128],"exercise,":[130],"study":[131],"staff":[132],"each":[139],"participant.":[140],"Results:":[141],"22":[142],"4":[146],"institutions":[147],"participated":[148],"study.":[151],"There":[152,172,190,258],"was":[153,173,191,206,245,259],"moderate":[155,260],"positive":[156,177],"association":[157,178],"physician":[159,180,196,211,263],"supervisor":[160,181,264,272],"assessed":[161,182,209,238],"checklist":[169],"(r=":[170,188],"0.47).":[171],"very":[175],"strong":[176],"participant":[185],"experience":[187],"0.84).":[189],"fair":[192],"agreement":[193],"393":[195],"(k":[200],"w":[201],"=":[202],"0.39).":[203,256],"Overall":[204],"similar":[207,247],"when":[208],"(4.13":[213],"+/\u2212":[214,220,226],"0.72":[215],"[5-point":[216],"scale":[218],"mean":[219],"standard":[221],"deviation])":[222],"participants":[224,234],"(4.11":[225],"0.60,":[227],"p=":[228,255],"0.83).":[229],"For":[230],"subset":[232],"of":[233,288,320,335,354,373,403,423,433,448,458,469,475,485,498,509,530,551,564,575,580,591,596,608,613,631,664,703,719,737,756,786],"who":[235],"additionally":[237],"an":[240,408,438,463,490,514,535,556,576,592,609,636,708,761],"supervisor,":[242],"overall":[243],"also":[246],"self-":[249],"supervisor-assessment":[251],"(4.04+/\u22120.59":[252],"vs":[253],"4.20+/\u22120.73,":[254],"Conclusions:":[257],"correlation":[261],"EPA-assessment":[265],"simulation.":[270],"Physician":[271],"assessments":[273],"agreed":[274],"fairly":[275],"well":[276],"with":[277,674],"self-assessments.":[279],"results":[281],"provide":[282],"assessment":[287],"APPs.":[290,306],"EPA":[291],"self-assessment":[292],"may":[293],"reasonable":[296],"strategy":[297],"identifying":[299],"strengths":[300],"learning":[302],"gaps":[303],"Disclaimer:":[307],"Abstracts":[308],"reviewed":[311],"Neurology\u00ae":[313,321],"do":[315],"reflect":[317],"views":[319],"editors":[322],"or":[323,381,412,640,712,765],"staff.":[324],"Disclosure:":[325],"Dr.":[326,345,364,388,394,424,449,476,500,521,542,565,581,597,614,622,647,655,722,728,747,777,788],"Harrison":[327,346,365],"has":[328,347,366,390,396,426,451,478,502,523,544,567,583,599,616,624,649,657,678,683,687,691,696,724,730,749,779,790],"received":[329,348,367,397,427,452,479,503,524,545,568,584,600,617,625,650,658,697,731,750,780,791],"personal":[330,349,368,398,428,453,480,504,525,546,626,659,698,732,751],"compensation":[331,350,369,399,429,454,481,505,526,547,627,660,699,733,752],"range":[334,353,372,402,432,457,484,508,529,550,630,663,702,736,755],"$500-$4,999":[336,374,531,552,704],"serving":[338,357,376,406,436,461,488,512,533,554,634,667,706,740,759],"as":[339,358,407,437,462,489,513,534,555,635,668,707,741,760],"Consultant":[341,360,743],"Scientia":[343],"Imaging.":[344],"$5,000-$9,999":[355,459,632,665],"Glass":[362],"Health.":[363],"Scientific":[379],"Advisory":[380,414,642,714,767],"Data":[382],"Safety":[383],"Monitoring":[384],"board":[385],"Azurity.":[387],"Nobleza":[389],"nothing":[391,679,684,688,692,725],"disclose.":[393,681,727],"Bevers":[395,425,450,477,501,522,543,566,582,598,615],"$10,000-$49,999":[404,434,486,510,757],"Editor,":[409,411,637,639,709,711,762,764],"Associate":[410,638,710,763],"Editorial":[413,641,713,766],"Board":[415,643,715,768],"Member":[416,644,716,769],"EBSCO.":[418],"An":[419,444,471],"immediate":[420,445,472,577,593,610],"family":[421,446,473,578,594,611],"member":[422,447,474,579,595,612],"Expert":[439,464,491,515,536,557],"Witness":[440,465,492,516,537,558],"Hinshaw":[442],"Law.":[443,470,520],"Colorado":[467],"Department":[468],"US":[494],"Attorney":[495],"-":[496],"State":[497],"Indiana.":[499],"McKnights":[518],"International":[519],"Huff":[539],"Powel":[540],"Bailey.":[541],"Adler":[560],"Cohen.":[561],"institution":[563,574,590,607],"research":[569,585,601,618,651,781],"support":[570,586,602,619,652,782],"NINDS.":[572],"AHRQ.":[588],"NIH/Kowa":[604],"Industries.":[605],"NIDA.":[621],"Zafar":[623,648,656],"Springer.":[646],"NIH.":[654],"Speaker":[670],"lecture":[673],"Marinus.":[675],"Ms.":[676],"Nowicki":[677],"Author":[682],"discloseAuthor":[686,690],"discloseDr.":[694],"Sigman":[695],"Journal":[718],"Clinical":[720],"Neuroscience.":[721],"Ahmed":[723],"Albin":[729,748,778,789],"$0-$499":[738],"Azurity":[745],"Pharmaceutical.":[746],"Continuum:":[771],"Life":[772],"Long":[773],"Learning":[774],"Neurology.":[776,787],"American":[784],"Academy":[785],"publishing":[792],"royalties":[793],"publication":[796],"relating":[797],"health":[799],"care.":[800]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2025-04-08T00:00:00"}