Evidence map›Paper›PMID 33446194›Full record

ArticleBMC medical education2021

What impact does postgraduate clinical training have on empathy among Japanese trainee dentists?

Toshiko Yoshida, Sho Watanabe, Takayuki Kono, Hiroaki Taketa, Noriko Shiotsu, Hajime Shirai, Yukie Nakai, Yasuhiro Torii

Open access · goldAbstract read
In one paragraph

Article in BMC medical education, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Toshiko YoshidaCenter for Education in Medicine and Health Sciences (Dental Education), Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, 2-5-1, Shikata-cho, Kita- ku, 700-8558, Okayama, Okayama, Japan. toshiko@md.okayama-u.ac.jp.ORCID http://orcid.org/0000-0001-6891-8748
Sho WatanabeComprehensive Dental Clinic, Okayama University Hospital, 2-5-1, Shikata-cho, Kita-ku, 700-8558, Okayama, Okayama, Japan.
Takayuki KonoComprehensive Dental Clinic, Okayama University Hospital, 2-5-1, Shikata-cho, Kita-ku, 700-8558, Okayama, Okayama, Japan.
Hiroaki TaketaComprehensive Dental Clinic, Okayama University Hospital, 2-5-1, Shikata-cho, Kita-ku, 700-8558, Okayama, Okayama, Japan.
Noriko ShiotsuComprehensive Dental Clinic, Okayama University Hospital, 2-5-1, Shikata-cho, Kita-ku, 700-8558, Okayama, Okayama, Japan.
Hajime ShiraiComprehensive Dental Clinic, Okayama University Hospital, 2-5-1, Shikata-cho, Kita-ku, 700-8558, Okayama, Okayama, Japan.
Yukie NakaiDepartment of Dental Hygiene, University of Shizuoka, Junior College, 2-2-1 Oshika, Suruga- ku, 422-8021, Shizuoka, Shizuoka, Japan.
Yasuhiro ToriiComprehensive Dental Clinic, Okayama University Hospital, 2-5-1, Shikata-cho, Kita-ku, 700-8558, Okayama, Okayama, Japan.
Okayama University Hospital · JPOkayama University · JPUniversity of Shizuoka · JP

Funding

The Grant-in-Aid for Scientific Research (KAKENHI) (C) of the Ministry of Education, Culture, Sports, Science and Technology, Japan 17K12047
6 · The paper itself

Abstract

backgroundEnhancing empathy in healthcare education is a critical component in the development of a relationship between healthcare professionals and patients that would ensure better patient care; improved patient satisfaction, adherence to treatment, patients' medication self-efficacy, improved treatment outcomes, and reduced patient anxiety. Unfortunately, however, the decline of empathy among students has been frequently reported. It is especially common when the curriculum transitions to a clinical setting. However, some studies have questioned the significance and frequency of this decline. Thus, the purpose of this study was to determine the impact of postgraduate clinical training on dental trainees' empathy from cognitive, behavioral, and patients' perspective.

methodsThis study included 64 trainee dentists at Okayama University Hospital and 13 simulated patients (SPs). The trainee dentists carried out initial medical interviews with SPs twice, at the beginning and the end of their clinical training. The trainees completed the Japanese version of the Jefferson Scale of Empathy for health professionals just before each medical interview. The SPs evaluated the trainees' communication using an assessment questionnaire immediately after the medical interviews. The videotaped dialogue from the medical interviews was analyzed using the Roter Interaction Analysis System.

resultsNo significant difference was found in the self-reported empathy score of trainees at the beginning and the end of the clinical training (107.73 [range, 85-134] vs. 108.34 [range, 69-138]; p = 0.643). Considering the results according to gender, male scored 104.06 (range, 88-118) vs. 101.06 (range, 71-122; p = 0.283) and female 109.17 (range, 85-134) vs. 111.20 (range, 69-138; p = 0.170). Similarly, there was no difference in the SPs' evaluation of trainees' communication (10.73 vs. 10.38, p = 0.434). Communication behavior in the emotional responsiveness category for trainees in the beginning was significantly higher than that at the end (2.47 vs. 1.14, p = 0.000).

conclusionsOverall, a one-year postgraduate dental training program neither reduced nor increased trainee dentists' empathy levels. Providing regular education support in this area may help trainees foster their empathy.

Indexed as

EmpathyStudents, MedicalCommunicationDentistsFemaleHumansJapanMaleClinical trainingEmpathyJefferson Scale of EmpathyRoter interaction analysis systemSimulated patientsTrainee dentists

Identifiers

PMID33446194
PMCPMC7807681
OpenAlexW3117745513

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.