Evidence map›Paper›PMID 41430219›Full record

SynthesisBMC medical education2025

Patient satisfaction and willingness as indicators for patient perspectives toward trainee involvement: a systematic review.

Sarah de Bever, Mana Nasori, Helianne Wisse, Mechteld Visser, Nynke van Dijk

Abstract readSystematic Review
In one paragraph

Synthesis in BMC medical education, 2025. 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
–field-weighted citation impact
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.

  1. Article
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

5 authors.

Sarah de BeverDepartment of General Practice, Quality of Care and Personalized Medicine, Amsterdam UMC location AMC, Amsterdam Public Health, Meibergdreef 9, Amsterdam, the Netherlands. s.debever@amsterdamumc.nl.
Mana NasoriDepartment of General Practice, Quality of Care and Personalized Medicine, Amsterdam UMC location AMC, Amsterdam Public Health, Meibergdreef 9, Amsterdam, the Netherlands.
Helianne WisseDepartment of General Practice, Quality of Care and Personalized Medicine, Amsterdam UMC location AMC, Amsterdam Public Health, Meibergdreef 9, Amsterdam, the Netherlands.
Mechteld VisserDepartment of General Practice, Quality of Care and Personalized Medicine, Amsterdam UMC location AMC, Amsterdam Public Health, Meibergdreef 9, Amsterdam, the Netherlands.
Nynke van DijkDepartment of General Practice, Quality of Care and Personalized Medicine, Amsterdam UMC location AMC, Amsterdam Public Health, Meibergdreef 9, Amsterdam, the Netherlands.

Funding

ZonMw 839130001
6 · The paper itself

Abstract

purposeMedical trainees learn from treating patients. Patients’ refusal of trainees as caregivers influences the types of patients who trainees see and thereby their learning. This is likely to be even more pronounced in ambulatory care facilities, where patients have more say in the choice of doctor. Understanding patients’ perspectives on trainee involvement in their care may provide useful insights into how to enhance their acceptance of trainees. Therefore, we conducted a systematic review of the literature, focussing on patients’ perspectives on trainee involvement in their care and factors affecting these perspectives in the ambulatory care setting.

methodsWe searched four databases (EMBASE, Medline, ERIC, and PsychInfo) from the start of each database until April 2024, combining keywords for ambulatory care settings, residency, and patient attitudes. Two researchers independently performed the review process.

resultsA total of 8735 studies were identified, 38 of which were included. Most studies had a survey design. The mean MERSQI score was 8.7, indicating low quality. Studies have reported various outcomes, of which satisfaction and willingness with trainee involvement are overarching themes. Most studies reported notably high satisfaction rates, often exceeding 90%, and more than 70% of patients reported trainee involvement. However, acceptance rates decline rapidly when tasks or reasons for consultation are more complicated or when patients have long-standing illnesses. Patients were also less satisfied with trainees’ interpersonal competencies than were fully trained doctors. A positive relationship was found between previous treatment by a trainee and patients’ willingness to consult a trainee.

conclusionPatients generally report high levels of satisfaction and willingness to engage with trainees, particularly in straightforward consultations or when prior contact exists. Nonetheless, lower ratings of trainees’ interpersonal competencies and reduced willingness in complex or chronic cases underscore the need for improved communication training and greater continuity in trainee‒patient interactions.

Indexed as

Internship and ResidencyPatient SatisfactionHumansPhysician-Patient RelationsAmbulant careGeneral practiceOpinionPatientRegisterSatisfactionSystematic reviewTraineeWillingness

Identifiers

PMID41430219
PMCPMC12751747

What OpenQuestion holds

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Registered trials

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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.