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ID 61497
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Yoshida, Toshiko Center for Education in Medicine and Health Sciences (Dental Education), Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University ORCID Kaken ID publons researchmap
Watanabe, Sho Comprehensive Dental Clinic, Okayama University Hospital
Kono, Takayuki Comprehensive Dental Clinic, Okayama University Hospital
Taketa, Hiroaki Comprehensive Dental Clinic, Okayama University Hospital Kaken ID researchmap
Shiotsu, Noriko Comprehensive Dental Clinic, Okayama University Hospital
Shirai, Hajime Comprehensive Dental Clinic, Okayama University Hospital
Nakai, Yukie Department of Dental Hygiene, University of Shizuoka, Junior College Kaken ID publons researchmap
Torii, Yasuhiro Comprehensive Dental Clinic, Okayama University Hospital Kaken ID publons researchmap
Abstract
Background
Enhancing 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.
Methods
This 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.
Results
No 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).
Conclusions
Overall, 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.
Keywords
Empathy
Trainee dentists
Clinical training
Jefferson Scale of Empathy
Roter interaction analysis system
Simulated patients
Published Date
2021-01-14
Publication Title
BMC Medical Education
Volume
volume21
Issue
issue1
Publisher
BMC
Start Page
53
ISSN
1472-6920
NCID
AA12035041
Content Type
Journal Article
language
English
OAI-PMH Set
岡山大学
Copyright Holders
© The Author(s). 2021
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publisher
PubMed ID
DOI
Web of Science KeyUT
Related Url
isVersionOf https://doi.org/10.1186/s12909-020-02481-y
License
http://creativecommons.org/licenses/by/4.0/
Funder Name
Ministry of Education, Culture, Sports, Science and Technology
助成番号
17K12047