Strides in Development of Medical Education

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Dental Students’ Perceptions of Dentist-Patient Interactions: An Exploration of Empathy in Dental Students

Document Type : Original Article

Authors

1 Rutgers School of Dental Medicine

2 Center for Advanced Dental Education, Saint Louis University

3 The University of the Pacific and Senior Consultant for the Academy for Academic Leadership

4 Academy for Academic Leadership (AAL)

Abstract

Background and Objectives Healthcare providers must endeavor to treat patients with empathy if they expect to practice successfully. Empathy is especially relevant to dentists who provide treatment that is usually associated with pain and invasion of personal space boundaries. A 2011 study by Konrath and O’Brien showed that undergraduate college students have less empathy than the past generations. Anecdotal reports and the author's personal experiences also suggest a reduction in empathy among current dental students. This study was designed to assess empathy in a dental student cohort at a dental school in the United States. Methods This study examined empathy levels in third- and fourth-year dental students at a dental school in the United States using existing validated medical education psychometric assessments modified for dental education. Specifically, the Jefferson scale of physician empathy-health professional (JSPE-HP) and patient-practitioner orientation scale (PPOS) questionnaires were modified for use in the dental education domain by substituting the word “dentist” for “physician” and replacing “medical procedures” with “dental procedures.” E-mails were sent to all 240 third- and fourth-year dental students at the Rutgers school of dental medicine (RSDM) inviting them to participate in a brief online survey about their perceptions of dentist-patient interactions. Results Of the 240 invited students, 84 participated in the survey (27%). All questions were answered with a high empathy rating except for two questions - “It is difficult for me to view things from my patient’s perspective” and “I can treat and relate best to patients who look like me and have similar beliefs.” The calculated Cronbach’s coefficient alpha was 0.71 indicating acceptable internal consistency reliability. Conclusions This study did not confirm the hypothesis that students lacked empathy. Only two statements were answered in ways that suggested a decrease in empathic cognition. The responses to the open-ended questions provided an insight into the students’ self-interested thought processes.

Keywords

References
  1. Aanstoos CM. Maslow’s hierarchy of needs. Salem press encyclopedia of health. 2016. Available from:http://eds.a.ebscohost.com/eds/detail/detail?vid=1&sid=b1541eeb-8c48-4a79-99b2-8a7b969d3ec5%40sessionmgr4009&bdata=JnNpdGU9ZWRzLWxpdmU%3d#AN=93872091&db=ers.
  2. Hojat M, Gonnella JS, Nasca TJ, Mangione S, Vergare M, Magee M. Physician empathy: definition, components, measurement, and relationship to gender and specialty. Am J Psychiatry. 2002; 159(9): 1563–9. doi:10.1176/appi.ajp.159.9.1563. [PubMed: 12202278].
  3. Hojat M, Gonnella JS, Nasca TJ, Mangione S, Veloksi JJ, Magee M. The Jefferson Scale of Physician Empathy: further psychometric data and differences by gender and specialty at item level. Acad Med. 2002;77(10 Suppl):S58–60. [PubMed: 12377706].
  4. Nelson LP, Maramaldi P, Kinnunen TH, Kalenderian E. Early performance in a humanistic medicine course as a predictor of dental students’ later clinical performance. J Dent Educ. 2013; 77(8): 1006–12. [PubMed: 23929570].
  1. American Dental Education Association. Competencies for the New General Dentist:(As approved by the 2008 ADEA House of Delegates). J Dent Educ. 2008;72(7):823–6.
  2. Konrath SH, O’Brien EH, Hsing C. Changes in dispositional empathy in American college students over time: a meta-analysis. Pers Soc Psychol Rev. 2011;15(2):180–98. doi: 10.1177/1088868310377395. [PubMed:20688954].
  3. Waldrop D, Nochajski T, Davis EL, Fabiano J, Goldberg L. Empathy in Dentistry: How Attitudes and Interaction With Older Adults Make a Difference. Gerontol Geriatr Educ. 2016;37(4):359–80. doi:10.1080/02701960.2014.993065. [PubMed: 25495912].
  4. Aggarwal VP, Garg R, Goyal N, Kaur P, Singhal S, Singla N, et al. Exploring the missing link - Empathy among dental students: An institutional cross-sectional survey. Dent Res J (Isfahan). 2016;13(5):419–23. [PubMed: 27857767]. [PubMed Central: PMC5091000].
  1. Rosenzweig J, Blaizot A, Cougot N, Pegon-Machat E, Hamel O, Apelian N, et al. Effect of a Person-Centered Course on the Empathic Ability of Dental Students. J Dent Educ. 2016;80(11):1337–48. [PubMed: 27803206].
  2. Tsiantou D, Lazaridou D, Coolidge T, Arapostathis KN, Kotsanos N. Psychometric properties of the Greek version of the Toronto Composite Empathy Scale in Greek dental students. Eur J Dent Educ. 2013;17(4):208–17. doi: 10.1111/eje.12037. [PubMed: 24127761].
  1. Beattie A, Durham J, Harvey J, Steele J, McHanwell S. Does empathy change in first-year dental students? Eur J Dent Educ. 2012;16(1):e111–6.doi: 10.1111/j.1600-0579.2011.00683.x. [PubMed:22251333].
  2. Sherman JJ, Cramer A. Measurement of changes in empathy during dental school. J Dent Educ. 2005;69(3):338–45. [PubMed: 15749944].
  3. Yarascavitch C, Regehr G, Hodges B, Haas DA. Changes in dental student empathy during training. J Dent Educ. 2009;73(4):509–17. [PubMed: 19339438].
  4. Krupat E. The fit between doctors and patients: can it be measured? J Gen Intern Med. 1996;11:134.
  5. Davis MH. Measuring individual differences in empathy: Evidence for a multidimensional approach. J Pers Soc Psychol. 1983;44(1):113–26. doi:10.1037/0022-3514.44.1.113.
  6. Leibetseder M, Laireiter AR, Köller T. Structural analysis of the E-scale. Pers Individ Differ. 2007; 42(3):547–61. doi: 10.1016/j.paid.2006.08.002.
  7. Wheelwright S, Baron-Cohen S, Goldenfeld N, Delaney J, Fine D, Smith R, et al. Predicting Autism Spectrum Quotient (AQ) from the Systemizing Quotient-Revised (SQ-R) and Empathy Quotient (EQ). Brain Res. 2006;1079(1):47–56. doi: 10.1016/j.brainres.2006.01.012. [PubMed:16473340].
  8. Krupat E, Rosenkranz SL, Yeager CM, Barnard K, Putnam SM, Inui TS. The practice orientations of physicians and patients: the effect of doctor-patient congruence on satisfaction. Patient Educ Couns. 2000;39(1):49–59. [PubMed: 11013547].
  1. Krupat E, Bell RA, Kravitz RL, Thom D, Azari R.When physicians and patients think alike: patient-centered beliefs and their impact on satisfaction and trust. J Fam Pract. 2001;50(12):1057–62. [PubMed:11742607].
  2. Raja S, Shah R, Hamad J, Van Kanegan M, Kupershmidt A, Kruthoff M. Patients’ Perceptions of Dehumanization of Patients in Dental School Settings: Implications for Clinic Management and Curriculum Planning. J Dent Educ. 2015;79(10):1201–7. [PubMed: 26427779].
  3. Henzi D, Davis E, Jasinevicius R, Hendricson W. North American dental students’ perspectives about their clinical education. J Dent Educ. 2006;70(4):361–77. [PubMed: 16595529].
  4. Orn EM. Demand characteristics and the concept of quasi-controls. In: Rosenthal R, Rosnow R, editors. Artifacts in Behavioral Research. Oxford: Oxford University Press; 2009. p. 110–37.
  5. Shellenberger S. Just look me in the eye already- the workplace peril of staring at our phones and elsewhere. Wall Street Journal; 2013. Available from: https://www.wsj.com/articles/SB10001424127887324809804578511290822228174.
  6. Uhls YT, Michikyan M, Morris J, Garcia D, Small GW, Zgourou E, et al. Five days at outdoor education camp without screens improves preteen skills with nonverbal emotion cues. Comput Human Behav. 2014;39:387–92. doi: 10.1016/j.chb.2014.05.036.
  1. Fields SK, Mahan P, Tillman P, Harris J, Maxwell K, Hojat M. Measuring empathy in healthcare profession students using the Jefferson Scale of Physician Empathy: health provider–student version. J Interprof Care. 2011;25(4):287–93. doi: 10.3109/13561820.2011.566648. [PubMed:21554061].
Strides in Development of Medical Education
Volume 15, Issue 1
December 2018
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