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Changes in patient-centered attitude and confidence in communicating with patients: a longitudinal study of resident physicians

Overview of attention for article published in BMC Medical Education, January 2018
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Title
Changes in patient-centered attitude and confidence in communicating with patients: a longitudinal study of resident physicians
Published in
BMC Medical Education, January 2018
DOI 10.1186/s12909-018-1129-y
Pubmed ID
Authors

Hirono Ishikawa, Daisuke Son, Masato Eto, Kiyoshi Kitamura, Takahiro Kiuchi

Abstract

Patient-centered care has been one of the most frequently discussed principles in medical practice. However, there is a serious concern that the patient-centered attitudes of physicians diminish over the course of their medical education. This longitudinal study examined changes in resident physicians' patient-centered attitudes and their confidence in communicating with patients, and explored the relationship between the two traits. The study participants were resident physicians at a university hospital in Tokyo. Participants' patient-centered attitudes (as measured by the Patient-Practitioner Orientation Scale [PPOS]), and their confidence in communicating with patients (as per the Physician Confidence in the Medical Interview scale: [PCMI]) were assessed through self-reported questionnaires completed at the beginning of residency (n = 204) and again at the end of the first year (n = 95). PPOS scores declined significantly during the year, both in terms of attitude toward sharing information and decision-making with patients, and attitude of caring for patients' expectations and emotions. The shift in caring attitude differed significantly by gender. The increase in PCMI score was greater for those with a smaller decrease in PPOS score. As seen in previous studies of medical students, resident physicians' patient-centered attitudes declined during their first year of residency, while there may be a gender-based difference within the shift. The increase in physicians' confidence in communicating with patients was greater for those who showed a smaller decline in patient-centered attitude. Additional studies are needed to detail the changes in physicians' attitudes, confidence, and communication skills over the course of their medical training, and to develop systematic assessment and training programs.

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X Demographics

The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 120 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 120 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 22 18%
Researcher 12 10%
Student > Master 11 9%
Student > Ph. D. Student 8 7%
Professor 8 7%
Other 27 23%
Unknown 32 27%
Readers by discipline Count As %
Medicine and Dentistry 33 28%
Nursing and Health Professions 14 12%
Psychology 6 5%
Unspecified 5 4%
Agricultural and Biological Sciences 3 3%
Other 12 10%
Unknown 47 39%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 March 2018.
All research outputs
#14,374,036
of 23,018,998 outputs
Outputs from BMC Medical Education
#1,980
of 3,368 outputs
Outputs of similar age
#240,654
of 441,125 outputs
Outputs of similar age from BMC Medical Education
#42
of 58 outputs
Altmetric has tracked 23,018,998 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 3,368 research outputs from this source. They typically receive a little more attention than average, with a mean Attention Score of 6.3. This one is in the 36th percentile – i.e., 36% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 441,125 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 42nd percentile – i.e., 42% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 58 others from the same source and published within six weeks on either side of this one. This one is in the 25th percentile – i.e., 25% of its contemporaries scored the same or lower than it.