Abstract:The aim of this study was to establish whether frequency of non-diagnostic, non-management exchanges between clinicians and patient (called "socioemotional communication," SC) during a consultation differed between fourth-year dental students and dentists, controlling for clinically driven exchanges of information. Fifteen dentists and 17 fourth-year dental students were recorded in 2006 while undergoing a consultation with a live standardized patient and were subsequently interviewed by investigators in a sep… Show more
“…Another aspect for us to consider are some of the "trivial" social exchanges that sometimes occur between provider and patient. For example, small talk, or similar social emotional exchanges, is not uncommon to occur between the patient and the provider which has been cited to have some benefits in improving the relationship between them [72]. The dialogue scripts did contain minor small talk (e.g., parking issues by the patient), and our model did not include these types of interactions.…”
Section: Discussion and Future Directionmentioning
Patient-provider communication plays a major role in healthcare with its main goal being to improve the patient's health and build a trustworthy relationship between the patient and the doctor. Provider's efficiency and effectiveness in communication can be improved through training in order to meet the essential elements of communication that are relevant during medical encounters. We surmised that speech-enabled conversational agents could be used as a training tool. In this study, we propose designing an ontology-based interaction model that can direct software agents to train dental and medical students. We transformed sample scenario scripts into a formalized ontology training model that links utterances of the user and the machine that expresses patient-provider communication. We created two instance-based models from the ontology to test the operational execution of the model using a prototype software engine. The assessment revealed that the dialogue engine was able to handle about 62% of the dialogue links. Future direction of this work will focus on further enhancing and capturing the features of patient-provider communication, and eventual deployment for pilot testing.
“…Another aspect for us to consider are some of the "trivial" social exchanges that sometimes occur between provider and patient. For example, small talk, or similar social emotional exchanges, is not uncommon to occur between the patient and the provider which has been cited to have some benefits in improving the relationship between them [72]. The dialogue scripts did contain minor small talk (e.g., parking issues by the patient), and our model did not include these types of interactions.…”
Section: Discussion and Future Directionmentioning
Patient-provider communication plays a major role in healthcare with its main goal being to improve the patient's health and build a trustworthy relationship between the patient and the doctor. Provider's efficiency and effectiveness in communication can be improved through training in order to meet the essential elements of communication that are relevant during medical encounters. We surmised that speech-enabled conversational agents could be used as a training tool. In this study, we propose designing an ontology-based interaction model that can direct software agents to train dental and medical students. We transformed sample scenario scripts into a formalized ontology training model that links utterances of the user and the machine that expresses patient-provider communication. We created two instance-based models from the ontology to test the operational execution of the model using a prototype software engine. The assessment revealed that the dialogue engine was able to handle about 62% of the dialogue links. Future direction of this work will focus on further enhancing and capturing the features of patient-provider communication, and eventual deployment for pilot testing.
“…28,29 Since then, dental schools have implemented SP encounters in the predoctoral curriculum, mostly with adult patients or interprofessional teams. [30][31][32][33][34][35][36] As an introduction to simulation, SP encounters can be utilized in dental education to help students practice patient interviewing and history taking, creating and delivering dental treatment plans, obtaining informed consent, and having difficult conversations about controversial topics such as the use of fluoride, dental materials, or radiography. Much as in other health care fields, current research on SP encounters in dentistry suggests the methodology is a valuable part of dental education, improving provider communication, confidence, and conflict resolution skills.…”
Introduction:Standardized patient (SP) methodology has been used in health professional education to help students develop communication, deeper diagnostic reasoning, and critical thinking skills. Few examples demonstrate the use of SPs to practice difficult conversations with pediatric caregivers in the pediatric dentistry literature. The objective of this educational activity was to describe the implementation of three SPs in a pediatric dentistry course for second-year dental students. Methods: We developed three SP encounters covering interactions with caregivers of an infant with severe early childhood caries, an adolescent on the path to gender affirmation, and a child with autism and dental caries whose caregiver was resistant to fluoride-and silver-containing dental materials. We describe the case design process, rubric construction and calibration, student debriefing, and pandemic modifications. We evaluated the effectiveness of the implementation by thematic analysis of student reflections following each encounter using a qualitative descriptive framework. Results: Eighty-three students completed each encounter. Qualitative analysis showed that students preferred a more realistic encounter by having a child or other distraction present. Students relied on different elements of motivational interviewing depending on the objective of each encounter and the age of the patient. Overall, the SP encounters were well received by students and faculty as an alternative or supplement to traditional student evaluation methods. Discussion: We noted a number of lessons learned about implementing SP methodology in pediatric dental education. With these experiences now in place, future evaluations should measure student performance in the SP encounters against student performance during clinical care.
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