Assisting medical students to conduct empathic conversations with patients from a sexual medicine clinic
Open accessAbstract
ABSTRACT Pigmentation is involved in a wide array of biological functions across insect orders, including body patterning, thermoregulation, and immunity. The melanin pathway, in particular, has been characterized in several species. However, molecular evolution of the genes involved in this pathway is poorly characterized, and their roles in pigmentation of early developmental stages are just beginning to be explored in non-model organisms. We traced the molecular evolution of six melanin pathway genes in 53 species of Lepidoptera covering butterflies and moths, and representing over 100 million years of diversification. We compared the rates of synonymous and nonsynonymous substitutions within and between these genes to study signatures of selection at the level of individual sites, genes, and branches of the gene tree. We found that molecular evolution of all six genes was governed by strong purifying selection. Yet, a number of sites showed signs of being under positive selection, including in the highly conserved domain regions of three genes. Further, we traced the expression of these genes across developmental stages, tissues, and sexes in the Papilio polytes butterfly using a developmental transcriptome dataset. We observed that the expression patterns of the genes in P. polytes largely reflected their known tissue-specific function in other species. The expression of sequentially acting genes in the melanin pathway was correlated. Interestingly, four out of six melanin pathway genes (ebony, pale, aaNAT, and DDC) showed a sexually dimorphic pattern of developmental heterochrony; i.e., females showed peak activity much earlier in pupal development compared to that of males. Our evolutionary and developmental analyses suggest that the vast diversity of wing patterning and pigmentation in Lepidoptera may have been aided largely by differential developmental regulation of genes in a highly conserved pathway, in which the sequence evolution of individual genes is highly constrained.
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There is some evidence that having providers take on the role of patients in role-play exercises can increase empathy among health care providers.
“There is also some evidence that having providers take on the role of patients in role-play exercises can increase empathy among health care providers. This strategy might be useful in team discussions of difficult patients.95–97”
From Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology (2007) · cites this paper as [96]
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Knowles, C. H. (2001) · Sexually Transmitted Infections · doi:10.1136/sti.77.5.376 · Cited by 54 · see citing works
An innovative approach to developing the reflective skills of medical students
Henderson, P., & Johnson, M. H. (2002) · BMC Medical Education · doi:10.1186/1472-6920-2-4 · Cited by 41 · see citing works
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Supporting medical students to take responsibility for developing their communication skills
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Reducing Racial Bias Among Health Care Providers: Lessons from Social-Cognitive Psychology
Burgess, D., van Ryn, M., Dovidio, J., & Saha, S. (2007) · Journal of General Internal Medicine · doi:10.1007/s11606-007-0160-1 · Cited by 495 · see citing works
Role-play for medical students learning about communication: guidelines for maximising benefits
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- Authors
- Henderson, P.
- Affiliations
- University of Cambridge (GB)
- Corresponding author
- Henderson, P
- Venue
- Sexually Transmitted Infections
- Publisher
- BMJ
- Published
- 2002-08-01
- Volume
- 78
- Issue
- 4
- Pages
- 246-249
- ISSN
- 0007-134X (ISSN-L)
- 1368-4973
- PMC
- PMC1744517
- OpenAlex
- W2132944943
- Cited by
- 23
- References
- 10
- Citations by year
- 2020: 1 · 2019: 1 · 2017: 1 · 2016: 1
- FWCI
- 0.85
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Sexually Transmitted Infections (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- HighWire Press Open Archive (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- empathic communication, medical students, patient communication, sexual medicine, Lepidoptera, molecular evolution, purifying selection, positive selection, wing pigmentation, developmental transcriptome, common Mormon, sexual dimorphism, heterochrony, wing patterning
- MeSH terms
- Attitude to Health, Communication, Counseling, Education, Medical, Undergraduate, Emotions, Empathy, United Kingdom, Humans, Professional-Patient Relations, Role Playing, Sex Education, Students, Medical, Teaching
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