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Table 2 Risk of bias of included studies

From: Why might medical student empathy change throughout medical school? a systematic review and thematic synthesis of qualitative studies

Study

Is there congruity between the stated philosophical perspective and the research methodology?

Is there congruity between the research methodology and the research question or objectives?

Is there congruity between the research methodology and the methods used to collect data?

Is there congruity between the research methodology and the representation and analysis of data?

Is there congruity between the research methodology and the interpretation of results?

Is there a statement locating the researcher culturally or theoretically?

Is the influence of the researcher on the research, and vice- versa, addressed?

Are participants, and their voices, adequately represented?

Is the research ethical according to current criteria or, for recent studies, and is there evidence of ethical approval by an appropriate body?

Do the conclusions drawn in the research report flow from the analysis, or interpretation, of the data?

Ahrweiler 2014 [13]

 ~ 

 + 

 ~ 

 + 

 + 

 + 

 ~ 

 ~ 

 + 

Chhabra 2022 [40]

 + 

 + 

 + 

 + 

 + 

 ~ 

 ~ 

 + 

 + 

Citra 2021 [41]

 ~ 

 + 

 ~ 

 + 

 + 

 ~ 

 + 

 + 

Eikeland 2014 [12]

 + 

 + 

 + 

 + 

 + 

 + 

 + 

 + 

 ~ 

 + 

Haider 2020 [43]

 ~ 

 ~ 

 ~ 

 ~ 

 + 

 + 

 ~ 

 ~ 

 ~ 

Holmes 2017 [44]

 + 

 + 

 + 

 + 

 + 

 ~ 

 ~ 

 ~ 

 + 

 + 

Laughey 2020 [47]

 + 

 + 

 + 

 + 

 + 

 + 

 + 

 ~ 

 + 

 + 

Laughey 2021 [48]

 + 

 + 

 + 

 + 

 + 

 + 

 + 

 + 

 + 

 + 

Michalec 2009 [49]

 ~ 

 + 

 + 

 + 

 + 

 + 

 + 

 ~ 

 + 

 + 

Mustika 2020 [50]

 ~ 

 + 

 + 

 + 

 + 

 ~ 

 ~ 

 + 

Peng 2018 [51]

 ~ 

 + 

 + 

 + 

 + 

 ~ 

 + 

 + 

Pohontsch 2018a [11]

 + 

 + 

 + 

 + 

 + 

 + 

 ~ 

 ~ 

 ~ 

 + 

Pohontsch 2018b [11]

 + 

 + 

 + 

 + 

 + 

 + 

 ~ 

 + 

 ~ 

 + 

Seeberger 2020 [57]

 ~ 

 + 

 + 

 + 

 + 

 ~ 

 + 

 + 

Sheikh 2013 [53]

 ~ 

 + 

 + 

 + 

 + 

 + 

 ~ 

 + 

 + 

Tavakol 2012 [55]

 + 

 + 

 + 

 + 

 + 

 + 

 + 

 ~ 

 + 

 + 

  1. “ + ” = Yes;”—" = No; “ ~ ” = Unclear