Literature DB >> 16704404

Educating for empathy. A review.

Kathy A Stepien1, Amy Baernstein.   

Abstract

OBJECTIVE: Empathy in the medical setting is appreciation of the patient's emotions and expression of that awareness to the patient. Named as an essential learning objective by the American Association of Medical Colleges, empathy is believed to significantly influence patient satisfaction, adherence to medical recommendations, clinical outcomes, and professional satisfaction. The objective of this study was to identify effective strategies to enhance empathy in undergraduate medical students. DATA SOURCES: We searched PubMed for studies that address the effectiveness of strategies for teaching empathy to medical students. We identified 13 peer-reviewed, English language, qualitative and quantitative studies reporting primary data on interventions that aim to foster empathy in undergraduate medical students, using Medical Subject Heading terms education, medical, undergraduate or student, medical crossed with empathy.
RESULTS: These studies indicate that empathy may be amenable to positive change with a range of interventional strategies. Communication skill workshops addressing the behavioral dimension of empathy show greatest quantitative impact on participants. However, current studies are challenged by varying definitions of empathy, small sample sizes, lack of adequate control groups, and variation among existing empathy measurement instruments.
CONCLUSION: Given the methodological limitations of the available studies, and uncertainty about which dimensions of empathy should be addressed, larger studies using validated measurement tools are recommended.

Entities:  

Mesh:

Year:  2006        PMID: 16704404      PMCID: PMC1484804          DOI: 10.1111/j.1525-1497.2006.00443.x

Source DB:  PubMed          Journal:  J Gen Intern Med        ISSN: 0884-8734            Impact factor:   5.128


  42 in total

1.  Evaluating the outcome of communication skill teaching for entry-level medical students: does knowledge of empathy increase?

Authors:  H R Winefield; A Chur-Hansen
Journal:  Med Educ       Date:  2000-02       Impact factor: 6.251

2.  Literature and medicine: evaluating a special study module using the nominal group technique.

Authors:  Tim Lancaster; Ruth Hart; Selena Gardner
Journal:  Med Educ       Date:  2002-11       Impact factor: 6.251

3.  Influence of context effects on health outcomes: a systematic review.

Authors:  Z Di Blasi; E Harkness; E Ernst; A Georgiou; J Kleijnen
Journal:  Lancet       Date:  2001-03-10       Impact factor: 79.321

4.  Towards more empathic medical students: a medical student hospitalization experience.

Authors:  Michael Wilkes; Etan Milgrom; Jerome R Hoffman
Journal:  Med Educ       Date:  2002-06       Impact factor: 6.251

5.  Empathy in medical students as related to academic performance, clinical competence and gender.

Authors:  M Hojat; J S Gonnella; S Mangione; T J Nasca; J J Veloski; J B Erdmann; C A Callahan; M Magee
Journal:  Med Educ       Date:  2002-06       Impact factor: 6.251

Review 6.  Patient adherence to treatment: three decades of research. A comprehensive review.

Authors:  E Vermeire; H Hearnshaw; P Van Royen; J Denekens
Journal:  J Clin Pharm Ther       Date:  2001-10       Impact factor: 2.512

7.  Physician empathy: definition, components, measurement, and relationship to gender and specialty.

Authors:  Mohammadreza Hojat; Joseph S Gonnella; Thomas J Nasca; Salvatore Mangione; Michael Vergare; Michael Magee
Journal:  Am J Psychiatry       Date:  2002-09       Impact factor: 18.112

8.  The medical student as patient navigator as an approach to teaching empathy.

Authors:  Ronda Henry-Tillman; Linda A Deloney; Mildred Savidge; C James Graham; V Suzanne Klimberg
Journal:  Am J Surg       Date:  2002-06       Impact factor: 2.565

9.  Physician satisfaction with primary care office visits. Collaborative Study Group of the American Academy on Physician and Patient.

Authors:  A L Suchman; D Roter; M Green; M Lipkin
Journal:  Med Care       Date:  1993-12       Impact factor: 2.983

10.  Variation of mood and empathy during internship.

Authors:  Lisa M Bellini; Michael Baime; Judy A Shea
Journal:  JAMA       Date:  2002-06-19       Impact factor: 56.272

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  105 in total

1.  Empathy levels in first- and third-year students in health and non-health disciplines.

Authors:  Sarah E Wilson; Julie Prescott; Gordon Becket
Journal:  Am J Pharm Educ       Date:  2012-03-12       Impact factor: 2.047

2.  A Professionalism Curricular Model to Promote Transformative Learning Among Residents.

Authors:  Cecile M Foshee; Ali Mehdi; S Beth Bierer; Elias I Traboulsi; J Harry Isaacson; Abby Spencer; Cassandra Calabrese; Brian B Burkey
Journal:  J Grad Med Educ       Date:  2017-06

3.  The Relationship Between Physician Friendliness and Caring, and Patient Satisfaction: Findings from an Internet-Based Survey.

Authors:  Adam A Uhas; Fabian T Camacho; Steven R Feldman; Rajesh Balkrishnan
Journal:  Patient       Date:  2008-04-01       Impact factor: 3.883

4.  The importance of empathy--as I have studied and experienced it.

Authors:  Mazie Tsang
Journal:  Hawaii J Med Public Health       Date:  2013-09

5.  The Tinnitus Retraining Therapy Trial's Standard of Care Control Condition: Rationale and Description of a Patient-Centered Protocol.

Authors:  Sue Ann Erdman; Roberta W Scherer; Benigno Sierra-Irizarry; Craig Formby
Journal:  Am J Audiol       Date:  2019-08-19       Impact factor: 1.493

6.  Comparing a self-administered measure of empathy with observed behavior among medical students.

Authors:  Daniel C R Chen; M Elaine Pahilan; Jay D Orlander
Journal:  J Gen Intern Med       Date:  2009-12-15       Impact factor: 5.128

7.  Empathy and life support decisions in intensive care units.

Authors:  R Brac Selph; Julia Shiang; Ruth Engelberg; J Randall Curtis; Douglas B White
Journal:  J Gen Intern Med       Date:  2008-09       Impact factor: 5.128

8.  Psychosocial predictors of attitudes toward physician empathy in clinical encounters among 4732 1st year medical students: a report from the CHANGES study.

Authors:  Michelle van Ryn; Rachel R Hardeman; Sean M Phelan; Sara E Burke; Julia Przedworski; Michele L Allen; Diana J Burgess; Jennifer Ridgeway; Richard O White; John F Dovidio
Journal:  Patient Educ Couns       Date:  2014-07-10

Review 9.  Empathic responses in clinical practice: intuition or tuition?

Authors:  Robert Buckman; James A Tulsky; Gary Rodin
Journal:  CMAJ       Date:  2011-01-24       Impact factor: 8.262

10.  Empathy and the Development of Affective Skills.

Authors:  Anna Ratka
Journal:  Am J Pharm Educ       Date:  2018-12       Impact factor: 2.047

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