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An exploration of changes in cognitive and emotional empathy among medical students in the Caribbean.

Youssef FF, Nunes P, Sa B, Williams S - Int J Med Educ (2014)

Bottom Line: Female students demonstrated significantly higher scores on all three measures.These findings may reflect an adaptive neurobiological response to the stressors associated with encountering new clinical situations.Attention should be paid not only to providing empathy training for students but also to teaching strategies for improved cognitive processing capacity when they are encountering new and challenging circumstances.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Medical Sciences, University of the West Indies, St. Augustine, Trinidad and Tobago, West Indies.

ABSTRACT

Objective: This study explored the empathy profile of students across five years of medical training. In addition the study examined whether the Jefferson Scale for Physician Empathy correlated with a measure of cognitive empathy, the Reading the Mind in the Eyes Test and a measure of affective empathy, the Toronto Empathy Questionnaire.

Methods: The study was a comparative cross-sectional design at one Caribbean medical school. Students were contacted in class, participation was voluntary and empathy was assessed using all three instruments Descriptive statistics were calculated and differences between groups evaluated using non-parametric tests.

Results: Overall 669 students participated (response rate, 67%). There was a significant correlation between the Jefferson Scale of Physician Empathy and the Toronto Empathy Questionnaire (ρ = 0.48), both scales indicating a decline in medical student empathy scores over time. There was, however, little correlation between scores from the Reading the Mind in the Eyes Test and the Jefferson Scale of Physician Empathy. Female students demonstrated significantly higher scores on all three measures.

Conclusions: Medical students' lower empathy scores during their final years of training appear to be due to a change in the affective component of empathy. These findings may reflect an adaptive neurobiological response to the stressors associated with encountering new clinical situations. Attention should be paid not only to providing empathy training for students but also to teaching strategies for improved cognitive processing capacity when they are encountering new and challenging circumstances.

Show MeSH
Change in empathy scores over the five years of medical school
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fig14177: Change in empathy scores over the five years of medical school

Mentions: Six hundred and sixty seven (667) persons successfully completed the JSPE-S. Descriptive statistics are presented in Table 2 Cronbach’s alpha was 0.77 and suggested moderate reliability. Overall there was a significant decreasing trend in mean empathy scores (X2(4)=19.62, p<0.001) from years one to three with a small increase in years four and five, Figure 1


An exploration of changes in cognitive and emotional empathy among medical students in the Caribbean.

Youssef FF, Nunes P, Sa B, Williams S - Int J Med Educ (2014)

Change in empathy scores over the five years of medical school
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4216728&req=5

fig14177: Change in empathy scores over the five years of medical school
Mentions: Six hundred and sixty seven (667) persons successfully completed the JSPE-S. Descriptive statistics are presented in Table 2 Cronbach’s alpha was 0.77 and suggested moderate reliability. Overall there was a significant decreasing trend in mean empathy scores (X2(4)=19.62, p<0.001) from years one to three with a small increase in years four and five, Figure 1

Bottom Line: Female students demonstrated significantly higher scores on all three measures.These findings may reflect an adaptive neurobiological response to the stressors associated with encountering new clinical situations.Attention should be paid not only to providing empathy training for students but also to teaching strategies for improved cognitive processing capacity when they are encountering new and challenging circumstances.

View Article: PubMed Central - PubMed

Affiliation: Faculty of Medical Sciences, University of the West Indies, St. Augustine, Trinidad and Tobago, West Indies.

ABSTRACT

Objective: This study explored the empathy profile of students across five years of medical training. In addition the study examined whether the Jefferson Scale for Physician Empathy correlated with a measure of cognitive empathy, the Reading the Mind in the Eyes Test and a measure of affective empathy, the Toronto Empathy Questionnaire.

Methods: The study was a comparative cross-sectional design at one Caribbean medical school. Students were contacted in class, participation was voluntary and empathy was assessed using all three instruments Descriptive statistics were calculated and differences between groups evaluated using non-parametric tests.

Results: Overall 669 students participated (response rate, 67%). There was a significant correlation between the Jefferson Scale of Physician Empathy and the Toronto Empathy Questionnaire (ρ = 0.48), both scales indicating a decline in medical student empathy scores over time. There was, however, little correlation between scores from the Reading the Mind in the Eyes Test and the Jefferson Scale of Physician Empathy. Female students demonstrated significantly higher scores on all three measures.

Conclusions: Medical students' lower empathy scores during their final years of training appear to be due to a change in the affective component of empathy. These findings may reflect an adaptive neurobiological response to the stressors associated with encountering new clinical situations. Attention should be paid not only to providing empathy training for students but also to teaching strategies for improved cognitive processing capacity when they are encountering new and challenging circumstances.

Show MeSH