Strides in Development of Medical Education

Document Type : Original Article

Authors

1 Immunology Department, School of medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

2 Department of General Courses, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

3 Educational Development Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

4 Medical Student, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

10.22062/sdme.2021.196387.1070

Abstract

Background: Empathy is an important component of effective communication of a patientpractitioner relationship. Medical students are expected to know this ability as part of their education.
Objectives: This study aimed to assess the effect of a short-training course on the empathy levels of medical students.
Methods: This is a quasi-experimental study conducted on eighty second-year medical students in Ahvaz Jundishapur University of Medical Sciences (AJUMS), Iran, 2019. The intervention comprised of a lecture-based short training course, which was taught by a psychiatrist and was held in two sessions (Two hours each) for two consecutive weeks. Empathy was assessed using the Jefferson Scale of Empathy-Student version (JSE) before and after the intervention. Students with empathy scores higher than average were considered high empathy group, and those with scores lower than average as low empathy group. Data were analyzed using paired T-tests through SPSS software, version 16.
Results: The mean JSE score was 99.66±13.4 and 101.62 ± 16.37, before and after the -intervention, respectively. However, despite the score increased, the difference was not statistically significant (p=0.054). Nevertheless, the empathy scores of high-empathy students significantly increased after the-intervention (110.49 Vs 114.15, p=0.002). The empathy level also showed a significant enhancement in female students after training (p=0.006).
Conclusion: This study shows that a short training course is somewhat effective in developing medical student empathy. The findings suggest a need for revision of content and implementation of this course training into the existing medical curriculum.

Keywords

  1. Krishnasamy C, Ong SY, Loo ME, Thistlethwaite J. How does medical education affect empathy and compassion in medical students? A meta-ethnography: BEME Guide No. 57. Med Teach. 2019 Nov;41(11):1220-1231. doi: 10.1080/0142159X.2019.1630731. [PMID: 31389720].
  2. Rosenthal B, Gravrand H, Lisi AJ. Interprofessional collaboration among complementary and integrative health providers in private practice and community health centers. Journal of Interprofessional Education & Practice. 2019;15:70-4. doi:10.1016/j.xjep.2019.02.007.
  3. Pohontsch N, Stark A, Ehrhardt M, Kötter T, Scherer M. Influences on students’ empathy in medical education: an exploratory interview study with medical students in their third and last year. BMC Med Educ. 2018 Oct 5;18(1):231. doi: 10.1186/s12909-018-1335-7. [PMID: 30290824]. [PMCID: PMC6173872].
  4. Papageorgiou A, Miles S, Fromage M. Does medical students' empathy change during their 5-year MBBS degree? Educ Health (Abingdon). Sep-Dec 2018;31(3):142-147. doi: 10.4103/efh.EfH_279_17. [PMID: 31134944].
  5. Rodriguez T, Beck L, Woodmansey K, Hoskin E. Dental Students’ Perceptions of Dentist-Patient Interactions: An Exploration of Empathy in Dental Students. Strides Dev Med Educ. 2018;15(1): doi: 10.5812/sdme.65124.
  6. Smith KE, Norman GJ, Decety J. The complexity of empathy during medical school training: evidence for positive changes. Med Educ. 2017 Nov;51(11):1146-1159. doi: 10.1111/medu.13398. [PMID: 28884471]. PMCID: PMC5657391
  7. Fragkos KC, Crampton PE. The Effectiveness of Teaching Clinical Empathy to Medical Students: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Academic Medicine: Journal of the Association of American Medical Colleges. 2019;95(6):1-7. DOI: 1097/acm.0000000000003058. [PMID: 31688037]. 
  8. Lam TCM, Kolomitro K, Alamparambil FC. Empathy training: Methods, evaluation practices, and validity. Journal of Multidisciplinary Evaluation. 2011;7(16):162-200.
  9. Pham H, Trigg M, Wu S, O'Connell A, Harry C, Barnard J, et al. Choosing medical assessments: Does the multiple-choice question make the grade? Educ Health (Abingdon). May-Aug 2018;31(2):65-71. doi: 10.4103/efh.EfH_229_17. [PMID: 30531047].
  10. Hojat M, DeSantis J, Shannon SC, Mortensen LH, Speicher MR, Bragan L, et al. The Jefferson Scale of Empathy: a nationwide study of measurement properties, underlying components, latent variable structure, and national norms in medical students. Adv Health Sci Educ Theory Pract. 2018 Dec;23(5):899-920. doi: 10.1007/s10459-018-9839-9. [PMID: 29968006]. [PMCID: PMC6245107].
  11. Patel S, Pelletier-Bui A, Smith S, Roberts MB, Kilgannon H, Trzeciak S, et al. Curricula for empathy and compassion training in medical education: a systematic review. PLoS One. 2019 Aug 22;14(8):e0221412. doi: 10.1371/journal.pone.0221412. [PMID: 31437225]. [PMCID: PMC6705835].
  12. D’souza PC, Rasquinha SL, D’souza TL, Jain A, Kulkarni V, Pai K. Effect of a single-session communication skills training on empathy in medical students. Acad Psychiatry. 2020 Jun;44(3):289-294. doi: 10.1007/s40596-019-01158-z. [PMID: 31811627].
  13. Winter R, Issa E, Roberts N, Norman RI, Howick J. Assessing the effect of empathy-enhancing interventions in health education and training: a systematic review of randomised controlled trials. BMJ Open. 2020 Sep 25;10(9):e036471. doi: 10.1136/bmjopen-2019-036471. [PMID: 32978187]. [PMCID: PMC7520826].
  14. Rahimi-Madiseh M, Tavakol M, Dennick R, Nasiri J. Empathy in Iranian medical students: a preliminary psychometric analysis and differences by gender and year of medical school. Med Teach. 2010;32(11):e471-8. doi: 10.3109/0142159X.2010.509419. [PMID: 21039088].
  15. Seeberger A, Lönn A, Hult H, Weurlander M, Wernerson A. Can empathy be preserved in medical education? Int J Med Educ. 2020 Apr 20;11:83-89. doi: 10.5116/ijme.5e83.31cf. [PMID: 32311676]. [PMCID: PMC7246122].
  16. Zeyer A, Dillon J. The role of empathy for learning in complex Science| Environment| Health contexts. International Journal of Science Education. 2019;41(3):297-315. doi:10.1080/09500693.2018.1549371.
  17. DelPrete A, Giordano C, Castiglioni A, Hernandez C. Medical Students' Attitudes toward non-adherent patients before and after a simulated patient-role activity and small-group discussion: revisited. Cureus. 2016 Apr 19;8(4):e576. doi: 10.7759/cureus.576. [PMID: 27226937]. [PMCID: PMC4873315].
  18. Eklund JH, Meranius MS. Toward a consensus on the nature of empathy: A review of reviews. Patient Educ Couns. 2021 Feb;104(2):300-307. doi: 10.1016/j.pec.2020.08.022. [PMID: 32888755].
  19. Santiago LM, Rosendo I, Coutinho M-L, Maurício KS, Neto I, Simões JA. Comparing empathy in medical students of two Portuguese medicine schools. BMC Med Educ. 2020 May 13;20(1):153. doi: 10.1186/s12909-020-02034-3. [PMID: 32404095]. [PMCID: PMC7218824].
  20. Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK, Isenberg GA, et al. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med. 2009 Sep;84(9):1182-91. doi: 10.1097/ACM.0b013e3181b17e55. [PMID: 19707055].
  21. Buchman S, Henderson D. Interprofessional empathy and communication competency development in healthcare professions’ curriculum through immersive virtual reality experiences. Journal of Interprofessional Education & Practice. 2019;15(1):127-30. doi:10.1016/j.xjep.2019.03.010.
  22. Ruiz-Moral R, de Torres LP, Monge D, Leonardo CG, Caballero F. Teaching medical students to express empathy by exploring patient emotions and experiences in standardized medical encounters. Patient Educ Couns. 2017 Sep;100(9):1694-1700. doi: 10.1016/j.pec.2017.04.018. [PMID: 28487117].
  23. Nezam Nia M, Salajegheh M. Effect of Educational Intervention on Empowering the Sense of Empathy in Medical Students: Application of Health Belief Model. Strides Dev Med Educ. 2017;14(3-4): e67435. doi:10.5812/sdme.67435