Document Detail


Humanism at heart: preserving empathy in third-year medical students.
MedLine Citation:
PMID:  21248596     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Research suggests that medical student empathy erodes during undergraduate medical education. The authors evaluated the Jefferson Scale of Physician Empathy Medical Student Version (JSPE-MS) scores of two consecutive medical school classes to assess the impact of an educational intervention on the preservation of empathy.
METHOD: The authors conducted a before-and-after study of 209 Robert Wood Johnson Medical School (RWJMS) students enrolled in the classes of 2009 and 2010. Students' clerkships included a mandatory, longitudinal "Humanism and Professionalism" (H&P) component, which included blogging about clerkship experiences, debriefing after significant events, and discussing journal articles, fiction, and film. Students completed the JSPE-MS during their first and last clerkships.
RESULTS: The results showed that (1) contrary to previous studies' findings, third-year students did not show significant decline in empathy as measured by the JSPE-MS (these students, from two consecutive RWJMS classes, experienced the H&P intervention), (2) students selected for the Gold Humanism Honor Society (GHHS) were significantly different from their peers in empathy scores as measured by JSPE-MS, and (3) knowledge of selection for the GHHS seems to positively influence students' JSPE-MS scores.
CONCLUSIONS: Maintaining empathy during the third year of medical school is possible through educational intervention. A curriculum that includes safe, protected time for third-year students to discuss their reactions to patient care situations during clerkships may have contributed to the preservation of empathy. Programs designed to validate humanism in medicine (such as the GHHS) may reverse the decline in empathy as measured by the JSPE-MS.
Authors:
Susan Rosenthal; Brian Howard; Yvette R Schlussel; Dana Herrigel; B Gabriel Smolarz; Brian Gable; Jennifer Vasquez; Heather Grigo; Margit Kaufman
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Academic medicine : journal of the Association of American Medical Colleges     Volume:  86     ISSN:  1938-808X     ISO Abbreviation:  Acad Med     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-02-24     Completed Date:  2011-05-31     Revised Date:  2011-11-01    
Medline Journal Info:
Nlm Unique ID:  8904605     Medline TA:  Acad Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  350-8     Citation Subset:  AIM; IM    
Affiliation:
Meridian Health, Neptune, New Jersey, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Clinical Clerkship / organization & administration*
Curriculum*
Empathy*
Ethics, Medical / education*
Female
Humanism*
Humans
Longitudinal Studies
Male
Program Evaluation
Students, Medical / psychology*
Young Adult
Comments/Corrections
Comment In:
Acad Med. 2011 Oct;86(10):1195; author reply 1195   [PMID:  21955712 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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