Medical students' understanding of empathy: a phenomenological study.

Abstract:

CONTEXT:Empathy towards patients is associated with improved health outcomes. However, quantitative studies using self-reported data have not provided an in-depth opportunity to explore the lived experiences of medical students concerning empathy. OBJECTIVES:This study was designed to investigate undergraduate medical students' experiences of the phenomenon of empathy during the course of their medical education and to explore the essence of their empathy. METHODS:This was a descriptive, phenomenological study of medical student interviews conducted using the method of Colaizzi and Giorgi. The sample (n = 10) was drawn from medical students in Years 4 and 5. In-depth interviews were used to obtain a clear understanding of their experiences of empathy in the context of patient care. Interviews continued until no new information could be identified from transcripts. RESULTS:Five themes were identified from analysis: the meaning of empathy; willingness to empathise; innate empathic ability; empathy decline or enhancement, and empathy education. Empathic ability was manifested through two factors: innate capacity for empathy, and barriers to displaying empathy. Different experiences and explanations concerning the decline or enhancement of empathy during medical education were explored. CONCLUSIONS:Empathic ability was identified as an important innate attribute which nevertheless can be enhanced by educational interventions. Barriers to the expression of empathy with patients were identified. Role-modelling by clinical teachers was seen as the most important influence on empathy education for students engaged in experiential learning.

journal_name

Med Educ

journal_title

Medical education

authors

Tavakol S,Dennick R,Tavakol M

doi

10.1111/j.1365-2923.2011.04152.x

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

306-16

issue

3

eissn

0308-0110

issn

1365-2923

journal_volume

46

pub_type

杂志文章
  • Effectiveness of problem-based learning curricula: theory, practice and paper darts.

    abstract::In a recent review article, Colliver concluded that there was no convincing evidence that problem-based learning was more effective than conventional methods. He then went on to lay part of the blame on cognitive psychology, claiming that 'the theory is weak, its theoretical concepts are imprecise. the basic research ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2000.00749.x

    authors: Norman GR,Schmidt HG

    更新日期:2000-09-01 00:00:00

  • Research governance: impeding both research and teaching? A survey of impact on undergraduate research opportunities.

    abstract:OBJECTIVE:To explore the impact of research governance on medical students' ability to gain an understanding of research methodology, as required by the General Medical Council. METHODS:We carried out a qualitative study based on semi-structured interviews, in 3 medical schools in the UK, with 12 interviewees includin...

    journal_title:Medical education

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1365-2923.2007.02776.x

    authors: Robinson L,Drewery S,Ellershaw J,Smith J,Whittle S,Murdoch-Eaton D

    更新日期:2007-08-01 00:00:00

  • Teaching basic science: Dr Fox in the physiology chicken coop.

    abstract::In a variation of the Dr Fox study, an educational specialist delivered a lecture in the first-year course on physiology. A highly expressive teaching style was used for content which was determined by physiology teachers. The aim was to determine whether students would note a difference. According to student evaluati...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1988.tb00773.x

    authors: Whitman N,Burgess PR

    更新日期:1988-09-01 00:00:00

  • Applying the science of learning to medical education.

    abstract::OBJECTIVE The goal of this paper is to examine how to apply the science of learning to medical education. SCIENCE OF LEARNING The science of learning is the scientific study of how people learn. Multimedia learning - learning from words and pictures - is particularly relevant to medical education. The cognitive theory...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2010.03624.x

    authors: Mayer RE

    更新日期:2010-06-01 00:00:00

  • Chances for learning intraprofessional collaboration between residents in hospitals.

    abstract:CONTEXT:Intraprofessional collaboration (intraPC) between primary care (PC) doctors and medical specialists (MSs) is becoming increasingly important. Patient safety issues are often related to intraPC. In order to equip doctors well for their task of providing good quality and continuity of care, intraPC needs explicit...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.14279

    authors: Looman N,Fluit C,van Wijngaarden M,de Groot E,Dielissen P,van Asselt D,de Graaf J,Scherpbier-de Haan N

    更新日期:2020-12-01 00:00:00

  • Hand-scoring of multiple choice questions.

    abstract::Although computer marking of MCQ papers is common practice and is popular because of its accuracy, speed and the fact that detailed statistical analysis can be carried out painlessly, there is still a major role for hand-scoring. A computer and computer time are not always immediately available and some form of data c...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1983.tb01111.x

    authors: Anderson J

    更新日期:1983-03-01 00:00:00

  • Inquiry: the pedagogical importance of a skill central to clinical practice.

    abstract::The skill of inquiry is central to the task of the doctor confronted with a patient problem. Despite its importance this skill is not given appropriate emphasis in the education of medical students or in research concerning the clinical reasoning skills of doctors. ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1990.tb02428.x

    authors: Barrows HS

    更新日期:1990-01-01 00:00:00

  • Medical students as standardized patients to assess interviewing skills for pain evaluation.

    abstract:PURPOSE:The use of medical students as standardized patients in a performance assessment of pain evaluation was studied. METHODS:Fifty-two pairs of second-year medical students participated. One student portrayed a patient presenting with cancer pain and was interviewed by the other medical student. The student-patien...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2002.01070.x

    authors: Mavis BE,Ogle KS,Lovell KL,Madden LM

    更新日期:2002-02-01 00:00:00

  • Role of clinical context in residents' physical examination diagnostic accuracy.

    abstract:CONTEXT:Clinical context may act as both an aid to decision making and a source of bias contributing to medical error. The effect of clinical history, a form of clinical context, on the diagnostic accuracy of the physical examination is unknown. METHODS:We randomised internal medicine residents to receive either no hi...

    journal_title:Medical education

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2923.2010.03896.x

    authors: Sibbald M,Panisko D,Cavalcanti RB

    更新日期:2011-04-01 00:00:00

  • Strategies to read and learn: overcoming learning by consumption.

    abstract:OBJECTIVES:This article discusses the need for, and value of, providing students with instruction in how to use comprehension strategies as well as the effectiveness of inducing strategy use through cognitive disequilibrium. The leading assumption that guides this article is that learning facts and figures is not enoug...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2009.03550.x

    authors: McNamara DS

    更新日期:2010-04-01 00:00:00

  • A preliminary study of the impact of a handover cognitive aid on clinical reasoning and information transfer.

    abstract:OBJECTIVES:To assess the impact of a written cognitive aid on expressed clinical reasoning and quantity and the accuracy of information transfer during resident doctor handover. METHODS:This study was a randomised controlled trial in an academic paediatric intensive care unit (PICU) of 20 handover events (10 events pe...

    journal_title:Medical education

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/medu.12212

    authors: Weiss MJ,Bhanji F,Fontela PS,Razack SI

    更新日期:2013-08-01 00:00:00

  • Teaching of primary health care in practice: a model using local health centres in undergraduate medical education.

    abstract::In Finland primary health care has a long historical background. The local communities, the state and the church have at various times and places been responsible for primary health care during the last few centuries. In 1972, a major reform took place when a new Primary Health Care Act came into force. In the same ye...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1987.tb00392.x

    authors: Kumpusalo E,Tuomilehto J

    更新日期:1987-09-01 00:00:00

  • Behavioural sciences teaching in UK dental schools.

    abstract::A survey was conducted of the dental schools in the UK, inquiring about the teaching of psychology, sociology, epidemiology and psychiatry to dental undergraduates. Epidemiology was the most frequently taught and assessed subject, followed by psychology and sociology. Overall, the results indicate an increased concern...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1987.tb00674.x

    authors: Kent G

    更新日期:1987-03-01 00:00:00

  • Clinical problem solving: the beginning of the process.

    abstract::The diagnostic thinking process is often described as one of hypothesis generation and testing. Yet descriptions of the clinical problem solver's thinking prior to generation of the first diagnostic hypothesis are lacking. This paper reports a study of this phase in students, house officers and registrars. Theories of...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1982.tb01214.x

    authors: Gale J,Marsden P

    更新日期:1982-01-01 00:00:00

  • Application of continuous quality improvement to medical education.

    abstract:CONTEXT:The explicit, intentional and systematic application of continuous quality improvement (QI) in medical education practice and research can improve medical education and help it achieve its goals. Quality improvement and medical education share a foundation centred on learning-experiencing, reflecting, thinking ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.14351

    authors: Wong BM,Headrick LA

    更新日期:2021-01-01 00:00:00

  • Pre-registration in historical perspective.

    abstract::This essay examines the background and implementation of the statutory requirement that each medical graduate in Great Britain must spend a pre-registration year in hospital training before full registration can be effected. It looks briefly at the French and USA 'internship', and then describes the British situation ...

    journal_title:Medical education

    pub_type: 历史文章,杂志文章

    doi:10.1111/j.1365-2923.1997.tb02589.x

    authors: Bynum WF

    更新日期:1997-01-01 00:00:00

  • The mixed impact of medical school on medical students' implicit and explicit weight bias.

    abstract:CONTEXT:Health care trainees demonstrate implicit (automatic, unconscious) and explicit (conscious) bias against people from stigmatised and marginalised social groups, which can negatively influence communication and decision making. Medical schools are well positioned to intervene and reduce bias in new physicians. ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.12770

    authors: Phelan SM,Puhl RM,Burke SE,Hardeman R,Dovidio JF,Nelson DB,Przedworski J,Burgess DJ,Perry S,Yeazel MW,van Ryn M

    更新日期:2015-10-01 00:00:00

  • 'I will never ever go back': patients' written narratives of health care communication.

    abstract:CONTEXT:Although communication with patients is essential to health care, education designed to develop patient-centred communication often ignores patients' voices. Patient stories may offer a means to explore patient experiences to inform patient-centred communication skills education design. OBJECTIVES:Our research...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.13612

    authors: Denniston C,Molloy E,Rees CE

    更新日期:2018-07-01 00:00:00

  • Rater cognition: review and integration of research findings.

    abstract:BACKGROUND:Given the complexity of competency frameworks, associated skills and abilities, and contexts in which they are to be assessed in competency-based education (CBE), there is an increased reliance on rater judgements when considering trainee performance. This increased dependence on rater-based assessment has l...

    journal_title:Medical education

    pub_type: 杂志文章,评审

    doi:10.1111/medu.12973

    authors: Gauthier G,St-Onge C,Tavares W

    更新日期:2016-05-01 00:00:00

  • Gender in authorship and editorship in medical education journals: A bibliometric review.

    abstract:CONTEXT:Gender bias has been observed in the authorship and editorship of academic literature in varied medical specialties. This is important as peer-reviewed publications, and participation on editorial boards, are closely related to academic productivity and advancement. The aim of this paper was to examine whether ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.14427

    authors: Madden C,O'Malley R,O'Connor P,O'Dowd E,Byrne D,Lydon S

    更新日期:2020-12-01 00:00:00

  • Resuscitating paediatric induction: an action research approach.

    abstract:OBJECTIVES:To establish teaching objectives, methods and assessment for a paediatric induction programme. DESIGN:Action research over a 2-year period. PARTICIPANTS:88 doctors from three hospitals. MAIN OUTCOME MEASURES:These were end-of-course evaluations, using Likert scales, and free comments; independent evaluati...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2001.00982.x

    authors: Melville C,Wall D,Samuels M

    更新日期:2001-08-01 00:00:00

  • Reliability and efficiency of components of clinical competence assessed with five performance-based examinations using standardized patients.

    abstract::The present study was conducted to provide in-depth information on the reliabilities of measures of the separate components of clinical competence (e.g. data collection, test interpretation, diagnosis, etc.) assessed by a performance-based examination consisting of standardized-patient cases administered to five class...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1991.tb00071.x

    authors: Colliver JA,Vu NV,Markwell SJ,Verhulst SJ

    更新日期:1991-07-01 00:00:00

  • Moral reasoning as a criterion for admission to medical school.

    abstract::To determine whether admission interviews could differentiate applicants on their personal qualities (such as integrity, empathy and commitment) 456 applicants from two medical schools were tested on the Defining Issues Test (DIT), which measures the amount of principled or post-conventional moral reasoning. No differ...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1984.tb01297.x

    authors: Benor DE,Notzer N,Sheehan TJ,Norman GR

    更新日期:1984-11-01 00:00:00

  • A healing curriculum.

    abstract:CONTEXT:The banner of patient-centredness flies over many academic institutions; however, the practice and teaching of medicine remain oriented to disease. This incongruence is the result of an original Flexnerian dichotomy between the basic and clinical sciences and is maintained by a more recent distinction between d...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2007.02905.x

    authors: Boudreau JD,Cassell EJ,Fuks A

    更新日期:2007-12-01 00:00:00

  • Using standardised students in faculty development workshops to improve clinical teaching skills.

    abstract:PURPOSE:We describe the use of standardised students (SSs) in interdisciplinary faculty development programmes to improve clinical teaching skills. Standardised students are actual health professions students who are trained to portray a prototypical teaching challenge consistently across many encounters with different...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2003.01556.x

    authors: Gelula MH,Yudkowsky R

    更新日期:2003-07-01 00:00:00

  • Assessment of students' experiences in technical procedures in a medical clerkship.

    abstract::This study was designed to provide some insight into the manner and degree of students' acquisition of practical skills. One hundred and fifty-two of a total of 166 students in a medical clerkship during the first clinical year answered a questionnaire. The questionnaire contained fifty-eight different laboratory test...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1983.tb00962.x

    authors: Hunskaar S,Seim SH

    更新日期:1983-09-01 00:00:00

  • Reliability of global rating scales in the assessment of clinical competence of medical students.

    abstract::Undergraduate medical students of the Ben Gurion University were evaluated upon completion of their fourth- and sixth-year medical clerkships by a 17-item rating scale, a multiple choice question (MCQ) test and a patient-oriented oral examination by two academic staff members. Pearson's correlation coefficient between...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.1987.tb01406.x

    authors: Keynan A,Friedman M,Benbassat J

    更新日期:1987-11-01 00:00:00

  • Issues of intervention aimed at preventing prospective surplus of physicians in Japan.

    abstract:OBJECTIVES:In Japan, regulatory intervention aimed at preventing a prospective surplus of physicians is an important medical issue. The study committees organized by the Ministry of Health and Welfare (MHW) in 1986, 1993 and 1998, concluded that the number of physicians would exceed demand for their services in the fut...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1046/j.1365-2923.2001.00937.x

    authors: Asano N,Kobayashi Y,Kano K

    更新日期:2001-05-01 00:00:00

  • Professionalism education should reflect reality: findings from three health professions.

    abstract:CONTEXT:Despite a growing and influential literature, 'professionalism' remains conceptually unclear. A recent review identified three discourses of professionalism in the literature: the individual; the interpersonal, and the societal-institutional. Although all have credibility and empirical support, there are tensio...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/medu.12368

    authors: Burford B,Morrow G,Rothwell C,Carter M,Illing J

    更新日期:2014-04-01 00:00:00

  • Postgraduate training and career choices: an analysis of the National Physicians Survey in Japan.

    abstract:OBJECTIVES:This study analyses and discusses recent changes in young Japanese doctors' career paths, in terms of their distribution in different types of facilities and specialties, following changes to the postgraduate clinical training system in 2004. METHODS:Data from the National Survey of Physicians, Dentists and...

    journal_title:Medical education

    pub_type: 杂志文章

    doi:10.1111/j.1365-2923.2009.03582.x

    authors: Koike S,Ide H,Yasunaga H,Kodama T,Matsumoto S,Imamura T

    更新日期:2010-03-01 00:00:00