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Research Article

Maintaining empathy in medical school: It is possible

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Pages 1002-1008 | Published online: 19 Jun 2013

References

  • Austin EJ, Evans P, Magnus B, O’Hanlon K. A preliminary study of empathy, emotional intelligence and examination performance in MBChB students. Med Educ 2007; 41: 684–689
  • Back AL, Arnold RM. Dealing with conflict in caring for the seriously ill: ‘It was just out of the question’. JAMA 2005; 293: 1374–1381
  • Beck RS, Daughtridge R, Sloane PD. Physician–patient communication in the primary care office: A systematic review. J Am Board Fam Pract 2002; 15: 25–38
  • Beckman HB, Frankel RM. Training practitioners to communicate effectively in cancer care: It is the relationship that counts. Patient Educ Couns 2003; 50: 85–89
  • Bellini LM, Baime M, Shea JA. Variation of mood and empathy during internship. JAMA 2002; 287: 3143–3146
  • Carlo G, Raffaelli M, Laible DJ, Meyer KA. Why are girls less physically aggressive than boys? Personality and parenting mediators of physical aggression. Sex Roles 1999; 40: 711–729
  • Chen D, Lew R, Hershman W, Orlander J. A cross-sectional measurement of medical student empathy. J Gen Intern Med 2007; 22: 1434–1438
  • Colliver JA, Conlee MJ, Verhulst SJ, Dorsey JK. Reports of the decline of empathy during medical education are greatly exaggerated: A reexamination of the research. Acad Med 2010; 85: 588–593
  • Di Lillo M, Cicchetti A, Lo Scalzo A, Taroni F, Hojat M. The Jefferson Scale of Physician Empathy: Preliminary psychometrics and group comparisons in Italian physicians. Acad Med 2009; 84: 1198–1202
  • Egener B. Empathy. Behavioural Medicine in Primary Care: A Practical Guide2nd, MD Feldman, JF Christensen. McGraw-Hill Companies Inc, New York, London 2003
  • Elder N, Ricer R, Tobias B. How respected family physicians manage difficult patient encounters. J Am Board Fam Med 2006; 19: 533–541
  • Evans BJ, Stanley RO, Coman GJ, Burrows GD. Psychological tests to measure the effects of medical education on students' interpersonal skills. Med Educ 1989; 23: 492–497
  • Feighny KM, Monaco M, Arnold L. Empathy training to improve physician–patient communication skills. Acad Med 1995; 70: 435–436
  • Fetters MD, Churchill L, Danis M. Conflict resolution at the end of life. Crit Care Med 2001; 29: 921–925
  • Feudtner C, Christakis DA, Christakis NA. Do clinical clerks suffer ethical erosion? Students’ perceptions of their ethical environment and personal development. Acad Med 1994; 69: 670–679
  • Halpern J. What is clinical empathy?. J Gen Intern Med 2003; 18: 670–674
  • Halpern J. Empathy and patient–physician conflicts. J Gen Intern Med 2007; 22: 696–700
  • Henry-Tillman R, Deloney LA, Savidge M, Graham CJ, Klimberg VS. The medical student as patient navigator as an approach to teaching empathy. Am J Surg 2002; 183: 659–662
  • Hojat M, Gonnella JS, Mangione S, Nasca TJ, Magee M. Physician empathy in medical education and practice: Experience with the Jefferson Scale of Physician Empathy. Semin Integrative Med 2003; 1: 25–41
  • Hojat M, Gonnella JS, Mangione S, Nasca TJ, Veloski JJ, Erdmann JB, Callahan CA, Magee M. Empathy in medical students as related to academic performance, clinical competence and gender. Med Educ 2002a; 36: 522–527
  • Hojat M, Gonnella JS, Nasca TJ, Mangione S, Veloksi JJ, Magee M. The Jefferson Scale of Physician Empathy: Further psychometric data and differences by gender and specialty at item level. Acad Med 2002b; 77: S58–S60
  • Hojat M, Gonnella JS, Nasca TJ, Mangione S, Vergare M, Magee M. Physician empathy: Definition, components, measurement, and relationship to gender and specialty. Am J Psychiatry 2002c; 159: 1563–1569
  • Hojat M, Mangione S, Nasca TJ, Cohen MJM, Gonnella JS, Erdmann JB, Veloski J, Magee M. The Jefferson Scale of Physician Empathy: Development and preliminary psychometric data. Educ Psychol Meas 2001; 61: 349–365
  • Hojat M, Mangione S, Nasca TJ, Rattner S, Erdmann JB, Gonnella JS, Magee M. An empirical study of decline in empathy in medical school. Med Educ 2004; 38: 934–941
  • Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK, Isenberg GA, Veloski J, Gonnella JS. The devil is in the third year: A longitudinal study of erosion of empathy in medical school. Acad Med 2009; 84: 1182–1191
  • Hull SK, Dilalla LF, Dorsey JK. Student attitudes toward wellness, empathy, and spirituality in the curriculum. Acad Med 2001; 76: 520
  • Kataoka HU, Koide N, Hojat M, Gonnella JS. Measurement and correlates of empathy among female Japanese physicians. BMC Med Educ 2012; 12: 48
  • Kataoka HU, Koide N, Ochi K, Hojat M, Gonnella JS. Measurement of empathy among Japanese medical students: Psychometrics and score differences by gender and level of medical education. Acad Med 2009; 84: 1192–1197
  • Krupat E, Pelletier S, Alexander EK, Hirsh D, Ogur B, Schwartzstein R. Can changes in the principal clinical year prevent the erosion of students’ patient-centered beliefs?. Acad Med 2009; 84: 582–586
  • Lancaster T, Hart R, Gardner S. Literature and medicine: Evaluating a special study module using the nominal group technique. Med Educ 2002; 36: 1071–1076
  • Markakis K, Frankel R, Beckman H, Suchman A, 1999. Teaching empathy: It can be done. Annual Meeting of the Society of General Internal Medicine. San Francisco, CA
  • Mestre MV, Samper P, Frias MD, Tur AM. Are women more empathetic than men? A longitudinal study in adolescence. Span J Psychol 2009; 12: 76–83
  • Newton BW, Barber L, Clardy J, Cleveland E, O'sullivan P. Is there hardening of the heart during medical school?. Acad Med 2008; 83: 244–249
  • Nunes P, Williams S, Sa B, Stevenson K. A study of empathy decline in students from five health disciplines during their first year of training. Int J Med Educ 2011; 2: 12–17
  • Paro HB, Daud-Gallotti RM, Pinto RM, Tiberio IF, Martins MA. Brazilian version of the Jefferson Scale of Empathy: Psychometric properties and factor analysis. BMC Med Educ 2012; 12: 73, Available from www.biomedcentral.com/content/pdf/1472-6920-12-73.pdf
  • Phillips CB. Student portfolios and the hidden curriculum on gender: Mapping exclusion. Med Educ 2009; 43: 847–853
  • Quince TA, Parker RA, Wood DF, Benson JA. Stability of empathy among undergraduate medical students: A longitudinal study at one UK medical school. BMC Med Educ 2011; 11: 90, Available from www.biomedcentral.com/content/pdf/1472-6920-12-90.pdf
  • 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: e471–e478
  • Ray JJ. Is the acquiescent response style problem not so mythical after all? Some results from a successful balanced F scale. J Pers Assess 1979; 43: 638–643
  • Rietveld S, Prins PJ. The relationship between negative emotions and acute subjective and objective symptoms of childhood asthma. Psychol Med 1998; 28: 407–415
  • Roh MS, Hahm BJ, Lee DH, Suh DH. Evaluation of empathy among Korean medical students: A cross-sectional study using the Korean Version of the Jefferson Scale of Physician Empathy. Teach Learn Med 2010; 22: 167–171
  • Rosenthal S, Howard B, Schlussel YR, Herrigel D, Smolarz BG, Gable B, Vasquez J, Grigo H, Kaufman M. Humanism at heart: Preserving empathy in third-year medical students. Acad Med 2011; 86: 350–358
  • Rueckert L, Naybar N. Gender differences in empathy: The role of the right hemisphere. Brain Cogn 2008; 67: 162–167
  • Shapiro J, Morrison E, Boker J. Teaching empathy to first year medical students: Evaluation of an elective literature and medicine course. Educ Health (Abingdon) 2004; 17: 73–84
  • Sherman JJ, Cramer A. Measurement of changes in empathy during dental school. J Dent Educ 2005; 69: 338–345
  • Stepien KA, Baernstein A. Educating for empathy. A review. J Gen Intern Med 2006; 21: 524–530
  • Stivers T. Parent resistance to physicians’ treatment recommendations: One resource for initiating a negotiation of the treatment decision. Health Commun 2005; 18: 41–74
  • Ward J, Cody J, Schaal M, Hojat M. The empathy enigma: An empirical study of decline in empathy among undergraduate nursing students. J Prof Nurs 2012; 28: 34–40
  • Wear D, Skillicorn J. Hidden in plain sight: The formal, informal, and hidden curricula of a psychiatry clerkship. Acad Med 2009; 84: 451–458
  • Wear S. Challenging the hidden curriculum. J Gen Intern Med 2008; 23: 652–653

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