Skip to main content
Top
Published in: Journal of General Internal Medicine 3/2010

01-03-2010 | Brief Report

Comparing a Self-Administered Measure of Empathy with Observed Behavior Among Medical Students

Authors: Daniel C. R. Chen, MD, MSc, M. Elaine Pahilan, MPH, Jay D. Orlander, MD, MPH

Published in: Journal of General Internal Medicine | Issue 3/2010

Login to get access

Abstract

PURPOSE

Studies show that measures of physician and medical students’ empathy decline with clinical training. Presently, there are limited data relating self-reported measures to observed behavior. This study explores a self-reported measure and observed empathy in medical students.

METHOD

Students in the Class of 2009, at a university-based medical school, were surveyed at the end of their 2nd and 3rd year. Students completed the Jefferson Scale of Physician Empathy-Student Version (JSPE-S), a self-administered scale, and were evaluated for demonstrated empathic behavior during Objective Structured Clinical Examinations (OSCEs).

RESULTS

97.6% and 98.1% of eligible students participated in their 2nd and 3rd year, respectively. The overall correlation between the JSPE-S and OSCE empathy scores was 0.22, p < 0.0001. Students had higher self-reported JSPE-S scores in their 2nd year compared to their 3rd year (118.63 vs. 116.08, p < 0.0001), but had lower observed empathy scores (3.96 vs. 4.15, p < 0.0001).

CONCLUSIONS

Empathy measured by a self-administered scale decreased, whereas observed empathy increased among medical students with more medical training.
Appendix
Available only for authorised users
Literature
1.
go back to reference Coulehan JL, Platt FW, Egener B, et al. “Let me see if I have this right…”: words that help build empathy. Ann Intern Med. 2001;135:221–7.PubMed Coulehan JL, Platt FW, Egener B, et al. “Let me see if I have this right…”: words that help build empathy. Ann Intern Med. 2001;135:221–7.PubMed
2.
go back to reference Hojat M, Mangione S, Nasca TJ, et al. The Jefferson Scale of Physician Empathy: development and preliminary psychometric data. Educ Psychol Meas. 2001;61:349–65.CrossRef Hojat M, Mangione S, Nasca TJ, et al. The Jefferson Scale of Physician Empathy: development and preliminary psychometric data. Educ Psychol Meas. 2001;61:349–65.CrossRef
3.
go back to reference Beckman HB, Markakis KM, Suchman AL, Frankel RM. The Doctor-Patient relationship and malpractice: lessons from Plaintiff depositions. Arch Intern Med. 1994;154:1365–70.CrossRefPubMed Beckman HB, Markakis KM, Suchman AL, Frankel RM. The Doctor-Patient relationship and malpractice: lessons from Plaintiff depositions. Arch Intern Med. 1994;154:1365–70.CrossRefPubMed
4.
go back to reference Bikker AP, Mercer SW, Reilly D. A pilot prospective study on the consultation and relational empathy, patient enablement, and health changes over 12 months in patients going to the Glasgow Homoeopathic Hospital. J Altern Complement Med. 2005;11:591–600.CrossRefPubMed Bikker AP, Mercer SW, Reilly D. A pilot prospective study on the consultation and relational empathy, patient enablement, and health changes over 12 months in patients going to the Glasgow Homoeopathic Hospital. J Altern Complement Med. 2005;11:591–600.CrossRefPubMed
5.
go back to reference MacPherson H, Mercer SW, Scullion T, Thomas KJ. Empathy, enablement, and outcome: an exploratory study on acupuncture patients' perceptions. J Altern Complement Med. 2003;9:869–76.CrossRefPubMed MacPherson H, Mercer SW, Scullion T, Thomas KJ. Empathy, enablement, and outcome: an exploratory study on acupuncture patients' perceptions. J Altern Complement Med. 2003;9:869–76.CrossRefPubMed
6.
go back to reference Vermeire E, Hearnshaw H, Van Royen P, Denekens J. Patient adherence to treatment: three decades of research. A comprehensive review. J Clin Pharm Ther. 2001;26:331–42.CrossRefPubMed Vermeire E, Hearnshaw H, Van Royen P, Denekens J. Patient adherence to treatment: three decades of research. A comprehensive review. J Clin Pharm Ther. 2001;26:331–42.CrossRefPubMed
7.
go back to reference Suchman AL, Roter D, Green M, Lipkin M. Physician satisfaction with primary care office visits. Collaborative study group of the American Academy on physician and patient. Med Care. 1993;31:1083–92.CrossRefPubMed Suchman AL, Roter D, Green M, Lipkin M. Physician satisfaction with primary care office visits. Collaborative study group of the American Academy on physician and patient. Med Care. 1993;31:1083–92.CrossRefPubMed
9.
go back to reference Bellini LM, Shea JA. Mood change and empathy decline persist during three years of internal medicine training. Acad Med. 2005;80:164–7.CrossRefPubMed Bellini LM, Shea JA. Mood change and empathy decline persist during three years of internal medicine training. Acad Med. 2005;80:164–7.CrossRefPubMed
10.
go back to reference Hojat M, Mangione S, Nasca TJ, et al. An empirical study of decline in empathy in medical school. Med Educ. 2004;38:934–41.CrossRefPubMed Hojat M, Mangione S, Nasca TJ, et al. An empirical study of decline in empathy in medical school. Med Educ. 2004;38:934–41.CrossRefPubMed
11.
go back to reference Chen D, Lew R, Hershman W, Orlander J. A cross-sectional measurement of medical student empathy. J Gen Intern Med. 2007;22:1434–38.CrossRefPubMed Chen D, Lew R, Hershman W, Orlander J. A cross-sectional measurement of medical student empathy. J Gen Intern Med. 2007;22:1434–38.CrossRefPubMed
12.
go back to reference Hojat M, Mangione S, Nasca TJ, Gonnella JS, Magee M. Empathy scores in medical school and ratings of empathic behavior in residency training 3 years later. J Soc Psychol. 2005;145:663–72.CrossRefPubMed Hojat M, Mangione S, Nasca TJ, Gonnella JS, Magee M. Empathy scores in medical school and ratings of empathic behavior in residency training 3 years later. J Soc Psychol. 2005;145:663–72.CrossRefPubMed
13.
go back to reference Davis DA, Mazmanian PE, Fordis, et al. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA. 2006;296:1094-102. Davis DA, Mazmanian PE, Fordis, et al. Accuracy of physician self-assessment compared with observed measures of competence: a systematic review. JAMA. 2006;296:1094-102.
14.
15.
go back to reference Anderson R, Schiedermayer D. The art of medicine through the humanities: an overview of a one-month humanities elective for fourth year students. Med Educ. 2003;37:560–2.CrossRefPubMed Anderson R, Schiedermayer D. The art of medicine through the humanities: an overview of a one-month humanities elective for fourth year students. Med Educ. 2003;37:560–2.CrossRefPubMed
16.
go back to reference DasGupta S, Charon R. Personal illness narratives: using reflective writing to teach empathy. Acad Med. 2004;79:351–6.CrossRefPubMed DasGupta S, Charon R. Personal illness narratives: using reflective writing to teach empathy. Acad Med. 2004;79:351–6.CrossRefPubMed
17.
go back to reference Hatem D, Ferrara E. Becoming a doctor: fostering humane caregivers through creative writing. Patient Educ Couns. 2001;45:13–22.CrossRefPubMed Hatem D, Ferrara E. Becoming a doctor: fostering humane caregivers through creative writing. Patient Educ Couns. 2001;45:13–22.CrossRefPubMed
18.
go back to reference Feighny KM, Monaco M, Arnold L. Empathy training to improve physician-patient communciation skills. Acad Med. 1995;70:435–6.CrossRefPubMed Feighny KM, Monaco M, Arnold L. Empathy training to improve physician-patient communciation skills. Acad Med. 1995;70:435–6.CrossRefPubMed
19.
20.
go back to reference Winefield HR, Chur-Hansen A. Evaluating the outcome of communication skill teaching for entry-level medical students: does knowledge of empathy increase? Med Educ. 2000;34:90–4.CrossRefPubMed Winefield HR, Chur-Hansen A. Evaluating the outcome of communication skill teaching for entry-level medical students: does knowledge of empathy increase? Med Educ. 2000;34:90–4.CrossRefPubMed
Metadata
Title
Comparing a Self-Administered Measure of Empathy with Observed Behavior Among Medical Students
Authors
Daniel C. R. Chen, MD, MSc
M. Elaine Pahilan, MPH
Jay D. Orlander, MD, MPH
Publication date
01-03-2010
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue 3/2010
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-009-1193-4

Other articles of this Issue 3/2010

Journal of General Internal Medicine 3/2010 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine