2017, Number 24
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Inv Ed Med 2017; 6 (24)
Level of medical empathy and associated factors in medical students
Parra RGJ, Cámara VRM
Language: Spanish
References: 30
Page: 221-227
PDF size: 159.36 Kb.
ABSTRACT
Introduction: Medical empathy is a quality that allows the physician a better understanding
of the patient. Empathic attitude primarily implicates the cognitive dimension and is acquired
in the medical training process.
Objective: To analyze the level of medical empathy and associated factors in medical students.
Method: The Jefferson scale of physician empathy was applied to 180 medical students, which
results yielding between 20 and 140 points. Based on this and using a standard deviation of 12.98,
obtained from a pilot study, a weighted scale of medical empathy was created to establish the
level of medical empathy.
Dependent variables: The Jefferson scale of physician empathy score and level of medical
empathy; independent variables: scholar grade, age, sex, place of provenance, school of provenance,
religion and specialty they pretend to study. Statistical test used: Kendall’s Tau-b,
Spearman correlation, chi square, Mann Whitney U test, ANOVA and t student test.
Results: The score obtained was placed in 5 categories ranging from deficient to high. The
average score obtained was 113, equivalent to an outstanding level. Significant correlation was
obtained between age and level of empathy (p = .006, Rho index = 0.176) and scholar grade and
level of empathy (p = .001, Tau-b index =
−0,231). Women had greater empathy score (p = .017).
Conclusions: Students obtained an outstanding level of medical empathy. The lower level was
obtained in the highest scholar grade and age. Women are more empathetic than men. At higher
scholar grade, less ability for perspective taking, compassionate care and ‘‘stand in the place
of another’’; at higher age, less ability to ‘‘stand in the place of another’’; women had greater
ability for perspective taking and compassionate care.
REFERENCES
Organización Mundial de la Salud [Homepage en Internet]. Conferencia Sanitaria Internacional. Nueva York. c1946 [actualizada 7 Abr 1948; consultado 14 Ago 2015]. Official Records of the World Health Organization [aprox. 3 pantallas] Disponible en: http://www.who.int/suggestions/faq/es/
Howard S. The practice of empathy. Academic Medicine. 2009;84.
Levinson W, Roter D, Mullooly J, Dull V, Frankel RM. Physicianpatient comunnication: the relationship with malpractice claims among primary care physicians and surgeons. JAMA. 1997;277:553---9.
Hojat M, Gonella J, Mangione S, Nasca T. Empathy in medical students as related to academic performance, clinical competence and gender. Med Educ. 2002;36:522---7.
Larson E, Yao X. Clinical empathy as emotional labor in the patient-physician relationship. JAMA. 2005;293:1100---6.
Walker K, Alligood M. Empathy from a nursing perspective: Moving beyond borrowed theory. Arch Psychiatr Nurs. 2001;15:140---7.
Hojat M. Empatía en el cuidado del paciente. 1.a ed. México: Manual moderno; 2012.
Spinella M. Prefrontal substrates of empathy: psychometric evidence in a community sample. Biol Psychol. 2005;70:175---81.
Karr M. Acting in medical practice. Lancet. 1994;344:1436.
Alcorta A, Gonzáles J, Tavitas S, Rodríguez F, Hojat M. Validación de la escala de empatía médico de Jefferson en estudiantes de medicina mexicanos. Salud Mental. 2005;28:57---63.
Ubillús G, Sidia M, Rentería D, Reátegui C, Rodríguez C, Sotelo J. La orientación empática en los estudiantes de medicina humana de la Universidad de San Martín de Porres. Horizonte Médico. 2010;10:37---43.
Pedersen R. Empathy development in medical education - A critical review. Medical Teacher. 2010;32:593---600.
Moreto G, González P, Janaudis MC, de Benedetto M. Modificación del nivel de empatía de estudiantes de medicina durante la graduación médica [Internet]. São Paulo: SOBRAMFA; 2012. Mar [consultado 8 Ago 2015]. Disponible en: http://www. sobramfa.com.br/artigos/2012 mar modificacion del nivel de empatia de estudiantes.pdf
Fuentelsaz C. Formación continuada; cálculo del tama˜no de la muestra. Matronas Profesión. 2004;5:5.
Pita S. Investigación: Determinación del tama˜no muestral. Cad Aten Primaria. 2001;3:4.
Neumann M, Edelhäuser F, Tauschel D, Fischer M, Wirtz M, Woopen C, et al. Empathy decline and its reasons: A systematic review of studies with medical students and residents. Academic Medicine. 2011;86:996---1009.
Carvajal A, Miranda C, Martinac T, García C, Cumsille F. Análisis del nivel de empatía en un curso de quinto a˜no de medicina, a través de una escala validada para este efecto. Rev Hosp Clin Univ Chile. 2004;15:302---6.
Klein M. An examination of the moderating effects of perceived quality of life on the relationship between empathy, motivation, and specialty choice among medical students. PCOM Psychology Dissertations. 2014:319.
UNESCO [homepage en internet]. Nomenclatura para los campos de las ciencias y las tecnologías: Ciencias médicas. Londres: Sede UNESCO; c2007 [actualizada 16 de Feb 2011; consultado 14 Ago 2015]. Tejada C; [aprox. 3 pantallas] Disponible en: http://www.et.bs.ehu.es/varios/unesco.htm
Mangione S, Kane G, Caruso J, Gonnella J, Nasca T, Hojat M. Assessment of empathy in different years of internal medicine training. Medical Teacher. 2002;24:370---3.
Remón TM, Remón TM, Tataje LM. Características del nivel de empatía hacia el paciente en internos de medicina de dos hospitales nacionales. Rev Méd Panacea. 2013;3: 2---5.
Trivers R. Parental investment and sexual selection, in sexual selection and the descent of man. Chicago: Aldine Publishing Co; 1972. p. 136---79.
Maheux B, Duford F, Beland F, Jacques A, Lavesque A. Female medical practitioners: more preventive and patient oriented? Med Care. 1990;28:87---92.
Retuerto A. Diferencias en empatía en función de las variables género y edad. Apuntes de Psicología. 2004;22:323---39.
Moya L, Herrero N, Bernal C. Bases neuronales de la empatía. Rev Neurol. 2010;50:89---100.
Rueckert L, Branch B, Doan T. Are gender differences in empathy due to differences in emotional reactivity? SciRes Psychology. 2011;2:574---8.
Ouzouni C, Nakakis K. An exploratory study of student nurses’ empathy. Halth Sciense Journal. 2012;6:534---52.
Dehning S, Eshetu G, Gasperi S, Meyer S, Tesfaye M, Siebeck M. Comparative cross-sectional study of empathy among first year and final year medical students in Jimma University. BMC Medical Education. 2012;12:34.
Waqas A, Rehman A, Sohail A, Kamal O, Bukhari H, Munir F. Association of the religious orthodoxy and emotional empathy in pakistan muslim medical students. J Pak Psych Soc. 2015;12:43---6.
Hojat M, Mangione S, Gonella J, Nasca T, Veloski J, Kane G. Empathy in medical education and patient care (letter). Acad Med. 2001;76:669.