Assessing empathy among undergraduate medical students: a cross sectional analysis using the Jefferson scale in a medical school in Coastal Karnataka
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20180463Keywords:
Empathy, Medical students, JSE-S, Patient careAbstract
Background: Empathy has been shown to improve the physician’s diagnostic skills as well as enhance the quality of communication with the patient. Empathy being an integral component of patient care, this study was designed to measure empathy levels among undergraduate medical students and to identify the factors associated with it in this population.
Methods: This cross sectional study was carried out among 437 medical students including interns on the rolls of a medical school in coastal Karnataka. The students were administered a psychometrically validated Jefferson Scale of Empathy–Student Version (JSE-S) questionnaire, to measure various components of empathy. Responses were indicated on a seven point Likert scale and total scores ranged from 20–140, with higher values indicating higher levels of empathy.
Results: Mean empathy score among the participants was 100.5±14.8, with significantly higher score being reported by females than males [101.9 vs. 97.3, p=0.002] and by first year students compared to third year students [105.2 vs. 95.3, p<0.01]. Empathy scores showed a declining trend as the students progressed through the medical school (p=0.002).
Conclusions: Although the study showed higher empathy level among female medical students, there appeared a declining score among both genders as the years of study progressed with a marginal increase during the internship phase. This necessitates the need for incorporating caregiving as an integral part of the medical school curriculum by stressing on doctor- patient communication skills, which in turn could aid medical students become compassionate physicians.
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References
Hojat M. Empathy in Patient Care: Antecedents, Development, Measurement, and Outcomes. New York: Springer-Verlag; 2007: 296.
Mercer SW, Reynolds WJ. Empathy and quality of care. Br J Gen Pract. 2002;52:9–12.
Kane GC, Gotto JL, Mangione S, West S, Hojat M. Jefferson Scale of Patient’s Perceptions of Physician Empathy: Preliminary Psychometric Data. Croatian Medical J. 2007;48:81-6.
Hojat M, Gonnella JS, Mangione S, Nasca TJ, Veloski JJ, Callahan CA, et al. Empathy in medical students as related to academic performance, clinical competence, and gender. Med Edu. 2002;36:522-7.
Hojat M. Empathy in health professions education and patient care. New York: Springer International; 2016. Chapter 7, The Jefferson Scale of Empathy; 2016: 83-128.
Chen D, Lew R, Hershman W, Orlander J. A cross-sectional measurement of medical student empathy. J Gen Intern Med. 2007;22:1434-8.
Shashikumar R, Chaudhary R, Ryali VSSR, Bhat PS, Srivastava K, et al. Cross sectional assessment of empathy among undergraduates from a medical college. Med J Armed Forces India. 2014;70:179-85.
Murthy PS, Madhavi K, Hemantha KRG, Chaudhury S. Empathy in Indian Medical Students: Influence of Gender and Level of medical education on Empathy scores. Universal Res J Med Sci. 2014;1:17-21.
Kulkarni MV, Pathak S. Assessment of empathy among undergraduate medical students. J Education Technol Health Sci. 2016;3:23-7.
Katoaka HU, Koide N, Ochi Ket, 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;84:1192–7.
Hojat M, Mangione S, Nasca TJ, Rattner S, Erdmann JB, Gonnella JS, et al. An empirical study of decline in empathy in medical school. Med Edu. 2004;38:934-41.
Quince TA, Parker RA, Wood DF, Benson JA. Stability of empathy among undergraduate medical students: A longitudinal study at one UK medical school. BMC Medical Edu. 2011;11:90.
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;84:1182–91.
Magalhaes E, Salgueira AP, Costa P, Costa MJ. Empathy in senior year and first year medical students: a cross-sectional study. BMC Med Educ. 2011;52:1-7.
Williams B, Brown T, McKenna L, Boyle MJ, Palermo C, Nestel D, et al. Empathy levels among health professional students: a cross sectional study at two universities in Australia. Advan Med Education Practice. 2014;5:107-13.
Khademalhosseini M, Khademalhosseini Z, Mahmoodian F. Comparison of empathy score among medical students in both basic and clinical levels. J Adv Med Educ Prof. 2014;2:88-91.
Lillo MD, Cicchetti A, Scalzo AL, Taroni F, Hojat M. The Jefferson Scale of Physician Empathy: Preliminary Psychometrics and Group Comparisons in Italian Physicians. Acad Med. 2009;84:1198–202.
Mestre MV, Samper P, Frías MD, Tur AM. Are women more empathetic than men? A longitudinal study in adolescence. Span J Psychol. 2009;12:76-83.
Graham J, Benson LM, Swanson J, Potyk D, Daratha K. Medical humanities coursework is associated with greater measured empathy in medical students. Am J Med. 2016;129:1334-7.
Paro HBMS, Silveira PSP, Perotta B, Gannam S, Enns SC, et al. Empathy among Medical Students: Is There a Relation with Quality of Life and Burnout? PLoS ONE. 2014;9:e94133.
Imran N, Aftab MA, Haider II, Farhat A. Educating tomorrow’s doctors: A cross sectional survey of emotional intelligence and empathy in medical students of Lahore. Pak J Med Sci. 2013;29:710-4.
Tavakol S, Dennick R, Tavakol M. Psychometric properties and confirmatory factor analysis of the Jefferson Scale of Physician Empathy. BMC Med Edu. 2011;11:54.
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