TY - BOOK
T1 - The impact of simulated medical consultations on the empathy levels of students at one medical school
AU - Schweller, Marcelo
AU - Costa, Felipe Osorio
AU - Antônio, Maria Ângela R G M
AU - Amaral, Eliana M
AU - de Carvalho-Filho, Marco Antonio
PY - 2014/4
Y1 - 2014/4
N2 - PURPOSE: To examine the impact of simulated medical consultations using standardized patients (SPs) on the empathy levels of fourth- and sixth-year students at the Unicamp medical school in Brazil.METHOD: Throughout 2011 and 2012, the authors conducted this study with two classes of fourth-year (n = 124) and two classes of sixth-year (n = 123) medical students. Students completed the medical student version of the Jefferson Scale of Physician Empathy before and after simulated medical consultations with SPs, followed by an in-depth debriefing dealing with the feelings of the patient about the disease, such as fear, guilt, anger, and abandonment; the feelings of the doctor towards the patient; and other topics as they arose.RESULTS: The simulation activity increased the empathy scores of the fourth-year students (from 115.8 to 121.1, P < .001, effect size = 0.61) and of the sixth-year students (from 117.1 to 123.5, P < .001, effect size = 0.64).CONCLUSIONS: Although the study results were obtained via self-report-a limitation-they suggest that the effective simulation of medical consultations with SPs may improve medical students' empathy levels. One unexpected result was that this activity, during the debriefing, became a forum for debating topics such as the doctor-patient relationship, the hidden curriculum, negative role models, and emotionally significant experiences of students in medical school. This kind of activity in itself may influence young doctors to become more empathetic and compassionate with their patients and foster a more meaningful way of practicing medicine.
AB - PURPOSE: To examine the impact of simulated medical consultations using standardized patients (SPs) on the empathy levels of fourth- and sixth-year students at the Unicamp medical school in Brazil.METHOD: Throughout 2011 and 2012, the authors conducted this study with two classes of fourth-year (n = 124) and two classes of sixth-year (n = 123) medical students. Students completed the medical student version of the Jefferson Scale of Physician Empathy before and after simulated medical consultations with SPs, followed by an in-depth debriefing dealing with the feelings of the patient about the disease, such as fear, guilt, anger, and abandonment; the feelings of the doctor towards the patient; and other topics as they arose.RESULTS: The simulation activity increased the empathy scores of the fourth-year students (from 115.8 to 121.1, P < .001, effect size = 0.61) and of the sixth-year students (from 117.1 to 123.5, P < .001, effect size = 0.64).CONCLUSIONS: Although the study results were obtained via self-report-a limitation-they suggest that the effective simulation of medical consultations with SPs may improve medical students' empathy levels. One unexpected result was that this activity, during the debriefing, became a forum for debating topics such as the doctor-patient relationship, the hidden curriculum, negative role models, and emotionally significant experiences of students in medical school. This kind of activity in itself may influence young doctors to become more empathetic and compassionate with their patients and foster a more meaningful way of practicing medicine.
KW - Age Factors
KW - Brazil
KW - Clinical Competence
KW - Education, Medical, Undergraduate/methods
KW - Empathy
KW - Female
KW - Humans
KW - Male
KW - Patient Simulation
KW - Physician-Patient Relations
KW - Referral and Consultation
KW - Schools, Medical
KW - Sex Factors
KW - Students, Medical/psychology
KW - Young Adult
U2 - 10.1097/ACM.0000000000000175
DO - 10.1097/ACM.0000000000000175
M3 - Report
C2 - 24556779
VL - 89
T3 - Academic Medicine
BT - The impact of simulated medical consultations on the empathy levels of students at one medical school
ER -