Educating for empathy: A review

Journal of General Internal Medicine

Volumn 21, Issue 5, 2006, Pages 524-530

  Stepien, Kathy A ^a   Baernstein, Amy ^a,b  

^a UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE   (United States)

^b UNIVERSITY OF WASHINGTON   (United States)

Author keywords

Empathy; Medical student; Review; Undergraduate medical education

Indexed keywords

AWARENESS; DOCTOR PATIENT RELATION; EMPATHY; HUMAN; INTERPERSONAL COMMUNICATION; MEASUREMENT; MEDICAL EDUCATION; MEDICAL STUDENT; OUTCOMES RESEARCH; PATIENT CARE; PATIENT SATISFACTION; REVIEW; SKILL;

COMMUNICATION; EDUCATION, MEDICAL, UNDERGRADUATE; EMPATHY; HUMANS; PHYSICIAN-PATIENT RELATIONS; SELF CARE; STUDENTS, MEDICAL; TEACHING;

EID: 33745659862     PISSN: 08848734     EISSN: 15251497     Source Type: Journal    
DOI: 10.1111/j.1525-1497.2006.00443.x     Document Type: Review

References (51)

1. Association of American Medical Colleges Medical School Objectives Project. Available at: http//www.aamc.org/meded/msop/msop1.pdf. Accessed May 15, 2005
2. Halpern J. What is clinical empathy? J Gen Intern Med. 2003;18:670-4.
3. Bertakis KD, Roter D, Putnam SM. The relationship of physician medical interview style to patient satisfaction. J Fam Pract. 1991;32:175-81.
4. Kim S, Kaplowitz S, Johnston MV. The effects of physician empathy on patient satisfaction and compliance. Eval Health Prof. 2004;27:237-51.
5. Zachariae R, Pedersen CG, Jensen AB, Ehrnrooth E, Rossen PB, von der Maase H. Association of perceived physician communication style with patient satisfaction, distress, cancer-related self-efficacy, and perceived control over the disease. Br J Cancer. 2003;88:658-65.
6. Stewart MA. What is a successful doctor-patient interview? A study of interactions and outcomes. Soc Sci Med. 1984;19:167-75.
7. 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.
8. Roter DL, Hall JA, Merisca R, Nordstrom B, Cretin D, Svarstad B. Effectiveness of interventions to improve patient compliance: a meta-analysis. Med Care. 1998;36:1138-61.
9. 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.
10. Levinson W, Roter DL, Mullooly JP, Dull VT, Frankel RM. Physician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons. JAMA. 1997;277:553-9.
11. Moore PJ, Adler NE, Robertson PA. Medical malpractice: the effect of doctor-patient relations on medical patient perceptions and malpractice intentions. West J Med. 2000;173:244-50.
12. Stewart MA. Effective physician-patient communication and health outcomes: a review. CMAJ. 1995;152:1423-33.
13. Di Blasi Z, Harkness E, Ernst E, Georgiou A, Kleijnen J. Influence of context effects on health outcomes: a systematic review. Lancet. 2001;357:757-62.
14. Suchman AL, Roter D, Green M, Lipkin M Jr. Physician satisfaction with primary care office visits. Collaborative study group of the american academy on physician and patient. Med Care. 1993;31:1083-92.
15. Diseker RA, Michielutte R. An analysis of empathy in medical students before and following clinical experience. J Med Educ. 1981;56:1004-10.
16. Hojat M, Mangione S, Nasca TJ, et al. An empirical study of decline in empathy in medical school. Med Educ. 2004;38:934-41.
17. Bellini LM, Baime M, Shea JA. Variation of mood and empathy during internship. JAMA. 2002;287:3143-6.
18. Bellini LM, Shea JA. Mood change and empathy decline persist during three years of internal medicine training. Acad Med. 2005;80:164-7.
19. Morse JM, Anderson G, Bottorff JL, et al. Exploring empathy; a conceptual fit for nursing practice? Image J Nurse Sch. 1992;24:273-80.
20. Mercer S, Reynolds W. Empathy and quality of care. Br J Gen Practice. 2002;52:S9-S13.
21. Halpern J. From Detached Concern to Empathy: Humanizing Medical Practice. New York: Oxford University Press; 2001.
22. Benbassat J, Baumal R. What is empathy, and how can it be promoted during clinical clerkships? Acad Med. 2004;79:832-9.
23. Larson EB, Yao X. Clinical empathy as emotional labor in the patient-physician relationship. JAMA. 2005;293:1100-6.
24. Hojat M, Mangione S, Nasca TJ, et al. The Jefferson scale of physician empathy: development and preliminary psychometric data. Edu Psychol Meas. 2001;61:349-65.
25. Lancaster T, Hart R, Gardner S. Literature and medicine: evaluating a special study module using the nominal group technique. Med Educ. 2002;36:1071-6.
26. Davis MH. Measuring individual differences in empathy: evidence for a multidimensional approach. J Person Social Psychol. 1983;44:113-26.
27. LaMonica EL. Construct validity of an empathy instrument. Res Nurs Health. 1981;4:389-400.
28. LaMonica EL. Empathy construct rating scale. Santa Clara: Xicom Inc 1996:1-8.
29. Mehrabian A. Manual for the Balanced Emotional Empathy Scale (BEES). 1996. (Available from Albert Mehrabian, 1130 Alta Mesa Road, Monterey, CA, USA 93940).
30. Mehrabian A, Young AL, Sato S. Emotional empathy and associated individual differences. Curr Psychol: Res Rev. 1988;7:221-40.
31. Truax CB, Carkhuff RR. Toward Effective Counseling and Psychotherapy: Training and Practice. Chicago: Aldine: 1967.
32. Evans BJ, Stanley RO, Burrows GD. Measuring medical students' empathy skills. Br J Med Psychol. 1993;66:121-33.
33. Evans BJ, Stanley RO, Burrows GD, Sweet B. Lectures and skills workshops as teaching formats in a history-taking skills course for medical students. Med Educ. 1989;23:364-70.
34. Fine VK, Therrien ME. Empathy in the doctor-patient relationship: skill training for medical students. J Med Educ. 1977;52:752-7.
35. Sanson-Fisher RW, Poole AD. Training medical students to empathize: an experimental study. Med J Aust. 1978;1:473-6.
36. Kramer D, Ber R, Moore M. Increasing empathy among medical students. Med Educ. 1989;23:168-73.
37. Poole AD, Sanson-Fisher RW. Long-term effects of empathy training on the interview skills of medical students. Patient Couns Health Educ. 1980;2:125-7.
38. 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.
39. 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;183:659-62.
40. 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.
41. DiLalla LF, Hull SK, Dorsey JK. Effect of gender, age, and relevant course work on attitudes toward empathy, patient spirituality, and physician wellness. Teach Learn Med. 2004;16:165-70.
42. Wilkes M, Milgrom E, Hoffman JR. Towards more empathic medical students: a medical student hospitalization experience. Med Educ. 2002;36:528-33.
43. Shapiro J, Hunt L. All the world's a stage: the use of theatrical performance in medical education. Med Educ. 2003;37:922-7.
44. DasGupta S, Charon R. Personal illness narratives: using reflective writing to teach empathy. Acad Med. 2004;79:351-6.
45. Hojat M, Xu G. A visitor's guide to effect sizes. Adv Health Sci Educ. 2004;9:241-9.
46. Jarski RW, Gjerde CL, Bratton BD, Brown DD, Matthes SS. A comparison of four empathy instruments in simulated patient-medical student interactions. J Med Educ. 1985;60:545-51.
47. Squier RW. A model of empathic understanding and adherence to treatment regimens in practitioner-patient relationships. Soc Sci Med. 1990;30:325-39.
48. Mercer SW, Maxwell M, Heaney D, Watt GC. The consultation and relational empathy (CARE) measure: development and preliminary validation and reliability of an empathy-based consultation process measure. Fam Pract. 2004;21:699-705.
49. Martineau TM, Humphrey C, Matoon G, Kidd J, Lloyd M, Horder J. Factors influencing the communication skills of first-year clinical medical students. Med Educ. 1991;25:127-34.
50. Hojat M, Gonnella JS, Nasca TJ, et al. Empathy in medical students as related to academic performance, clinical competence and gender. Med Educ. 2002;36:522-7.
51. 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 Psychiatr. 2002;159: 1563-9.