Abstract
PurposeThe purpose of this study was to assess the clinical empathy of a cohort of medical students spanning 4 years of undergraduate study and to identify factors associated with empathy.MethodsA cross-sectional study to assess the empathy of undergraduate medical students at the University College of Medical Sciences and GTB Hospital in Delhi, India, was conducted using the Jefferson Scale of Empathy–Student Version. Demographic data were obtained using a pre-tested, semi-open-ended questionnaire.ResultsOf the 600 students, 418 participated in the survey (69.7%). The mean empathy score was 96.01 (of a maximum of 140), with a standard deviation of 14.56. The empathy scores decreased from the first to the third semester, plateaued at the fifth semester, and rose again in the seventh semester. Empathy was found to be significantly associated with the gender of the participant, with females having higher scores (P<0.001). The age of the participant, place of residence, whose decision it was for the student to enroll in an MBBS (bachelor of medicine and bachelor of surgery) program, and the choice of future specialty were not significantly associated with students’ empathy scores.ConclusionThe study found significant gender differences in empathy among the participants. The empathy scores tended to decline initially and then rebound over time. The mean empathy levels found in this study are lower than those reported in most similar studies around the world; therefore, further studies are needed to analyze and address the underlying factors associated with this discrepancy.
Highlights
Mercer and Reynolds defined clinical empathy as the ability to understand the patient’s situation, perspective, and feelings, communicate that understanding and check its accuracy, and act on that understanding with the patient in a helpful way [1]
This difference tended to diminish as the semester of study increased, such that by the seventh semester, no significant difference was seen in the mean empathy scores of females and males
The aim of this study was to assess clinical empathy in medical undergraduate students and to identify factors associated with empathy
Summary
Mercer and Reynolds defined clinical empathy as the ability to understand the patient’s situation, perspective, and feelings (and attached meanings), communicate that understanding and check its accuracy, and act on that understanding with the patient in a helpful (therapeutic) way [1]. Various scales have been developed to measure clinical empathy. It has been shown that females are, on an average, more empathic than males in their outlook vis-à-vis patients [6,7]. Other factors, such as the choice of specialty [8], have a bearing on the levels of clinical empathy that a medical student, and by extension, a doctor displays. A single study from India has previously assessed clinical empathy explicitly in medical students, with results indicating a poor mean empathy score [4]. The present study aimed to assess clinical empathy and the various associated factors in
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