Abstract
ObjectivesThis study aimed to determine whether words used in medical school admissions essays can predict physician empathy. MethodsA computational form of linguistic analysis was used for the content analysis of medical school admissions essays. Words in medical school admissions essays were computationally grouped into 20 'topics' which were then correlated with scores on the Jefferson Scale of Empathy. The study sample included 1,805 matriculants (between 2008-2015) at a single medical college in the North East of the United States who wrote an admissions essay and completed the Jefferson Scale of Empathy at matriculation. ResultsAfter correcting for multiple comparisons and controlling for gender, the Jefferson Scale of Empathy scores significantly correlated with a linguistic topic (r = .074, p< .05). This topic was comprised of specific words used in essays such as "understanding," "compassion," "empathy," "feeling," and "trust." These words are related to themes emphasized in both theoretical writing and empirical studies on physician empathy. ConclusionsThis study demonstrates that physician empathy can be predicted from medical school admission essays. The implications of this methodological capability, i.e. to quantitatively associate linguistic features or words with psychometric outcomes, bears on the future of medical education research and admissions. In particular, these findings suggest that those responsible for medical school admissions could identify more empathetic applicants based on the language of their application essays.
Highlights
Initiatives to improve interpersonal aspects of patient care often forefront the empathy of medical providers.[1]
We aimed to identify the words used in medical school admissions essays that are associated with self-reported physician empathy
A linguistic topic was correlated with physician empathy (r = .074, p < .05), after correcting for multiple comparisons and controlling for gender
Summary
Initiatives to improve interpersonal aspects of patient care often forefront the empathy of medical providers.[1] Empathy has been variously defined, with a rich theoretical and empirical literature.[2,3,4,5] In patient care contexts, physician empathy has been defined as a predominantly cognitive attribute to understand patient experiences, combined with a capacity to communicate this understanding to patients, and an intention to help.[6,7] Physician empathy measurably affects patient outcomes. Research indicates that both patients and clinicians can benefit from empathic engagement.[6]
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