比较医学生自我管理的同理心测量与观察到的行为。
Comparing a self-administered measure of empathy with observed behavior among medical students.
机构信息
Section of General Internal Medicine, Evans Department of Medicine, Boston University School of Medicine, 801 Massachusetts Avenue, 2nd Floor, Boston, MA 02118, USA.
出版信息
J Gen Intern Med. 2010 Mar;25(3):200-2. doi: 10.1007/s11606-009-1193-4. Epub 2009 Dec 15.
PURPOSE
Studies show that measures of physician and medical students' empathy decline with clinical training. Presently, there are limited data relating self-reported measures to observed behavior. This study explores a self-reported measure and observed empathy in medical students.
METHOD
Students in the Class of 2009, at a university-based medical school, were surveyed at the end of their 2nd and 3rd year. Students completed the Jefferson Scale of Physician Empathy-Student Version (JSPE-S), a self-administered scale, and were evaluated for demonstrated empathic behavior during Objective Structured Clinical Examinations (OSCEs).
RESULTS
97.6% and 98.1% of eligible students participated in their 2nd and 3rd year, respectively. The overall correlation between the JSPE-S and OSCE empathy scores was 0.22, p < 0.0001. Students had higher self-reported JSPE-S scores in their 2nd year compared to their 3rd year (118.63 vs. 116.08, p < 0.0001), but had lower observed empathy scores (3.96 vs. 4.15, p < 0.0001).
CONCLUSIONS
Empathy measured by a self-administered scale decreased, whereas observed empathy increased among medical students with more medical training.
目的
研究表明，随着临床培训的进行，医生和医学生的同理心衡量标准会下降。目前，将自我报告的衡量标准与观察到的行为相关联的数据有限。本研究探讨了医学生自我报告的衡量标准和观察到的同理心。
方法
在一所基于大学的医学院，对 2009 年级的学生在第 2 年和第 3 年结束时进行了调查。学生完成了医学生同理心的杰斐逊量表-学生版（JSPE-S），这是一种自我管理的量表，并在客观结构化临床考试（OSCE）中评估了他们表现出的同理心行为。
结果
分别有 97.6%和 98.1%的符合条件的学生参加了他们的第 2 年和第 3 年的调查。JSPE-S 和 OSCE 同理心得分之间的总体相关性为 0.22，p<0.0001。与第 3 年相比，学生在第 2 年的自我报告的 JSPE-S 得分更高（118.63 对 116.08，p<0.0001），但观察到的同理心得分较低（3.96 对 4.15，p<0.0001）。
结论
随着医学生接受更多的医学培训，自我管理量表衡量的同理心下降，而观察到的同理心增加。
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