Section of General Internal Medicine, Evans Department of Medicine, Boston University School of Medicine, 801 Massachusetts Avenue, 2nd Floor, Boston, MA 02118, USA.
J Gen Intern Med. 2010 Mar;25(3):200-2. doi: 10.1007/s11606-009-1193-4. Epub 2009 Dec 15.
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.
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).
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).
Empathy measured by a self-administered scale decreased, whereas observed empathy increased among medical students with more medical training.
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。
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。
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）。
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。
