Psychiatry Department, Massachusetts General Hospital/Harvard Medical School, Boston, MA 02114, USA.
Otolaryngol Head Neck Surg. 2011 Jan;144(1):120-2. doi: 10.1177/0194599810390897.
Physician empathy and relational skills are critical factors predicting quality of care, patient safety, patient satisfaction, and decreasing malpractice claims. Studies indicate that physician empathy declines throughout medical training, yet little is published about methods to enhance empathy, especially in surgical residency training. The Accreditation Council for Graduate Medical Education requires competencies in 6 areas, including interpersonal skills and communication. To address this important problem, the first author developed an innovative empathy-relational skills training protocol focusing on the underlying neurobiological mechanisms of empathy and the interpersonal processes that positively affect the patient-doctor relationship. The authors tested the effectiveness of this protocol in a pilot study with 11 otolaryngology residents. Results showed that a brief series of 3 empathy training sessions can significantly improve physicians' knowledge of the neurobiology and physiology of empathy, as well as their self-reported capacity to empathize with patients. A trend toward increased patient satisfaction was observed.
医生的同理心和人际关系技巧是预测医疗质量、患者安全、患者满意度和减少医疗事故索赔的关键因素。研究表明，医生的同理心在医学培训过程中会逐渐下降，但关于增强同理心的方法，尤其是在外科住院医师培训中，发表的内容很少。研究生医学教育认证委员会要求在 6 个领域具备能力，包括人际交往技巧和沟通能力。为了解决这个重要问题，第一作者开发了一种创新的同理心-人际关系技巧培训方案，重点关注同理心的潜在神经生物学机制以及对医患关系产生积极影响的人际过程。作者在一项针对 11 名耳鼻喉科住院医师的试点研究中测试了该方案的有效性。结果表明，简短的 3 次同理心培训课程系列可以显著提高医生对同理心的神经生物学和生理学的了解，以及他们自我报告的与患者共情的能力。观察到患者满意度有增加的趋势。
