Hur Yera, Cho A Ra, Kim Sun
Department of Medical Education, Konyang University College of Medicine, Daejeon, Korea.
Department of Medical Education, The Catholic University of Korea College of Medicine, Seoul, Korea.
Korean J Med Educ. 2016 Sep;28(3):305-13. doi: 10.3946/kjme.2016.35. Epub 2016 Jun 30.
Empathy is an important trait in physicians and a key element in the physician-patient relationship. Accordingly, one of the goals in medical education is developing empathy in students. We attempted to practically assess medical students' empathy through their direct verbal expressions.
The medical students' empathy was measured using the modified Pencil-and-Paper Empathy Rating Test by Winefield and Chur-Hansen (2001). The students took 15 minutes or so to complete the scale, and it was then scored by one of two trained evaluators (0 to 4 points for each item, for a total score of 40). The subjects were 605 medical students, and the data were analyzed using descriptive analysis, independent t-test, and one-way analysis of variance in SPSS version 21.0.
The students' empathy scores were low (mean, 12.13; standard deviation, 2.55); their most common responses (78.6%) registered as non-empathetic. Differences in empathy were observed by gender (female students>male students; t=-5.068, p<0.001), school system (medical school>medical college; t=-1.935, p=0.053), and academic level (pre-medical 1 year < other years; t=-4.050, p<0.001).
Our findings lead us to the significant conclusion that there is the need for empathy enhancement training programs with practical content.
同理心是医生的一项重要特质，也是医患关系中的关键要素。因此，医学教育的目标之一是培养学生的同理心。我们试图通过医学生的直接言语表达来切实评估他们的同理心。
采用Winefield和Chur-Hansen（2001年）修订的纸笔式同理心评分测试来测量医学生的同理心。学生们大约花15分钟完成该量表，然后由两名经过培训的评估人员之一进行评分（每项0至4分，总分40分）。研究对象为605名医学生，数据使用SPSS 21.0版本进行描述性分析、独立样本t检验和单因素方差分析。
学生的同理心得分较低（均值为12.13；标准差为2.55）；他们最常见的回答（78.6%）显示为缺乏同理心。在同理心方面观察到了性别差异（女生>男生；t=-5.068，p<0.001）、学制差异（医学院>医学专科学校；t=-1.935，p=0.053）和学业水平差异（医学预科1年级<其他年级；t=-4.050，p<0.001）。
我们的研究结果使我们得出一个重要结论，即需要开展具有实际内容的同理心增强培训项目。
