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评估参与学生运营的免费诊所与医学生同理心变化之间的关系。

Evaluating the Relationship Between Participation in Student-Run Free Clinics and Changes in Empathy in Medical Students.

作者信息

Modi Anita, Fascelli Michele, Daitch Zachary, Hojat Mohammadreza

机构信息

1 Thomas Jefferson University Hospital, Philadelphia, PA, USA.

2 Glickman Urological and Kidney Institute at the Cleveland Clinic, Cleveland, OH, USA.

出版信息

J Prim Care Community Health. 2017 Jul;8(3):122-126. doi: 10.1177/2150131916685199. Epub 2016 Dec 29.

Abstract

PURPOSE

We explored differences in changes in medical student empathy in the third year of medical school between volunteers at JeffHOPE, a multisite medical student-run free clinic of Sidney Kimmel Medical College (SKMC), and nonvolunteers.

METHOD

Volunteerism and leadership experience at JeffHOPE were documented for medical students in the Class of 2015 (n = 272) across their medical educations. Students completed the Jefferson Scale of Empathy at the beginning of medical school and at the end of the third year. Students who reported participation in other Jefferson-affiliated clinics (n = 44) were excluded from this study. Complete data were available for 188 SKMC students.

RESULTS

Forty-five percent of students (n = 85) volunteered at JeffHOPE at least once during their medical educations. Fifteen percent of students (n = 48) were selected for leadership positions involving weekly clinic participation. Nonvolunteers demonstrated significant decline in empathy in medical school ( P = 0.009), while those who volunteered at JeffHOPE at least once over the course of their medical educations did not show any significant decline ( P = 0.07).

CONCLUSIONS

These findings suggest that medical students may benefit from volunteering at student-run free clinics to care for underserved populations throughout medical school.

摘要

目的

我们探究了西德尼·金梅尔医学院(SKMC)多站点医学生运营的免费诊所JeffHOPE的志愿者与非志愿者在医学院三年级时医学生同理心变化的差异。

方法

记录了2015届(n = 272)医学生在整个医学教育过程中在JeffHOPE的志愿服务和领导经历。学生们在医学院入学之初和三年级结束时完成了杰斐逊同理心量表的测试。报告参与过其他与杰斐逊相关诊所活动的学生(n = 44)被排除在本研究之外。188名SKMC学生有完整的数据。

结果

45%的学生(n = 85)在医学教育期间至少在JeffHOPE志愿服务过一次。15%的学生(n = 48)被选入涉及每周参与诊所工作的领导岗位。非志愿者在医学院期间同理心显著下降(P = 0.009),而那些在医学教育过程中至少在JeffHOPE志愿服务过一次的学生没有表现出任何显著下降(P = 0.07)。

结论

这些发现表明,医学生在整个医学院期间通过在学生运营的免费诊所为服务不足人群提供护理的志愿服务可能会有所受益。

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