Díez-Goñi N, Rodríguez-Díez M C
Unidad de Educación Médica, Facultad de Medicina, Universidad de Navarra, Pamplona, España.
Unidad de Educación Médica, Facultad de Medicina, Universidad de Navarra, Pamplona, España.
Rev Clin Esp (Barc). 2017 Aug-Sep;217(6):332-335. doi: 10.1016/j.rce.2017.01.005. Epub 2017 Feb 23.
Empathy is a basic skill in the exercise of medicine and increases patient and physician satisfaction and improves clinical results. However, the teaching of empathy is poorly covered in the teaching plans. A number of studies have observed a reduction in empathy during the final training courses. The reasons for this decline include, the students' excessive academic workload, the prioritisation of acquiring medical expertise over humanistic knowledge, the patient load in hospitals and health centres and the physicians' need to distance themselves from their patients. Nevertheless, intervention studies through simulation with standardised patients have shown an increase in empathy in students, which can be evaluated through the Jefferson scales: JSE-S and JSPPPE. The teaching of empathy to medical students is an important commitment in the curricular programs of medical schools.
同理心是医学实践中的一项基本技能,能提高患者和医生的满意度,并改善临床效果。然而,同理心的教学在教学计划中涉及较少。一些研究观察到在最后的培训课程中同理心有所下降。这种下降的原因包括,学生繁重的学业负担、将获取医学专业知识置于人文知识之上、医院和健康中心的患者数量以及医生需要与患者保持距离。尽管如此,通过标准化病人进行模拟的干预研究表明,学生的同理心有所增加,这可以通过杰斐逊量表:JSE - S和JSPPPE进行评估。对医学生进行同理心教学是医学院课程计划中的一项重要任务。