Department of Medical Education, Dongguk University School of Medicine, Goyang-si, Korea.
Med Educ Online. 2020 Dec;25(1):1742965. doi: 10.1080/10872981.2020.1742965.
This study investigated the impact of empathy training on medical students using a project-based learning approach on the development of their empathic abilities. Study participants were Year 2 students in the six-year medical program, to whom a one credit-hour course on empathic communication was offered over a semester. In this course, students worked on collaborative team projects in which they were asked to interview a person and to report the empathy that they shared with the interviewee. Development in student empathy was measured using the Interpersonal Reactivity Index inventory in a pre- and post-test format over the semester and their reflective reports were qualitatively analyzed to identify emerging themes on the lessons they learned from the project experience. A total of 45 students completed the questionnaires (a 97.8% response rate). Students' overall empathy scores did not change over time (t = 1.943, p = .06). Still, students with lower empathy in the pre-test improved significantly in their empathy scores (t = 3.44, p < .01). Students reported that the empathy project was beneficial in improving their understanding of empathy and enhancing their empathic communication skills. This study shows the project-based learning approach was effective in developing medical student empathy especially for those with lower empathy.
本研究采用基于项目的学习方法,探讨了同理心培训对医学生的影响,以培养他们的同理心能力。研究对象为六年制医学专业二年级学生,他们在一个学期内修一门一学分的同理心沟通课程。在这门课程中,学生们以合作小组的形式完成项目,他们被要求采访一个人,并报告他们与被采访者分享的同理心。学生同理心的发展通过人际反应指数量表在学期内的前测和后测中进行衡量,并对他们的反思报告进行定性分析,以确定他们从项目经验中学习到的课程的新主题。共有 45 名学生完成了问卷调查(回应率为 97.8%)。学生的整体同理心得分并没有随时间变化(t=1.943,p=0.06)。尽管如此,在前测中同理心得分较低的学生在后测中的同理心得分显著提高(t=3.44,p<.01)。学生们报告说,同理心项目有助于提高他们对同理心的理解,并增强他们的同理心沟通技巧。本研究表明,基于项目的学习方法对培养医学生的同理心是有效的,特别是对那些同理心得分较低的学生。