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规训同理心:美国医学生专业差异对同理心的影响。

Disciplining empathy: Differences in empathy with U.S. medical students by college major.

机构信息

Department of Sociology, Temple University, Philadelphia, PA, USA.

出版信息

Health (London). 2022 Jul;26(4):475-494. doi: 10.1177/1363459320967055. Epub 2020 Oct 19.

DOI:10.1177/1363459320967055
PMID:33076717
Abstract

Citing their students' low levels of empathy, medical educators have scrambled to implement curricula with the hopes of buffering against the corrosive effects of biomedical and clinical experiences in medical school. The assumption undergirding these studies by social scientists and medical educators alike is that immersion in biomedical education and clinical experience erodes students' empathic capacities, and that exposure to humanities and social sciences content will amend these losses. But we do not know if this assumption is correct. In this project, we empirically assess this assumption by utilizing a unique data set constructed from student applicant and survey data from the American Medical College Application Service (AMCAS) and the Association of American Medical Colleges (AAMC). We test whether medical school students ( = 8255) from the United States (U.S.) with different academic backgrounds represented by their college major have different levels of empathy, net of demographic control variables. We report two findings. First, we find that students who majored in humanities or interpretive social sciences disciplines have higher empathy scores than their peers who majored in the positivistic social sciences and STEM (science, technology, engineering, and mathematics) disciplines. Second, we find that the relationship between empathy and time in medical school is more nuanced than we would expect from the existing literature.

摘要

由于学生同理心水平较低,医学教育工作者竞相实施课程,希望能够缓冲医学院生物医学和临床经验的腐蚀性影响。社会科学家和医学教育工作者进行这些研究的假设是,沉浸在生物医学教育和临床经验中会削弱学生的同理心能力,而接触人文和社会科学内容将弥补这些损失。但我们不知道这个假设是否正确。在这个项目中,我们通过利用美国医学院申请服务(AMCAS)和美国医学院协会(AAMC)从学生申请人和调查数据中构建的独特数据集,从实证上评估了这一假设。我们测试了来自美国的医学生(n=8255),他们的专业代表了不同的学术背景,是否在控制了人口统计学变量后具有不同的同理心水平。我们报告了两个发现。首先,我们发现主修人文或解释性社会科学学科的学生比主修实证社会科学和 STEM(科学、技术、工程和数学)学科的学生具有更高的同理心分数。其次,我们发现同理心与医学院学习时间之间的关系比我们从现有文献中预期的要复杂。

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Disciplining empathy: Differences in empathy with U.S. medical students by college major.规训同理心:美国医学生专业差异对同理心的影响。
Health (London). 2022 Jul;26(4):475-494. doi: 10.1177/1363459320967055. Epub 2020 Oct 19.
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引用本文的文献

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Why might medical student empathy change throughout medical school? a systematic review and thematic synthesis of qualitative studies.医学生同理心为何会在医学院学习期间发生变化?一项基于定性研究的系统回顾和主题综合分析。
BMC Med Educ. 2023 Apr 24;23(1):270. doi: 10.1186/s12909-023-04165-9.
2
Motivating change in resident language use through narrative medicine workshops.通过叙事医学工作坊激励住院医生改变语言使用习惯。
BMC Med Educ. 2022 Sep 7;22(1):663. doi: 10.1186/s12909-022-03721-z.
3
Reliability of Greek version of the Toronto empathy questionnaire in medical students and associations with sociodemographic and lifestyle factors.
希腊版多伦多同理心问卷在医学生中的信度及其与社会人口学和生活方式因素的关联。
BMC Psychol. 2022 May 2;10(1):113. doi: 10.1186/s40359-022-00824-6.
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Is HPS a valuable component of a STEM education? An empirical study of student interest in HPS courses within an undergraduate science curriculum.科学史与科学哲学(HPS)是STEM教育的一个重要组成部分吗?一项关于本科科学课程中HPS课程学生兴趣的实证研究。
Eur J Philos Sci. 2022;12(1):19. doi: 10.1007/s13194-021-00433-x. Epub 2022 Feb 26.
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The Resurgence of Medical Education in Sociology: A Return to Our Roots and an Agenda for the Future.医学教育在社会学中的复兴:回归本源与未来议程。
J Health Soc Behav. 2021 Sep;62(3):255-270. doi: 10.1177/0022146521996275.