Thangarasu Sudhagar, Renganathan Gowri, Natarajan Piruthiviraj
Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center El Paso-Transmountain, El Paso, TX, USA.
Department of Internal Medicine-Transmountain Campus, Texas Tech University Health Sciences Center El Paso, El Paso, TX, USA.
J Med Educ Curric Dev. 2021 Mar 17;8:23821205211000346. doi: 10.1177/23821205211000346. eCollection 2021 Jan-Dec.
Empathy toward patients is an essential skill for a physician to deliver the best care for any patient. Empathy also protects the physician from moral injury and decreases the chances for malpractice litigations. The current graduate medical education curriculum allows trainees to graduate without getting focused training to develop empathy as a core competency domain. The tools to measure empathy inherently lack validity. The accurate measure of the provider's empathy comes from the patient's perspectives of their experience and their feedback, which is rarely reaching the trainee. The hidden curriculum in residency programs gives mixed messages to trainees due to inadequate role modeling by attending physicians. This narrative style manuscript portrays a teachable moment at the bedside vividly. The teaching team together reflected upon the lack of empathy, took steps to resolve the issue. The attending demonstrated role modeling as an authentic and impactful technique to teach empathy. The conclusion includes a proposal to include the patient's real-time feedback to trainees as an essential domain under Graduate Medical Education core competencies of professionalism and patient care.
对患者具有同理心是医生为任何患者提供最佳护理的一项基本技能。同理心还能保护医生免受道德伤害，并减少医疗事故诉讼的可能性。当前的毕业后医学教育课程允许学员在未接受将同理心培养作为核心能力领域的重点培训的情况下毕业。测量同理心的工具本身缺乏有效性。对提供者同理心的准确衡量来自患者对其经历的看法及其反馈，而这些很少传达给学员。住院医师培训项目中的隐性课程由于带教医师榜样作用不足，给学员传递了相互矛盾的信息。这篇叙事风格的手稿生动地描绘了一个床边的可教时刻。教学团队共同反思了同理心的缺失，并采取措施解决该问题。带教医师展示了榜样作用，这是一种传授同理心的真实且有效的技巧。结论部分提出一项建议，即将患者对学员的实时反馈纳入毕业后医学教育专业精神和患者护理核心能力的一个基本领域。
