International Medical University, Malaysia.
Cognitive Solutions Learning Center,Chicago, Ilinois, USA.
Med J Malaysia. 2023 May;78(3):344-349.
Empathy is the ability to put oneself in another's emotional space and experience what they feel. Either due to lack of experience or mundaness of practice, a state of empathy can become premised, and individuals become indifferent or detached. We aimed to explore the level of empathy among doctors at different levels of practice, age, gender, academics, non-academics and discipline.
This was a cross-sectional, observational study on empathy among doctors practicing in the private, public hospital sector and faculty at a medical university in Negeri Sembilan, Malaysia that utilised convenience sampling for data collection. The Toronto Empathy Questionnaire (TEQ) a validated tool was used to measure empathy.
The questionnaire was completed by 127 doctors, 52% (n= 66) were males and 48% (n=61) females. There was no significant difference in empathy between male (M=46.44; SD=6.01) and female (M=45.05, SD=5.69) doctors; t (123) = 1.326, p=0.187. Pearson correlation coefficient was computed to assess the linear relationship between age and empathy and revealed no correlation between the two variables: r (125) =0.15, p=0.099. Medical-based doctors (M= 47.47, SD=5.98) demonstrated more empathy than surgicalbased (M=44.32, SD=5.41); t (123) =-3.09, p=0.002. Those already specialised in their fields (M=47.38, SD=4.57) had more empathy than those who had not (M= 44.36, SD=6.52); t (123) =-2.96, p = 0.004. Doctors in the university (M=47.97, SD=4.31) tended to have more empathy than those in the public hospitals (M= 44.63, SD=6.27); t (117) =-2.91, p=0.004. Academicians had more empathy than non-academicians but there was no difference between those who were in clinical practice and not.
Our findings indicate that medical-based doctors demonstrate more empathy than surgical-based doctors, and there appeared to be no correlation between age and empathy. However, clinical experience and growth within the specialty seem to improve empathy. Doctors teaching in the university setting demonstrated more empathy than those practicing in the hospital setting. Inclusion of empathy-related sessions in the undergraduate and post-graduate curriculum could bridge the gap in empathy noted with age, discipline, and experience in practice. Further research on empathy among doctors using a wider population in Malaysia and a TEQ questionnaire validated to the Asian population would provide better insight regarding this area of medical practice. Future research on outcomes of inclusion of programmes targeted at improving empathy to create awareness during practice would support patient satisfaction and safety.
同理心是一种将自己置于他人情感空间并体验他们感受的能力。由于缺乏经验或实践的平凡,同理心可能会成为前提,个体变得冷漠或超脱。我们旨在探讨不同实践水平、年龄、性别、学术背景和非学术背景的医生之间的同理心水平。
这是一项在马来西亚森美兰州的私立医院、公立医院和医学院进行的医生同理心的横断面观察性研究,采用便利抽样进行数据收集。使用经过验证的多伦多同理心问卷 (TEQ) 来衡量同理心。
共有 127 名医生完成了问卷,其中 52%(n=66)为男性,48%(n=61)为女性。男性医生(M=46.44;SD=6.01)和女性医生(M=45.05,SD=5.69)之间的同理心没有显著差异;t(123)=1.326,p=0.187。计算了年龄和同理心之间的皮尔逊相关系数,以评估两者之间的线性关系,结果表明两者之间没有相关性:r(125)=0.15,p=0.099。以医学为基础的医生(M=47.47,SD=5.98)比以手术为基础的医生(M=44.32,SD=5.41)表现出更多的同理心;t(123)=-3.09,p=0.002。已经在自己的领域专业化的医生(M=47.38,SD=4.57)比尚未专业化的医生(M=44.36,SD=6.52)更有同理心;t(123)=-2.96,p=0.004。在大学工作的医生(M=47.97,SD=4.31)比在公立医院工作的医生(M=44.63,SD=6.27)更倾向于表现出更多的同理心;t(117)=-2.91,p=0.004。学者比非学者更有同理心,但在临床实践和非临床实践之间没有差异。
我们的研究结果表明,以医学为基础的医生比以手术为基础的医生表现出更多的同理心,并且年龄和同理心之间似乎没有相关性。然而,在专业领域的临床经验和成长似乎可以提高同理心。在大学任教的医生比在医院工作的医生表现出更多的同理心。在本科和研究生课程中纳入与同理心相关的课程可以弥补随着年龄、学科和实践经验而出现的同理心差距。在马来西亚更广泛的人群中使用经过验证的 TEQ 问卷对医生进行同理心研究,将提供有关这一医学实践领域的更好见解。未来对旨在提高同理心以在实践中提高意识的计划的结果进行研究,将支持患者满意度和安全性。