Kusz Halina, Foreback Jami, Dohrenwend Anne
McLaren-Flint/Michigan State University.
MedEdPublish (2016). 2017 Apr 26;6:77. doi: 10.15694/mep.2017.000077. eCollection 2017.
This article was migrated. The article was marked as recommended. Empathy in patient care is a highly valuable skill that is promoted in medical education; however, research conducted in academic centers strongly suggests a declining trend in empathy as years of medical education increase. To assess residents' empathy levels in a community-based internal medicine training program. We hypothesized that empathy in our program did not decrease with years of training. A cross-sectional, observational study of 22 resident physicians who completed the Jefferson Scale of Physician Empathy between May and October of 2013. The residents were at the end of their first (PGY1), second (PGY2), or third (PGY3) year of training, or were incoming interns (PGY0) at the beginning of their first year. Of 48 eligible residents, responses of 22 (45%) are included in the analysis. The empathy scores for participants ranged from 96 to 136 with a mean of 117.4 and a SD of 10.1. Incoming residents, PGY1, 2 and 3 residents' mean scores were 109.7, 117.2, 114.3 and 124.0 respectively. There was no statistical difference between males and females or between PGY1 and PGY2 residents. A statistically significant difference in mean empathy scores was found between incoming residents and PGY3, with PGY3 residents scoring higher in empathy. The empathy scores in our internal medicine residency program identified higher levels of empathy associated with residents at the end of training. This may be related to our targeted curricula which includes behavioral science and geriatric medicine curriculums.
本文已迁移。该文章被标记为推荐文章。患者护理中的同理心是医学教育中大力推广的一项极有价值的技能；然而，学术中心进行的研究有力地表明，随着医学教育年限的增加，同理心呈下降趋势。为了评估基于社区的内科培训项目中住院医师的同理心水平。我们假设我们项目中的同理心不会随着培训年限的增加而降低。对22名住院医师进行了一项横断面观察研究，这些住院医师在2013年5月至10月期间完成了杰斐逊医生同理心量表的测试。这些住院医师处于培训的第一年（PGY1）、第二年（PGY2）或第三年（PGY3）结束时，或者是第一年开始时的新入职实习生（PGY0）。在48名符合条件的住院医师中，22名（45%）的回答被纳入分析。参与者的同理心得分在96至136之间，平均分为117.4，标准差为10.1。新入职住院医师、PGY1、PGY2和PGY3住院医师的平均得分分别为109.7、117.2,、114.3和124.0。男性和女性之间或PGY1和PGY2住院医师之间没有统计学差异。新入职住院医师和PGY3住院医师之间在平均同理心得分上存在统计学显著差异，PGY3住院医师的同理心得分更高。我们内科住院医师培训项目中的同理心得分表明，培训结束时的住院医师具有更高水平的同理心。这可能与我们有针对性的课程有关，其中包括行为科学和老年医学课程。
