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Medical empathy

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https://www.readbyqxmd.com/read/27919521/unsolved-forgotten-and-ignored-features-of-the-placebo-response-in-medicine
#1
REVIEW
Paul Enck, Sibylle Klosterhalfen, Katja Weimer
PURPOSE: We aimed to identify topics of research that have been neglected, undervalued, or overseen in the past 2 decades of placebo/nocebo research. METHODS: A highly specialized literature database containing >3200 articles on the placebo or nocebo effects or response was screened for articles covering placebo effects in nutrition, sports medicine, physical therapy, and psychotherapy; for article covering gender, age, and culture as influencing factors; for articles dealing with long-term outcome, multimodality; and for articles related to technical (eHealth, mHealth) aspects of placebo effects...
December 2, 2016: Clinical Therapeutics
https://www.readbyqxmd.com/read/27914993/-solid-paediatricians-in-fluid-times-reviving-professionalism
#2
Carmen Martínez González, María Tasso Cereceda, Marta Sánchez Jacob, Isolina Riaño Galán
Professionalism is rarely taught formally. It is learned by osmosis through the hidden curriculum: a set of attitudes that each one of us transmits unconsciously to students, medical residents, and colleagues. All of us are a model or counter-model of professionalism through a series of values that have been the pillars of our profession since Hippocrates. Values that do not seem to be strong enough to pass our time. There are specific factors of the 21st century such as the financial crisis, the highly technical nature of medicine, bureaucratisation or trivialisation of the medical process that could explain, but not justify, the decline in the values of our profession: Empathy, integrity, solidarity, the altruism, or confidentiality...
November 30, 2016: Anales de Pediatría: Publicación Oficial de la Asociación Española de Pediatría (A.E.P.)
https://www.readbyqxmd.com/read/27896846/international-study-of-medical-school-learning-environments-and-their-relationship-with-student-well-being-and-empathy
#3
Sean Tackett, Scott Wright, Robert Lubin, Jianing Li, Hui Pan
OBJECTIVE: To assess whether favourable perceptions of the learning environment (LE) were associated with better quality of life, less burnout and more empathy across three undergraduate medical education programmes in Israel, Malaysia and China. METHODS: Cross-sectional surveys were administered at the end of the 2013-2014 academic year at three medical schools: Technion American Medical Students Program (TAMS) in Israel, Perdana University-Royal College of Surgeons in Ireland School of Medicine (PURCSI) in Malaysia and Peking Union Medical College (PUMC) in China...
November 29, 2016: Medical Education
https://www.readbyqxmd.com/read/27889445/mindfulness-training-for-health-profession-students-the-effect-of-mindfulness-training-on-psychological-well-being-learning-and-clinical-performance-of-health-professional-students-a-systematic-review-of-randomized-and-non-randomized-controlled-trials
#4
REVIEW
Janet McConville, Rachael McAleer, Andrew Hahne
BACKGROUND: High levels of stress have been identified in medical students and increasingly in other health profession student population groups. As stress can affect psychological well-being and interfere with learning and clinical performance, there is a clear argument for universities to include health professional student well-being as an outcome in core curriculum. Mindfulness training is a potential construct to manage stress and enhance academic success. OBJECTIVES: The aims of this systematic review were to assess the effectiveness of mindfulness training in medical and other health professional student population groups and to compare the effectiveness of the different mindfulness-based programs...
October 24, 2016: Explore: the Journal of Science and Healing
https://www.readbyqxmd.com/read/27882523/simulation-in-undergraduate-psychiatry-exploring-the-depth-of-learner-engagement
#5
REVIEW
Petal S Abdool, Latika Nirula, Sarah Bonato, Tarek K Rajji, Ivan L Silver
OBJECTIVES: Simulation-based methodologies are increasingly used in undergraduate medical education to expand students' exposure to complex clinical scenarios. Engagement of students in these simulation-based methodologies is a key determinant of their success in learning. Thus, the authors conducted a systematic review to (1) identify simulation methods in use within the undergraduate psychiatry curriculum and (2) assess learner engagement using these methods. METHODS: Following a PRISMA methodology, the authors searched MEDLINE, ERIC, and PsychINFO databases from 1977 to 2015...
November 23, 2016: Academic Psychiatry
https://www.readbyqxmd.com/read/27882501/a-review-of-a-gp-registrar-run-mobile-health-clinic-for-homeless-people
#6
A O'Carroll, N Irving, J O'Neill, E Flanagan
BACKGROUND: Homeless people have excessively high morbidity and mortality rates, yet they face barriers accessing primary care. A mobile health clinic, staffed by GP registrars, was developed to provide services to homeless people, particularly rough sleepers and sex workers. AIM: The aims were to improve access to primary care and to challenge the stereotypes and prejudices of GP registrars through direct contact with homeless people. DESIGN AND SETTING: This was a qualitative study; questionnaires were completed on the mobile health clinic and two focus groups were conducted...
November 24, 2016: Irish Journal of Medical Science
https://www.readbyqxmd.com/read/27873425/i-want-you-to-pretend-to-be-sincere
#7
Julia Hynes
Medical education has changed dramatically since the inception of this journal 50 years ago and is indeed a work in progress: there is now heavy emphasis on the character of the physician, in particular, and professionalism, in general. The subjects of communications skills and the teaching of sincerity, empathy and compassion are relative newcomers to the stage: they are not even as old as this journal itself. Nevertheless, these topics arose in an ancient debate dating from classical antiquity. 'Can we teach virtue?' Plato wondered in the Meno...
December 2016: Medical Education
https://www.readbyqxmd.com/read/27868176/-mindfulness-training-for-psychiatrists-in-residency-a-pilot-study
#8
H J R Hoenders, S H Booij, H Knegtering, H van den Brink
Medical students and psychiatrists in residency run a high risk for burnout. Furthermore, while at medical school, students seem to experience a reduction in empathy; this seems to be linked to a high level of stress. Interventions based on mindfulness training appear to reduce stress and increase empathy in medical students. Trainees in psychiatric residency might also benefit from mindfulness training.<br/> AIM: To assess the effects that a mindfulness course has on perceived stress and empathy in psychiatrists in residency...
2016: Tijdschrift Voor Psychiatrie
https://www.readbyqxmd.com/read/27856065/associations-of-medical-student-empathy-with-clinical-competence
#9
Rachel S Casas, Ziming Xuan, Angela H Jackson, Lorraine E Stanfield, Nanette C Harvey, Daniel C Chen
OBJECTIVE: Empathy is a crucial skill for medical students that can be difficult to evaluate. We examined if self-reported empathy in medical students was associated with clinical competence. METHODS: This study combined cross-sectional data from four consecutive years of medical students (N=590) from the Boston University School of Medicine. We used regression analysis to evaluate if self-reported empathy (Jefferson Scale of Physician Empathy (JSPE)) predicted scores in clinical clerkships, United States Medical Licensing Examinations, and OBJECTIVE: Structured Clinical Examinations (OSCEs)...
November 10, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27824532/seeking-medical-care-abroad-a-challenge-to-empathy
#10
EDITORIAL
Nizar N Zein
No abstract text is available yet for this article.
November 2016: Cleveland Clinic Journal of Medicine
https://www.readbyqxmd.com/read/27805956/measuring-medical-students-empathy-exploring-the-underlying-constructs-of-and-associations-between-two-widely-used-self-report-instruments-in-five-countries
#11
Patrício Costa, Marco Antonio de Carvalho-Filho, Marcelo Schweller, Pia Thiemann, Ana Salgueira, John Benson, Manuel João Costa, Thelma Quince
PURPOSE: Understanding medical student empathy is important to future patient care; however, the definition and development of clinical empathy remain unclear. The authors sought to examine the underlying constructs of two of the most widely used self-report instruments-Davis's Interpersonal Reactivity Index (IRI) and the Jefferson Scale of Empathy version for medical students (JSE-S)-plus, the distinctions and associations between these instruments. METHOD: Between 2007 and 2014, the authors administered the IRI and JSE-S in three separate studies in five countries, (Brazil, Ireland, New Zealand, Portugal, and the United Kingdom)...
November 1, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27803840/experiences-and-psychosocial-impact-of-west-africa-ebola-deployment-on-us-health-care-volunteers
#12
Robyn Gershon, Liza A Dernehl, Ezinne Nwankwo, Qi Zhi, Kristine Qureshi
BACKGROUND:  This qualitative study was designed to assess health care volunteers' experiences and psychosocial impacts associated with deployment to the West Africa Ebola epidemic. METHODS: In 2015, using snowball sampling, 16 US health care volunteers who had recently returned from West Africa were recruited for this study. Semi-structured interviews were conducted to collect information associated with each phase of deployment (pre, peri, and post). RESULTS: Participants reported that they were motivated to volunteer because of a sense of responsibility and feelings of empathy and altruism...
September 21, 2016: PLoS Currents
https://www.readbyqxmd.com/read/27796726/empathizing-with-patients-the-role-of-interaction-and-narratives-in-providing-better-patient-care
#13
EDITORIAL
Carter Hardy
Recent studies have revealed a drop in the ability of physicians to empathize with their patients. It is argued that empathy training needs to be provided to both medical students and physicians in order to improve patient care. While it may be true that empathy would lead to better patient care, it is important that the right theory of empathy is being encouraged. This paper examines and critiques the prominent explanation of empathy being used in medicine. Focusing on the component of empathy that allows us to understand others, it is argued that this understanding is accomplished through a simulation...
October 28, 2016: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/27783262/empathy-is-associated-with-meaning-of-life-and-mental-health-treatment-but-not-religiosity-among-brazilian-medical-students
#14
Rodolfo Furlan Damiano, Luciana Maria de Andrade Ribeiro, Amanda Guedes Dos Santos, Barbara Almeida da Silva, Giancarlo Lucchetti
The purpose of this study was to investigate the influence of spirituality, religiosity, personal beliefs, and previous contact with health issues on the level of empathy in medical students. Jefferson Scale of Empathy-Student Version, WHOQOL-Spirituality, Religiousness and Personal Beliefs, and Duke University Religion Index were applied to 285 Brazilian medical students. The findings suggest that meaning of life and previous mental health treatment but not Religiosity were positively related to empathy. We suggest that more attention should be given for prevention and treatment of mental health issues, and further studies are needed to understand and replicate these findings...
October 25, 2016: Journal of Religion and Health
https://www.readbyqxmd.com/read/27779510/individual-and-institutional-components-of-the-medical-school-educational-environment
#15
Larry D Gruppen, R Brent Stansfield
PURPOSE: To examine, using a systems framework, the relative influence of individual-level and institution-level factors on student perceptions of the medical school educational environment. METHOD: A series of hierarchical linear models were fit to a large, 18-school longitudinal dataset of student perceptions of the educational environment, various demographics, and student empathy, tolerance of ambiguity, coping, and patient-provider orientation. Separate models were evaluated for individual-level factors alone, institution-level factors alone, and the combination of individual- and institution-level factors...
November 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27773600/the-physician-patient-working-alliance-theory-research-and-future-possibilities
#16
Jairo N Fuertes, Arielle Toporovsky, Mariela Reyes, Jennifer Bennett Osborne
OBJECTIVE: This article discusses the physician-patient working alliance and reviews the empirical research that has been generated on the working alliance to date. METHODS: The paper presents a brief history of the study of the physician-patient relationship, and discusses constructs that have examined aspects of the relationship, such as empathy, trust, and shared decision-making. Lastly, a meta-analysis was conducted based on the seven empirical studies (a total N of 1023 patients) that have examined the physician-patient working alliance...
October 19, 2016: Patient Education and Counseling
https://www.readbyqxmd.com/read/27762611/gift-giving-in-the-podiatric-medical-student-patient-relationship
#17
Daniel López López, Paula Torreiro Pazo, Marta E Losa Iglesias, Ricardo Becerro de Bengoa Vallejo
We sought to explore the relationship between the podiatric medical student and the patient as it relates to the act of gift-giving as a sign of gratefulness for the services provided. This article presents the clinical case of a man who visited a podiatric medical student because of pain in his feet and subsequently presented the student with several gifts. Philanthropy, empathy, a positive attitude, treatment instructions, and the time devoted to the patient are some of the reasons why patients offer gifts to podiatric medical students...
September 2, 2016: Journal of the American Podiatric Medical Association
https://www.readbyqxmd.com/read/27761735/can-we-still-stop-the-migration-of-physicians-from-austria-an-evaluation-of-clinical-internships-by-students-of-the-medical-university-of%C3%A2-vienna
#18
Tamara Seitz, Bela R Turk, Henriette Löffler-Stastka
The increasing emigration of graduates of the Medical University of Vienna presents a serious problem. This study examined students' evaluation of clinical rotations, their self-rated performance, and where they felt the most deficits exist. Medical students answered an online questionnaire surveying the following aspects: an evaluation of their internship; supervision; integration in the team and improvement of field-specific knowledge; the qualities of taking a patient's medical history by empathy; patient-centeredness; structure; target orientation; and the ability to integrate field-specific knowledge into anamnesis...
October 19, 2016: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/27759705/what-matters-more-about-the-interpersonal-reactivity-index-and-the-jefferson-scale-of-empathy-their-underlying-constructs-or-their-relationships-with-pertinent-measures-of-clinical-competence-and-patient-outcomes
#19
Mohammadreza Hojat, Joseph S Gonnella
In their study published in this issue of Academic Medicine, Costa and colleagues confirmed the underlying constructs of the Interpersonal Reactivity Index (IRI) and the Jefferson Scale of Empathy (JSE) in medical students. The authors of this Commentary propose that in comparing two instruments that both purport to measure empathy, researchers or test users must pay close attention to the target populations, the conceptualizations of empathy, and the validity evidence in relation to pertinent criterion measures...
October 18, 2016: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/27756379/a-longitudinal-study-of-empathy-in-pre-clinical-and-clinical-medical-students-and-clinical-supervisors
#20
Sarah Mahoney, Ruth M Sladek, Tim Neild
BACKGROUND: Although appropriate empathy in health professionals is essential, a loss of empathy can occur during medical education. The structure of clinical learning may be one factor that is implicated in a loss of empathy. This study examines student and doctor empathy, and possible associations between empathy and the structure of clinical learning. METHODS: There were three groups of participants: medical students (n = 281), who completed a longitudinal survey consisting of the Jefferson Scale of Empathy and an open question about empathy at the beginning and end of the 2013 academic year; private doctors (medical practitioners) in South Australia (n = 78) who completed a survey consisting of the Jefferson Scale of Empathy and an open question about empathy at the end of the students' academic year; and doctors (medical practitioners) from public teaching hospitals (n = 72) in southern Adelaide, South Australia who completed a survey consisting of the Jefferson Scale of Empathy at the end of the students' academic year ...
October 18, 2016: BMC Medical Education
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