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Physician empathy

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https://www.readbyqxmd.com/read/29762797/contrasting-incoming-medical-students-attitudes-dual-degree-vs-traditional-tracks
#1
Kristina A Monteiro, Karl Dietrich, Jeffrey Borkan, Luba Dumenco, Allan R Tunkel, Richard Dollase, Paul George
BACKGROUND AND OBJECTIVES: The Warren Alpert Medical School of Brown University (AMS) recently implemented a novel dual degree MD-ScM program in primary care and population medicine (PC-PM) that enrolls up to 24 of its nearly 144 yearly matriculants. The overarching goal of this track is to train medical students to become physician leaders who focus on issues in population medicine within primary care. METHODS: We conducted a baseline assessment of the students enrolled in this parallel track in comparison to our traditional students to identify characteristics of and group differences between students in the PC-PM program and traditional students...
May 2018: Family Medicine
https://www.readbyqxmd.com/read/29731450/are-alexithymia-and-empathy-predicting-factors-of-the-resilience-of-medical-residents-in-france
#2
Audrey Morice-Ramat, Lionel Goronflot, Gilles Guihard
Objectives: To explore resilience, resilience predicting factors and resilience distribution in French medical residents. Methods: A cross-sectional study was conducted in which general practice residents (n = 380) were asked to answer the Jefferson Scale of Physician Empathy, the Connor-Davidson Resilience Scale, and the Toronto Alexithymia Scale. One hundred thirty-seven (137) responses were collected. The scores of the different scales have been calculated. The score differences were examined using the Student's t-test or analysis of variance...
April 30, 2018: International Journal of Medical Education
https://www.readbyqxmd.com/read/29694523/-almas-delirantes-1925-by-lu%C3%A3-s-cebola-the-poetics-of-the-human-psyche-and-the-physician-as-mediator-between-the-universe-of-mental-illness-and-society
#3
Denise Pereira
Lúis Cebola's 1925 work Almas delirantes [Delusional Souls] presented various psychopathologies through metaphorical and lyrical portraits rather than from a medical/ scientific point of view, showing that he perceived his patients as more than objects of scientific study in a process of identification, empathy, and compassion. Cebola defined psychopathological states according to contrast with normality, but stressed that these diseases could arise in any individual, and the book simultaneously acted as a warning to readers...
March 2018: História, Ciências, Saúde—Manguinhos
https://www.readbyqxmd.com/read/29673324/gabriel-richet-when-medicine-combines-with-courage
#4
EDITORIAL
Pierre Ronco
Gabriel Richet, one of the fathers of the French and international Nephrology, was a man remarkable for his courage, vision and empathy. He was proud and brave, and he presented himself proud of being brave. He opens his interview speaking about his youth, when he was injured, and went back to the fight. He cites the number of stitches he received, but doesn't cite being decorated with the Légion d'Honneur, one of the highest honours of the French Republic. This anecdote perfectly illustrates his elegance and detachment from awards and self-satisfaction...
April 19, 2018: BMC Nephrology
https://www.readbyqxmd.com/read/29624657/development-and-evaluation-of-a-patient-centred-measurement-tool-for-surgeons-non-technical-skills
#5
J Yule, K Hill, S Yule
BACKGROUND: Non-technical skills are essential for safe and effective surgery. Several tools to assess surgeons' non-technical skills from the clinician's perspective have been developed. However, a reliable measurement tool using a patient-centred approach does not currently exist. The aim of this study was to translate the existing Non-Technical Skills for Surgeons (NOTSS) tool into a patient-centred evaluation tool. METHODS: Data were gathered from four cohorts of patients using an iterative four-stage mixed-methods research design...
April 6, 2018: British Journal of Surgery
https://www.readbyqxmd.com/read/29622015/empathy-is-proprioceptive-the-bodily-fundament-of-empathy-a-philosophical-contribution-to-medical-education
#6
Florian Schmidsberger, Henriette Löffler-Stastka
BACKGROUND: The current philosophical debate on empathy entails accounts of theory of mind and simulation as well as a phenomenological opposition. The first focuses on a detached observation of others from a 3rd person perspective and formulates the common claim that there is no direct access to the mental and emotional life of others, only simulation or analogy can grant access to the emotions and behaviour of others. The philosophical respectively phenomenological account of Fuchs instead opposes by focusing personal interaction within a 1st or 2nd person perspective claiming that the emotions of others are experienceable through bodily expression and bodily resonance...
April 5, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29615175/differences-in-empathy-levels-of-medical-students-based-on-gender-year-of-medical-school-and-career-choice
#7
Nabia Tariq, Ali Tayyab, Tara Jaffery
OBJECTIVE: To measure mean empathy scores of Pakistani medical students and to explore any association of empathy scores with gender, medical school year and future career choice. STUDY DESIGN: Cross-sectional survey. PLACE AND DURATION OF STUDY: Shifa College of Medicine, Shifa Tameer-e-Millat University, during the academic year 2015-2016. METHODOLOGY: The student version of Jefferson Scale of Physician Empathy (JSPE) was distributed to the students electronically via the student portal...
April 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29600930/-report-of-the-dutch-national-health-council-on-chronic-fatigue-syndrome
#8
J W M van der Meer, M E Roerink, E M van de Putte
In our opinion, the recent report of the Dutch National Health Council on myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) lacks balance: it is very critical on the quality of evidence regarding behavioural interventions, but lacks a critical attitude regarding the presumed somatic components of the disorder. Without solid evidence, the report coins ME/CFS as a severe multisystem disease, and it embraces the diagnostic criteria of the American Institute of Medicine. We underscore the remarks in the report that physicians should not be reluctant to make diagnosis in patients with the disorder, and that these patients should be approached with empathy and respect...
2018: Nederlands Tijdschrift Voor Geneeskunde
https://www.readbyqxmd.com/read/29600570/medical-communication-the-views-of-simulated-patients
#9
William Laughey, Nora Sangvik Grandal, Gabrielle M Finn
CONTEXT: Simulated patients (SPs) are extensively used in the teaching of medical communication, both for students and doctors. They occupy a unique middle ground between patients and physicians: although free from the prejudices that medical training brings, they work closely with clinical tutors to promote the principles of patient-centred consulting. Despite this, there is relatively little research around their views on what makes for good communication practice. This study aims to address this gap in the literature through a qualitative analysis of SPs' opinions, especially in the context of medical student communication...
March 30, 2018: Medical Education
https://www.readbyqxmd.com/read/29587725/associations-between-emotional-intelligence-empathy-and-personality-in-japanese-medical-students
#10
Keiko Abe, Masayuki Niwa, Kazuhiko Fujisaki, Yasuyuki Suzuki
BACKGROUND: It is known that empathic communication is important for physicians to achieve higher patient satisfaction and health outcomes. Emotional intelligence (EI), empathy and personality in medical students predict students' individual disposition and their emotional and empathic perceptions. This study aimed to investigate: 1) The association between empathy, EI and personality, and 2) Gender differences in the association between empathy, EI and personality. METHOD: Participants were 357 1st year medical students from 2008 to 2011 at one medical school in Japan...
March 27, 2018: BMC Medical Education
https://www.readbyqxmd.com/read/29569136/how-to-clarify-the-aims-of-empathy-in-medicine
#11
Riana J Betzler
This paper argues that enthusiasm for empathy has grown to the point at which empathy has taken on the status of an "ideal" in modern medicine. We need to pause and scrutinize this ideal before moving forward with empathy training programs for medical students. Taking empathy as an ideal obscures the distinction between the multiple aims that calls for empathy seek to achieve. While these aims may work together, they also come apart and yield different recommendations about the sort of behavior physicians should cultivate in a given situation...
March 22, 2018: Medicine, Health Care, and Philosophy
https://www.readbyqxmd.com/read/29544729/application-of-a-mindfulness-program-among-healthcare-professionals-in-an-intensive-care-unit-effect-on-burnout-empathy-and-self-compassion
#12
R M Gracia Gozalo, J M Ferrer Tarrés, A Ayora Ayora, M Alonso Herrero, A Amutio Kareaga, R Ferrer Roca
OBJECTIVE: To evaluate the effect of a mindfulness training program on the levels of burnout, mindfulness, empathy and self-compassion among healthcare professionals in an Intensive Care Unit of a tertiary hospital. DESIGN: A longitudinal study with an intrasubject pre-post intervention design was carried out. SETTING: Intensive Care Unit of a tertiary hospital. PARTICIPANTS: A total of 32 subjects (physicians, nurses and nursing assistants) participated in the study...
March 12, 2018: Medicina Intensiva
https://www.readbyqxmd.com/read/29540874/cross-sectional-study-on-lifelong-learning-s-determinants-among-medical-students-in-rak-medical-health-sciences-university-uae
#13
Mustafa Afifi
OBJECTIVE: To find the association of Empathy, Self-Efficacy, and/or Hope with readiness for lifelong learning among medical students. METHODS: This cross-sectional descriptive study was conducted in 2016 at Ras Al-Khaimah Medical and Health Sciences University in the United Arab Emirates, and comprised medical students from all five years. A self-reporting questionnaire was used to collect socio-demographic data .Standard scales and analysis of variance test were used to compare the mean scores of different variables for different groups...
March 2018: JPMA. the Journal of the Pakistan Medical Association
https://www.readbyqxmd.com/read/29507472/patients-perceptions-of-gastroenterologists-attire-in-the-clinic-and-endoscopy-suite
#14
Matthew Clark, Asim Shuja, Ashley Thomas, Scott Steinberg, Joseph Geffen, Miguel Malespin, Silvio W de Melo
Background: Studying the role of gastroenterologists' attire can provide insight into patients' perceptions and help us optimize the physician-patient relationship. In this study we assessed patients' preference concerning gastroenterologists' attire, and its influence on patients' trust, empathy and perceptions of the quality of care in the clinic and endoscopic suite. Methods: A cross-sectional survey was conducted from August 2016 to February 2017. A total of 240 consecutive patients who presented to the Gastroenterology Department at the University of Florida in Jacksonville both in the clinic and endoscopic suite were included in this study...
March 2018: Annals of Gastroenterology: Quarterly Publication of the Hellenic Society of Gastroenterology
https://www.readbyqxmd.com/read/29498682/empathy-variation-in-general-practice-a-survey-among-general-practitioners-in-denmark
#15
Justin A Charles, Peder Ahnfeldt-Mollerup, Jens Søndergaard, Troels Kristensen
Background : Previous studies have demonstrated that high levels of physician empathy may be correlated with improved patient health outcomes and high physician job satisfaction. Knowledge about variation in empathy and related general practitioner (GP) characteristics may allow for a more informed approach to improve empathy among GPs. Objective : Our objective is to measure and analyze variation in physician empathy and its association with GP demographic, professional, and job satisfaction characteristics...
March 2, 2018: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/29490966/empathy-burn-out-and-the-use-of-gut-feeling-a-cross-sectional-survey-of-danish-general-practitioners
#16
Anette Fischer Pedersen, Mads Lind Ingeman, Peter Vedsted
OBJECTIVE: Research has suggested that physicians' gut feelings are associated with parents' concerns for the well-being of their children. Gut feeling is particularly important in diagnosis of serious low-incidence diseases in primary care. Therefore, the aim of this study was to examine whether empathy, that is, the ability to understand what another person is experiencing, relates to general practitioners' (GPs) use of gut feelings. Since empathy is associated with burn-out, we also examined whether the hypothesised influence of empathy on gut feeling use is dependent on level of burn-out...
February 28, 2018: BMJ Open
https://www.readbyqxmd.com/read/29490528/persistent-influence-of-a-narrative-educational-program-on-physician-attitudes-regarding-patient-care
#17
Jennifer N Stojan, Eleanor Y Sun, Arno K Kumagai
PURPOSE: Educational approaches involving patient stories aim at enhancing empathy and patient-centered care; however, it is not known whether the influence of such programs on physician attitudes persists beyond medical school. MATERIALS AND METHODS: The Family Centered Experience (FCE) paired preclinical medical students with patient families over two years and engaged students in reflective dialogs about the volunteers' stories. This study examined possible long-term influences on attitudes toward medicine and doctoring...
February 28, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29490523/the-empathy-tank-as-a-revised-model-for-fostering-empathy-in-medical-education
#18
Lester Liao, Edwin Cheng
Empathy has been difficult to sustain and foster in medical training. Based on empirical evidence and intuitive human experience, this paper proposes that empathy can be re-conceptualized as a dynamic reservoir, referred to as an "empathy tank." Physicians and learners who have personally experienced or received much empathy will naturally have a stronger tendency and greater capacity for empathy than others who have experienced little. These instances of empathy that fill the "empathy tank" can take the form of personal experiences, re-experiencing memories, and vicarious experiences...
February 28, 2018: Medical Teacher
https://www.readbyqxmd.com/read/29481341/is-physician-empathy-associated-with-differences-in-pain-and-functional-limitations-after-a-hand-surgeon-visit
#19
Thomas J M Kootstra, Suzanne C Wilkens, Mariano E Menendez, David Ring
BACKGROUND: In prior work we demonstrated that patient-rated physician empathy was the strongest driver of patient satisfaction after a visit to an orthopaedic hand surgeon. Data from the primary care setting suggest a positive association between physician empathy and clinical outcomes, including symptoms of the common cold. It is possible that an empathic encounter could make immediate and measureable changes in a patient's mindset, symptoms, and functional limitations. QUESTIONS/PURPOSES: (1) Comparing patients who rated their physicians as perfectly empathic with those who did not, is there a difference in pre- to postvisit change in Patient Reported Outcome Measurement Information System (PROMIS) Upper Extremity Function scores? (2) Do patients who gave their physicians perfectly empathic ratings have a greater decrease in pre- to postvisit change in Pain Intensity, PROMIS Pain Interference, and PROMIS Depression scores? METHODS: Between September 2015 and February 2016, based on the clinic patient flow, 134 new patients were asked to participate in this study...
April 2018: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/29480887/hand-posturing-is-a-nonverbal-indicator-of-catastrophic-thinking-for-finger-hand-or-wrist-injury
#20
Suzanne C Wilkens, Jonathan Lans, Claudia A Bargon, David Ring, Neal C Chen
BACKGROUND: Prior research documents that greater psychologic distress (anxiety/depression) and less effective coping strategies (catastrophic thinking, kinesophobia) are associated with greater pain intensity and greater limitations. Recognition and acknowledgment of verbal and nonverbal indicators of psychologic factors might raise opportunities for improved psychologic health. There is evidence that specific patient words and phrases indicate greater catastrophic thinking. This study tested proposed nonverbal indicators (such as flexion of the wrist during attempted finger flexion or extension of uninjured fingers as the stiff and painful finger is flexed) for their association with catastrophic thinking...
April 2018: Clinical Orthopaedics and related Research
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