Empathy in Internal Medicine Residents at Community-based Hospitals: A Cross-sectional Study.
Empathy in Internal Medicine Residents at Community-based Hospitals: A Cross-sectional Study.
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DOI：
10.1177/2382120518771352
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发表时间：
2018-01
影响因子：
2.8
通讯作者：
Pawlaczyk B
中科院分区：
文献类型：
--
作者：
Foreback J;Kusz H;Lepisto BL;Pawlaczyk B
许多研究报告显示，医学院的同理心不断下降，这种情况在研究生的培训中仍在持续。本研究的目的是调查 3 家社区教学医院内科 (IM) 住院医师自我报告的共情水平。杰斐逊医生同理心量表（健康专业人士版本）是一份在线自我管理问卷，向密歇根州弗林特 1 个整骨疗法和 2 个对抗疗法 IM 培训项目的 129 名当前和即将入职的住院医师提供。 45 名居民做出了回应（回应率为 35%）。我们的住院医师的累积平均共情得分为 112.5，标准差为 12.72，与大学医院 IM 住院医师的累积共情得分相当。从培训开始水平、研究生第 0 年 (PGY0) 到 PGY1 水平，同理心得分有所增加，PGY2 和 PGY3 住院医师的同理心得分虽然在统计上不显着，但明显下降。与即将入学的居民相比，即将毕业的居民的分数更高。社区 IM 住院医师的累积平均共情得分显示，住院医师培训开始时共情得分有所增加，培训结束时共情得分有所下降。不同医院的培训水平不同，同理心得分存在显着差异。这可能与不同的目标课程有关。
Many research reports revealed declining empathy in medical schools that continues in postgraduate years of training. The aim of this study is to examine the self-reported empathy levels of internal medicine (IM) residents in 3 community-based teaching hospitals. The Jefferson Scale of Physician Empathy, Health Professionals version, is an online, self-administered, questionnaire that was offered to 129 current and incoming residents at 1 osteopathic and 2 allopathic, IM training programs in Flint, Michigan. Forty-five residents responded (35% response rate). Our residents’ cumulative mean empathy score was 112.5 with a SD of 12.72, which is comparable with the cumulative empathy scores for IM residents at university hospitals. There was an increase in empathy score from the beginning level of training, postgraduate year 0 (PGY0), to the PGY1 level, and a noticeable, although statistically non-significant, decrease in empathy score for both PGY2 and PGY3 residents. The graduating residents’ scores were higher compared with incoming residents. The cumulative mean empathy score in community-based IM residents showed an increase in the beginning of residents’ training and decrease in empathy score by the end of training. There were significant differences in empathy scores by level of training at individual hospitals. This might be related to different targeted curricula.
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