文章基本信息

标题：Gender differences in the effect of medical humanities program on medical students’ empathy: a prospective longitudinal study
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作者：Michal Lwow ; Laura Canetti ; Mordechai Muszkat 等
期刊名称：BMC Medical Education
印刷版ISSN：1472-6920
出版年度：2020
卷号：20
期号：1
页码：413-421
DOI：10.1186/s12909-020-02333-9
出版社：BioMed Central
摘要：Background Previous studies have suggested that Medical students’ empathy declines during medical school, especially during the clinical studies. The aim of this study was to examine. Changes in medical students’ empathy during their first clinical experience, and to determine the impact of gender and humanities curriculum on empathy changes. Methods In this prospective longitudinal study, 262 4th year students from three consecutive classes were assessed. Empathy was assessed before and at 4th-year-end, using the Jefferson Scale of Physician Empathy-Student Version (JSPE-S). The three classes differed in humanities curriculum [limited Medical Humanities (MH (lim) ) vs. extended Medical Humanities (MH (ext) )], and in admission system [Personal Interview (PI) vs. multiple mini interviews (MMI)]. Results Overall, there was a small but significant decrease in JSPE-S during the fourth year (114.40 ± 11.32 vs. 112.75 ± 14.19, p = 0.034). Among men there was a statistically significant decline in JSPE-S during the fourth year, and the MH (ext) (but not the MH (lim) ) was associated with the decline ( t (35) = 2.38, p = 0.023). Women students showed no decline in empathy during the fourth-year of studies, regardless of type of humanities program. In addition, women who participated in MH (ext) had a higher JSPE-S scores during the 4th -year as compared to women who participated in MH (lim) . Conclusion Pre-clinical humanities program was associated with a decline in empathy among men medical students during the fourth-year of medical studies. Gender differences in response to medical humanities programs require further study.
关键词：Admission system;Empathy;Gender;Medical humanities