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The impact of simulated medical consultations on the empathy levels of students at one medical school.
Schweller, Marcelo; Costa, Felipe Osorio; Antônio, Maria Ângela R G M; Amaral, Eliana M; de Carvalho-Filho, Marco Antonio.
Afiliação
  • Schweller M; Dr. Schweller is assistant professor, Department of Emergency Medicine, Faculty of Medical Sciences, State University of Campinas (Unicamp), Campinas, Brazil. Dr. Costa is assistant professor, Department of Oncology, Faculty of Medical Sciences, State University of Campinas (Unicamp), Campinas, Brazil. Dr. Antônio is professor of medicine, Department of Pediatrics, Faculty of Medical Sciences, State University of Campinas (Unicamp), Campinas, Brazil. Dr. Amaral is professor of medicine, Departme
Acad Med ; 89(4): 632-7, 2014 Apr.
Article em En | MEDLINE | ID: mdl-24556779
PURPOSE: To examine the impact of simulated medical consultations using standardized patients (SPs) on the empathy levels of fourth- and sixth-year students at the Unicamp medical school in Brazil. METHOD: Throughout 2011 and 2012, the authors conducted this study with two classes of fourth-year (n = 124) and two classes of sixth-year (n = 123) medical students. Students completed the medical student version of the Jefferson Scale of Physician Empathy before and after simulated medical consultations with SPs, followed by an in-depth debriefing dealing with the feelings of the patient about the disease, such as fear, guilt, anger, and abandonment; the feelings of the doctor towards the patient; and other topics as they arose. RESULTS: The simulation activity increased the empathy scores of the fourth-year students (from 115.8 to 121.1, P < .001, effect size = 0.61) and of the sixth-year students (from 117.1 to 123.5, P < .001, effect size = 0.64). CONCLUSIONS: Although the study results were obtained via self-report-a limitation-they suggest that the effective simulation of medical consultations with SPs may improve medical students' empathy levels. One unexpected result was that this activity, during the debriefing, became a forum for debating topics such as the doctor-patient relationship, the hidden curriculum, negative role models, and emotionally significant experiences of students in medical school. This kind of activity in itself may influence young doctors to become more empathetic and compassionate with their patients and foster a more meaningful way of practicing medicine.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Encaminhamento e Consulta / Estudantes de Medicina / Simulação de Paciente / Educação de Graduação em Medicina / Empatia Tipo de estudo: Prognostic_studies Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Acad Med Assunto da revista: EDUCACAO Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Encaminhamento e Consulta / Estudantes de Medicina / Simulação de Paciente / Educação de Graduação em Medicina / Empatia Tipo de estudo: Prognostic_studies Limite: Adult / Female / Humans / Male País/Região como assunto: America do sul / Brasil Idioma: En Revista: Acad Med Assunto da revista: EDUCACAO Ano de publicação: 2014 Tipo de documento: Article País de publicação: Estados Unidos