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Humanism: is its evaluation captured in commonly used performance measures?

L C Coutts1, J C Rogers

  • 1Department of Family & Community Medicine, 5510 Greenbriar, Baylor College of Medicine, Houston, Texas, 77005 USA.

Teaching and Learning in Medicine
|March 7, 2001
PubMed
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Medical student humanism shows a low but positive correlation with performance measures. More humanistic students tend to perform better, but current assessments may not capture low humanism scores.

Area of Science:

  • Medical Education
  • Humanistic Psychology
  • Healthcare Performance Assessment

Background:

  • Growing recognition of humanistic behavior's importance in medical education.
  • Limited understanding of the relationship between humanism and student performance metrics.

Purpose of the Study:

  • To investigate the correlation between medical student humanism and common performance measures.
  • To ascertain if higher humanism scores correlate with better academic and clinical performance.

Main Methods:

  • Physician Humanism Scale used to assess 428 students during a Family Medicine clerkship.
  • Performance evaluated using standardized patients, preceptors, assignments, and a national knowledge exam.
  • Correlation analysis between humanism scores and various performance indicators.

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Main Results:

  • Humanism scores showed a significant positive correlation with all performance measures, though coefficients were low (0.12-0.31).
  • Students in the lowest humanism quartile performed significantly worse across local and national assessments (p < .018).
  • Very low humanism scores did not preclude passing other performance evaluations.

Conclusions:

  • Humanism is a distinct construct, providing unique information not captured by current performance measures.
  • While more humanistic students generally perform better, existing measures may fail to identify those with the lowest humanism.
  • Recommends incorporating humanism as a separate, independent performance metric in medical education.