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The integrated curriculum and student empathy: a longitudinal multi-cohort analysis
Christiane R Herber-Valdez1,2, Julie A Blow3, Tammy T Salazar4,5
1Office of Academic Affairs, Texas Tech University Health Sciences Center at El Paso, 5001 El Paso Drive, El Paso, TX, 79905, USA. Christiane.herber-valdez@ttuhsc.edu.
Medical student empathy in the U.S. does not decline by program end, contrary to some studies. Early and continuous patient interaction in integrated curricula may protect empathy levels throughout medical education.
Area of Science:
- Medical Education Research
- Empathy in Healthcare Professionals
- Longitudinal Study Design
Background:
- Previous U.S. studies indicate empathy erosion in medical students during clinical years.
- International studies have not consistently confirmed this empathy decline.
- Early and extensive patient interaction is hypothesized to be an empathy-protective factor.
Purpose of the Study:
- To longitudinally assess empathy trajectories in U.S. medical students.
- To investigate if empathy declines in the third and fourth years of medical school.
- To examine the impact of an integrated curriculum with early patient contact on empathy.
Main Methods:
- Longitudinal assessment of empathy in six student cohorts (N=493) from 2010-2019.
- Utilized the Jefferson Scale of Physician Empathy-Student version at five time points.
- Employed Analysis of Variance (ANOVA) and Linear Mixed Model (LMM) for data analysis.
Main Results:
- Empathy levels did not show an overall decline by the end of the medical program.
- Empathy trajectories varied among cohorts, but none demonstrated a significant decrease.
- LMM analysis indicated empathy was significantly higher or unchanged at program completion.
Conclusions:
- Empathy in U.S. medical students can be maintained or increased by the end of their education.
- Findings support the context-specific nature of empathy development in medical training.
- Early and integrated patient interaction may be crucial for preserving empathy.
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