Empathy in medical students as related to academic performance, clinical competence and gender.
BACKGROUND
Empathy is a major component of a satisfactory doctor-patient relationship and the cultivation of empathy is a learning objective proposed by the Association of American Medical Colleges (AAMC) for all American medical schools. Therefore, it is important to address the measurement of empathy, its development and its correlates in medical schools.


OBJECTIVE
We designed this study to test two hypotheses: firstly, that medical students with higher empathy scores would obtain higher ratings of clinical competence in core clinical clerkships; and secondly, that women would obtain higher empathy scores than men.


METHODS
A 20-item empathy scale developed by the authors (Jefferson Scale of Physician Empathy) was completed by 371 third-year medical students (198 men, 173 women).


METHODS
Associations between empathy scores and ratings of clinical competence in six core clerkships, gender, and performance on objective examinations were studied by using t-test, analysis of variance, chi-square and correlation coefficients.


RESULTS
Both research hypotheses were confirmed. Empathy scores were associated with ratings of clinical competence and gender, but not with performance in objective examinations such as the Medical College Admission Test (MCAT), and Steps 1 and 2 of the US Medical Licensing Examinations (USMLE).


CONCLUSIONS
Empathy scores are associated with ratings of clinical competence and gender. The operational measure of empathy used in this study provides opportunities to further examine educational and clinical correlates of empathy, as well as stability and changes in empathy at different stages of undergraduate and graduate medical education.
Hojat
M
M
Center for Research in Medical Education and Health Care, Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA. Mohammadreza.Hojat@mail.tju.edu
Gonnella
J S
JS
Mangione
S
S
Nasca
T J
TJ
Veloski
J J
JJ
Erdmann
J B
JB
Callahan
C A
CA
Magee
M
M
D000704:Analysis of Variance; D016009:Chi-Square Distribution; D002983:Clinical Competence; D004504:Education, Medical, Undergraduate / Q000592:standards*; D004645:Empathy; D005260:Female; D006801:Humans; D008297:Male; D010817:Physician-Patient Relations; D015203:Reproducibility of Results; D012723:Sex; D013337:Students, Medical / Q000523:psychology*