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AHMADIAN YAZDI, NAHID, BIGDELI, SHOALEH, SOLTANI ARABSHAHI, KAMRAN, GHAFFARIFAR, SAEIDEH. (1397). The influence of role-modeling on the clinical empathy of medical interns: A qualitative study. سامانه مدیریت نشریات علمی, 7(1), 35-41. doi: 10.30476/jamp.2019.41043
NAHID AHMADIAN YAZDI; SHOALEH BIGDELI; KAMRAN SOLTANI ARABSHAHI; SAEIDEH GHAFFARIFAR. "The influence of role-modeling on the clinical empathy of medical interns: A qualitative study". سامانه مدیریت نشریات علمی, 7, 1, 1397, 35-41. doi: 10.30476/jamp.2019.41043
AHMADIAN YAZDI, NAHID, BIGDELI, SHOALEH, SOLTANI ARABSHAHI, KAMRAN, GHAFFARIFAR, SAEIDEH. (1397). 'The influence of role-modeling on the clinical empathy of medical interns: A qualitative study', سامانه مدیریت نشریات علمی, 7(1), pp. 35-41. doi: 10.30476/jamp.2019.41043
AHMADIAN YAZDI, NAHID, BIGDELI, SHOALEH, SOLTANI ARABSHAHI, KAMRAN, GHAFFARIFAR, SAEIDEH. The influence of role-modeling on the clinical empathy of medical interns: A qualitative study. سامانه مدیریت نشریات علمی, 1397; 7(1): 35-41. doi: 10.30476/jamp.2019.41043

The influence of role-modeling on the clinical empathy of medical interns: A qualitative study

Journal of Advances in Medical Education & Professionalism
مقاله 6، دوره 7، شماره 1، فروردین 2019، صفحه 35-41    اصل مقاله (431.64 K)
شناسه دیجیتال (DOI): 10.30476/jamp.2019.41043
نویسندگان
NAHID AHMADIAN YAZDI* 1؛ SHOALEH BIGDELI1؛ KAMRAN SOLTANI ARABSHAHI1؛ SAEIDEH GHAFFARIFAR2
1Center For Educational Research in Medical Sciences (CERMS), Iran University of Medical Sciences, Tehran, Iran; Department of Medical Education, Faculty of Medicine, Iran University of Medical Sciences, Tehran, Iran
2Medical Education Research Center, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, Iran
چکیده
Introduction: Clinical empathy ascertains the quality of doctorpatientrelationship and entails beneficial outcomes for bothparties. Role-modeling is a major factor in promoting clinicalempathy skills of medical students. The present study attemptedto explain the importance of role-modeling in clinical empathy ofmedical interns. It was also intended to obtain a better and moreprofound understanding of the subject based on the experiencesof medical interns.
Methods: In this qualitative conventional content analysis, semistructuredindividual interviews were conducted with 14 medicalinterns and 6 clinical professors. The participants were selected bypurposive sampling. All interviews were recorded, transcribed,and analyzed. Trustworthiness, credibility, and confirmability ofthe data were confirmed.
Results: Data analysis led to the emergence of a theme called rolemodeling,and two subcategories: “advertent role-modeling” and“inadvertent role-modeling”. Advertent role-modeling included“influenced by the charismatic personality of professors”, “critiqueof faculty members’ communicative behaviors with patients”, and“observation of the faculty members’ performance”. Inadvertentrole-modeling included “crystallization of human values incommunication behaviors” and “compliance with hierarchicalbehavior”.
Conclusion: Role-modeling was the main theme of the presentstudy. To improve clinical empathy skills, particular attentionshould be paid to role-modeling. Informing clinical professorsand medical students on role-modeling, strengthening students’empathetic behaviors by role model professors, and recruitmentof professors with strong communication skills are among therecommended strategies of this study.
کلیدواژه‌ها
Medical students؛ Empathy؛ Role-modeling؛ Qualitative study
مراجع
  1. Chen D, Lew R, Hershman W, Orlander DA. A Cross-sectional measurement of medical student empathy. J Gen Intern Med. 2007;22(10):1434-8.https://doi.org/10.1007/s11606-007-0298-x
  2. Canale S, Louis D, Maio V. The relationship between physician empathy and disease complications: an empirical study of primary care physicians and their diabetic patients in Parma. Acad Med. 2012;87:1243-9.https://doi.org/10.1097/ACM.0b013e3182628fbf
  3. Kataoka H, Koide N, Hojat M, Gonnella J. Measurement and correlates of empathy among female Japanese physicians. BMC Med Educ. 2012;12(48). https://doi.org/10.1186/1472-6920-12-48
  4. Neumann M, Bensing J, Mercer S, Ernstmann N, Ommen O, Pfaff H. Analyzing the "nature" and "specific effectiveness" of clinical empathy: a theoretical overview and contribution towards a theory-based research agenda. Patient Educ&Couns. 2009;74(3):339-46. https://doi.org/10.1016/j.pec.2008.11.013
  5. Aomatsu M, Otani T, Tanaka A, Ban N, Valen J. Medical students' and residents' conceptual structure of empathy: A qualitative study. Educ Heal, 2013;26(1):4-8.https://doi.org/10.4103/1357-6283.112793
  6. Hojat M, Louis DZ, Maxwell K. A brief instrument to measure patients' overall satisfaction with primary care physicians. 2011; 43(6): 412–417. Fam Med. 2011;43(6):412-17
  7. Mercer SW, Neumann M, Wirtz M, Fitzpatrick B, Vojt G. General practitioner empathy, patient enablement, and patient-reported outcomes in primary care in an area of high socio-economic deprivation in Scotland-A pilot prospective study using structural equation modeling. Patient Educ&Couns. 2008;73(2):240-5.https://doi.org/10.1016/j.pec.2008.07.022
  8. Rakel D, Barrett B, Zhang Z, Theresa Hoeft T, Chewningd B, Marchanda L, et al. Perception of empathy in the therapeutic encounter: Effects on the common cold. Patient Educ&Couns. 2011;85(3):390-7. https://doi.org/10.1016/j.pec.2011.01.009
  9. Thomas MR, Dyrbye LN, Huntington JL. How do distress and well-being relate to medical student empathy? A multicenter study. J Gen Intern Med, 2007;22:177–183. 2007;22:177-83.https://doi.org/10.1007/s11606-006-0039-6
  10. Newton BW. Walking a fine line: is it possible to remain an empathic physician and have a hardened heart? Front Hum Neurosci,2013;7:233. https://doi.org/10.3389/fnhum.2013.00233
  11. Tavakol S, Dennick R, Tavakol M. Medical students' understanding of empathy: a phenomenological study. Med Educ. 2012;46:306-16.https://doi.org/10.1111/j.1365-2923.2011.04152.x
  12. Berg K, Majdan J, Berg D. Medical students' self-reported empathy and simulated patients' assessments of student empathy: An analysis by gender and ethnicity. Acad Med. 2011;86:984-8.https://doi.org/10.1097/ACM.0b013e3182224f1f
  13. Passi V, Johnson N. The hidden process of positive doctor role modeling. Med Teach. 2015;38(7):700-7.https://doi.org/10.3109/0142159X.2015.1087482
  14. Wright SM, Carrese JA. Which values do attending physicians try to pass on to house officers? Med Educ, 2001;35:941-5.https://doi.org/10.1111/j.1365-2923.2001.01018.x
  15. Wright S, Wong A, Newil C. The impact of role model on medical students. Gen Intern Med. 1997;15:53-6. https://doi.org/10.1007/s11606-006-0007-1
  16. Yazigi A, Nasr M, Sleilaty G, Nemr E. Clinical teachers as role models: perceptions of interns and residents in a Lebanese medical school. Med Educ. 2006;40(7):654-61.https://doi.org/10.1111/j.1365-2929.2006.02502.x
  17. Pedersen R. Empirical research on empathy in medicine-A critical review. Patient Educ&Couns 2009;76:307-22. https://doi.org/10.1016/j.pec.2009.06.012
  18. Hsieh HF, Shannon SE. Three approaches to qualitative content analysis. Qual heal research. 2005;15(9):1277-88. https://doi.org/10.1177/1049732305276687
  19. Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures, and measures to achieve trustworthiness. Nurse Educ today. 2004;24(2):105-12.
  20. https://doi.org/10.1016/j.nedt.2003.10.001
  21. Shapiro J, Morrison E, Boker J. Teaching Empathy to First Year Medical Students: Evaluation of an Elective Literature and Medicine Course. Educ Heal, 2004;17(1):73. https://doi.org/10.1080/13576280310001656196
  22. Skeff KM, Mutha S. Role models: Guiding the future of medicine. New England Journal of Medicine. 1998;339(27). https://doi.org/10.1056/NEJM199812313392710
  23. Ahrweiler F, Neumann M, Goldblatt H, Hahn E, Scheffer C. Determinants of physician empathy during medical education: hypothetical conclusions from an exploratory qualitative survey of practicing physicians. BMC Med Educ. 2014;14:122. https://doi.org/10.1186/1472-6920-14-122
  24. Lempp H, Seale C. The hidden curriculum in undergraduate medical education: a qualitative study of medical students' perceptions of teaching. BMJ 2004;329:770-3. https://doi.org/10.1136/bmj.329.7469.770
  26. Esteghamati AR, Baradaran HR, Monajemi AR, Khankeh HR, Geranmayeh M, . J. Core components of clinical education: a qualitative study with attending physicians and their residents. Adv Med Educ Prof. 2016;4(2):64-71.
  27. Goldie J, Dowie A, Goldie A, Cotton P, Morrison J. What makes a good clinical student and teacher? An exploratory study. BMC Med Educ. 2015;15:40. https://doi.org/10.1186/s12909-015-0314-5
  28. Hojat M, Nasca T, Magee M, Feeney K, Pascual R, Urbano F, et al. A comparison of the personality profiles of internal medicine residents, physician role models, and the general population. Acad Med. 1999;74:54-60 https://doi.org/10.1097/00001888-199912000-00017
  29. Bolkan S, Goodboy AK. Communicating Charisma in Instructional Settings: Indicators and Effects of Charismatic Teaching. College Teach. 2014;62(4):136-42. https://doi.org/10.1080/87567555.2014.956039
  30. Goodboy A, Bolkan S. Leadership in the college classroom: The use of charismatic leadership as a deterrent to student resistance strategies. Class Interac. 2011;46(2):4-10.
  31. Curry SE, Cortland CI, Graham MJ. Role-modelling in the operating room: medical student observations of exemplary behavior. Med Educ. 2011;45(9):946-57. https://doi.org/10.1111/j.1365-2923.2011.04014.x
  32. Greenstock L, Brooks P, Malloy E, Fiddes P, Fraser C. Medical students'perceptions of role models on clinical placements. Clin Teach. 2014;11:104-8. https://doi.org/10.1111/tct.12063
  33. Sternszus R, Cruess SR. Learning from role modelling: making the implicit explicit. The Lancet. 2016;387(10025):1257-8. https://doi.org/10.1016/S0140-6736(16)00381-0
  34. Passi V, Johnson S, Peile E, Wright S, Hafferty F, Johnson N. Doctor role modelling in medical education: BEME Guide No. 27. Med Teach. 2013;35(9):e1422-36. https://doi.org/10.3109/0142159X.2013.806982
  35. Cruess SR, Cruess RL, Steinert Y. Role modelling making the most of a powerful teaching strategy. BMJ. 2008;336(7646):718-21. https://doi.org/10.1136/bmj.39503.757847
  36. Passi V, Johnson N. The impact of positive doctor role modeling. Med Teach. 2016;38(11):1139-45. https://doi.org/10.3109/0142159X.2016.1170780
  37. Harden RM, Dent JA. A practical guide for medical teachers. Dundee: Elsevier churchill livingstone; 2013
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