Join us for a conversation with Fazlur Rahman, a hematology-oncology physician and author of Our Connected Lives. In this episode, we explore how Fazlur's journey from physician to patient transformed his understanding of empathy.
He reflects on the importance of personal connection in medicine, the impact of a lack of empathy on both doctors and patients, and the need for medical education to include the humanities to foster compassionate care. This episode dives deep into the role empathy plays in improving patient outcomes and doctor-patient relationships.
A centre which is pioneering medical education that creates compassionate doctors and nurses for the NHS is expanding its team.
The Stoneygate Centre for Empathic Healthcare, based at the University of Leicester, is at the forefront of world-leading research into empathic healthcare education for medical staff and how it benefits healthcare professionals and leads to better outcomes for patients.
Its award-winning team has developed a range of courses which are driving forward empathic healthcare training for medical students and established healthcare professionals across the UK.
Spirituality has religious and nonreligious dimensions and is often linked to well-being, positive emotions, connection and meaning in life. Both empathy and resilience are important in medical training and future professional practice since they are considered core skills related to professionalism and patient care. Our study aimed to understand the relationships among spirituality, resilience, and empathy in medical students. We also aimed to determine whether there are differences by gender and between medical students in different years of a medical program.
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We all prefer a doctor who listens to our concerns and expresses compassion for our suffering. But does physician empathy actually have a lasting impact on a patient’s health?
Empathy appears to decline among some medical students over the duration of their medical school training, and doctors often miss opportunities to offer it due to time constraints. Physicians also seem to show less empathy toward patients in lower socioeconomic groups and from non-white races. But they might be missing an important therapeutic tool.
Unfortunately, when it comes to the world of medicine and health care, there is not a clear-cut standard for kindness or empathy. Are most doctors more humane or less so?
While many complain that their doctors are no longer accessible or compassionate and are too tied into the technology and computerization of our time, at the same time others believe that empathy training in medical schools has turned out more caring practitioners.
Question Is physician empathy associated with the outcomes of patients with chronic pain?
Findings In this cohort study that included 1470 adults with chronic low back pain, patients treated by very empathic physicians reported having significantly better and clinically relevant outcomes pertaining to pain, function, and health-related quality of life over 12 months compared with patients treated by slightly empathic physicians. Physician empathy was more strongly associated with favorable outcomes than were nonpharmacological treatments, opioid therapy, and lumbar spine surgery.
Meaning These findings suggest that physician empathy is an important aspect of the patient-physician relationship and was associated with better outcomes among patients with chronic pain.
Abstract Importance Empathy is an aspect of the patient-physician relationship that may be particularly important in patients with chronic pain.
By Melissa Rudy Why the difference? Dr. Marc Siegel, clinical professor of medicine at NYU Langone Medical Center and a Fox News medical contributor, was not involved in the study but called the findings "fascinating."
"Women tend to have a higher empathy quotient, which can impact patient care and diagnosis and treatment directly," he told Fox News Digital.
Dr. Rushaniya Khairova, a psychiatrist, talks about the power of empathy in patient care and overcoming the stigma of mental health. Dr. Khairova has extensive experience in women’s reproductive mental health. She is the director of the SLUCare Women's Reproductive Health Clinic, where she treats patients with mood and anxiety disorders during pregnancy and the postpartum period, using medications as well as psychotherapy.
Empathy is widely recognised as an important element of medical practice contributing to patient outcomes and satisfaction. It is also an important element of collaborative work in a healthcare team.
However, there is evidence to suggest that empathy towards patients declines over time, particularly in surgical specialities. There is little qualitative research on this decline in surgical trainees, particularly in the UK.
Therefore, the aim of this study was to explore how trainee surgeons experience empathy over the course of their career, both towards patients and colleagues and how they perceive it in others.
Abstract The “hidden curriculum” in medical school includes a stressful work environment, un-empathic role models, and prioritisation of biomedical knowledge. It can provoke anxiety and cause medical students to adapt by becoming cynical, distanced and less empathic. Lower empathy, in turn, has been shown to harm patients as well as practitioners.
Fortunately, evidence-based interventions can counteract the empathy dampening effects of the hidden curriculum. These include early exposure to real patients, providing students with real-world experiences, training role models, assessing empathy training, increasing the focus on the biopsychosocial model of disease, and enhanced wellbeing education.
Here, we provide an overview of these interventions. Taken together, they can bring about an “empathic hidden curriculum” which can reverse the decline in medical student empathy.
In a rapidly evolving healthcare landscape, where technology and artificial intelligence are making significant strides in improving patient care and reducing administrative tasks, the importance of human connection and empathy in the healing process cannot be overstated. A heartwarming story that beautifully encapsulates this sentiment is the journey of mutual healing and support between a patient and a doctor.
The Essential Role of Human Connection and Empathy in Healing
These heartwarming stories underscore the crucial role of human connection and empathy in healthcare. They serve as a reminder that while advancements in technology and medicine are crucial, the human element remains irreplaceable. The healing journey is often a shared one, and it is through empathy, connection, and mutual support that both patients and doctors can find solace, strength, and ultimately, healing.
Abstract Background: Practitioners who deliver enhanced empathy may improve patient satisfaction with care. Patient satisfaction is associated with positive patient outcomes ranging from medication adherence to survival.
Purpose: To evaluate the effect of health care practitioner empathy on patient satisfaction, using a systematic review of randomized trials.
Conclusion:
Various empathy interventions have been studied to improve patient satisfaction. Development, testing, and reporting of high-quality studies within well-defined contexts is needed to optimize empathy interventions that increase patient satisfaction.
A school year is 180 days, with no two days and no two schools exactly alike. The students differ, the teachers differ, school cultures differ. Here, our photographers find what makes our school days anything but ordinary, the people and programs and events that make a difference, school day in and school day out.
Check back to lohud.com for our lohud in our schools feature each Monday.
Conclusion A declining empathy trend was observed among medical students, which then plateaued among residents. Additionally, residents in technology-oriented specialties may require empathy enhancements due to their ongoing patient consultations. Addressing these issues requires collaborative planning between students and teachers to foster empathy throughout the medical curriculum.
Empathetic children aged 7-9 show poorer health and higher inflammation levels when exposed to interparental conflict. The research highlights the physiological impact of empathy in stressful home environments. The findings suggest a need for educational programs to help empathetic children set boundaries. This could improve their long-term health outcomes.
Key Facts:
Health Impact: Empathetic children exposed to parental conflict have higher inflammation levels.
Study Details: Involved 106 children aged 7-9, assessing empathy, conflict perception, and health.
Educational Implications: Suggests teaching empathetic children to set boundaries for better health.
Empathy is an important skill that can impact patient and future practitioner health. By showing that empathy may decline, and when this decline is likely to occur, this study provides a rationale for introducing targeted empathy enhancing interventions to medical students.
Empathy scores varied across different years of medical school (P ≤ 0.001), with a small drop in empathy between the pre-clinical and clinical phases of medical school (Mean difference = 1.82, P = 0.025). Male students scored lower than female students and there was no statistically significant difference between the mean empathy score and speciality interest.
Conclusions Students' empathy appeared declined slightly as they progressed through medical school. As a crucial component of good clinical care, interventions in medical education to enhance empathy should be prioritised.
April 16, 2024 - Clinician empathy could be a key pain reliever for patients experiencing chronic pain, with a recent study in JAMA Network Open outlining how greater perceptions of empathy from their physicians were linked to lower reported pain levels.
To be clear, empathy doesn’t have the same physiological effects as taking ibuprofen or other pain medicine. But in the chronic pain space, where patient-reported outcomes are key, patients with a better relationship with a provider they think is empathic may be more likely to discuss their pain levels. That opens fresh doors for reconsidering pain management and treatment, the researchers indicated.
Based on the results, researchers encouraged physicians to be more empathetic during chronic pain encounters. However, there is a debate on whether physician empathy can be taught.
Physician empathy was inversely associated with several health outcomes among adults with chronic low back pain, such as pain intensity and back-related disability, a study demonstrated.
Introduction Empathy is considered the ability to understand or feel others emotions or experiences. As an important part of medical education, empathy can affect medical students in many ways. It is still lacking a comprehensive evaluation of the existing articles on empathy’s impact on medical students, despite the existence of many articles on the topic.
Objectives To summarize the impact of empathy on medical students during medical education from four perspectives: mental health, academic performance, clinical competence, and specialty preference.
Dr. Helen Riess is Associate Clinical Professor of Psychiatry at Harvard Medical School and Director of Empathy Research and Training in the Psychotherapy Research Group at Massachusetts General Hospital. She is also Founder and Chief Executive Officer at Empathetics, a company that provides science-based empathy and interpersonal skills training for healthcare professionals. Her research focuses on improving empathy and relational skills in physicians.
Who is the course for: Leaders in healthcare education with an interest in developing, improving and delivering empathy-focussed training in undergraduate and postgraduate curricula.
This innovative and pioneering training course provides clinicians, educators and academics with the skills needed to effectively teach empathy to healthcare students and practitioners. In addition, attendees will learn to support others to recognise the barriers and challenges to embedding empathy across the systems they work in, and to develop effective strategies for overcoming them.
Aims of the course
Explore different educational models for teaching empathy.
Identify and discuss issues of pedagogy, curriculum design, development and evaluation.
Enable the embedding of empathic healthcare education within your institution.
Extend and advance participants’ existing critical appraisal and teaching skills.
Develop understanding of the components of an effective curriculum for empathic
Abstract The “hidden curriculum” in medical school includes a stressful work environment, un-empathic role models, and prioritisation of biomedical knowledge. It can provoke anxiety and cause medical students to adapt by becoming cynical, distanced and less empathic. Lower empathy, in turn, has been shown to harm patients as well as practitioners.
Fortunately, evidence-based interventions can counteract the empathy dampening effects of the hidden curriculum. These include early exposure to real patients, providing students with real-world experiences, training role models, assessing empathy training, increasing the focus on the biopsychosocial model of disease, and enhanced wellbeing education.
Here, we provide an overview of these interventions. Taken together, they can bring about an “empathic hidden curriculum” which can reverse the decline in medical student empathy.
A review of 14 studies has found that empathetic care is associated with improved patient satisfaction, a metric linked to important implications for patient outcomes. However, strong conclusions were limited by quality and applicability of evidence. The review is published in Annals of Internal Medicine.
Increased patient satisfaction is associated with improved survival after myocardial infarction; reduced hospital readmission; higher general quality of care; better patient safety; and other outcomes. It has also been reported to improve medication adherence. Hospital reimbursement is also often linked to patient satisfaction scores. Research on health care practitioner empathy—which is commonly taken to involve understanding, expressing understanding, and therapeutic action—may provide important insights for improving the metric of patient satisfaction.
Background: The aim of the study was to measure empathy in healthcare professionals in Singapore and to compare the scores between the different professions: doctors, nurses, and allied health professionals.
Methods: An online survey questionnaire was conducted using the Jefferson Scale of Empathy (JSE) from July 2019 to January 2020. The total JSE score was calculated and compared among the different groups. Multiple linear regression was performed to assess predictors of total empathy scores for groups with statistically lower scores.
Conclusion: Nurses in Singapore had significantly lower empathy scores compared to doctors and allied health professionals. Further research on the underlying causes should be undertaken and measures to improve empathy among Singapore nursing staff should be explored and implemented.
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