The Effect of Reflection Rounds on Medical Students’ Empathy

Main Article Content

Fred MarkhamJr, M.D. Erica Westlake, B.S. Jennifer DeSantis, M.Ed.

Abstract

Background: Students’ decline in empathy during medical school raises concerns. Empathic physician-patient interactions positively impact health outcomes and patient satisfaction, while improving job satisfaction and reducing physician burnout. Reflection Rounds may be suitable for maintaining student empathy during training.


 


Hypothesis: Our hypothesis was Reflection Rounds would increase empathy scores of MS3s and results would vary by gender.


 


Methods: MS3s completed the Jefferson Scale of Empathy upon starting and finishing their clerkship. Students in the experimental group attended four 1-hour sessions, led by a clinician and pastoral team member. The control group did not attend sessions. 


 


Results: No significant difference in baseline empathy scores was found between the two groups. There was a significant increase in student empathy scores among the experimental group, improving mean score from 114.1 to 116.5, p-value of 0.04. There were no significant changes among the students who did not participate in Reflection Rounds. Differences were found according to gender, with women scoring higher overall than men at baseline and increasing after sessions.


 


Conclusion: These results indicate that Reflection Rounds can improve the empathy of medical students, and warrant further investigation into their effects and utility within medical education.

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How to Cite
MARKHAMJR, Fred; WESTLAKE, Erica; DESANTIS, Jennifer. The Effect of Reflection Rounds on Medical Students’ Empathy. Medical Research Archives, [S.l.], v. 9, n. 7, july 2021. ISSN 2375-1924. Available at: <https://esmed.org/MRA/mra/article/view/2506>. Date accessed: 19 may 2022. doi: https://doi.org/10.18103/mra.v9i7.2506.
Section
Research Articles

References

1. Neumann M, Edelhäuser F, Tauschel D, Fischer MR, Wirtz M, Woopen C, Haramati A, Scheffer C. 2011. Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 86:996–1009.

2. Gaufberg EH, Batalden M, Sands R, Bell SK. 2010. The hidden curriculum: what can we learn from third-year medical student narrative reflections? Acad Med. 85:1709–1716.

3. Vogel D, Meyer M, Harendza S. 2018. Verbal and non-verbal communication skills including empathy during history taking of undergraduate medical students. BMC Med Educ. 18:157.

4. Hojat M, Mangione S, Nasca TJ, Rattner S, Erdmann JB, Gonnella JS, Magee M. 2004. An empirical study of decline in empathy in medical school. Med Educ. 38:934–941.

5. Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK, Isenberg GA, Veloski J, Gonnella JS. 2009. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med. 84:1182–1191.

6. Hojat M. 2016. Empathy in health professions education and patient care. Cham: Springer International Publishing.

7. Rosenthal S, Howard B, Schlussel YR, Herrigel D, Smolarz BG, Gable B, Vasquez J, Grigo H, Kaufman M. 2011. Humanism at heart: preserving empathy in third-year medical students. Acad Med. 86:350–358.

8. MacPherson H, Mercer SW, Scullion T, Thomas KJ. 2003. Empathy, enablement, and outcome: an exploratory study on acupuncture patients’ perceptions. J Altern Complement Med. 9:869–876.

9. Mercer SW, Reynolds WJ. 2002. Empathy and quality of care. Br J Gen Pract. 52 Suppl:S9-12.

10. Hojat M, Louis DZ, Markham FW, Wender R, Rabinowitz C, Gonnella JS. 2011. Physicians’ empathy and clinical outcomes for diabetic patients. Acad Med. 86:359–364.

11. Green MJ. 2015. Comics and medicine: peering into the process of professional identity formation. Acad Med. 90:774–779.

12. Puchalski, C, Blatt, B, Doucette, A, Dougherty RM, Dietrich, W, & Larsh, G. 2014. G-TRR Reflection Rounds Team Member Handbook.

13. Bachmann C, Barzel A, Roschlaub S, Ehrhardt M, Scherer M. 2013. Can a brief two-hour interdisciplinary communication skills training be successful in undergraduate medical education? Patient Educ Couns. 93:298–305.

14. Batt-Rawden SA, Chisolm MS, Anton B, Flickinger TE. 2013. Teaching empathy to medical students: an updated, systematic review. Acad Med. 88:1171–1177.

15. Glaser KM, Markham FW, Adler HM, McManus PR, Hojat M. 2007. Relationships between scores on the Jefferson Scale of physician empathy, patient perceptions of physician empathy, and humanistic approaches to patient care: a validity study. Med Sci Monit. 13:CR291-4.

16. Hojat M, Gonnella JS, Nasca TJ, Mangione S, Vergare M, Magee M. 2002. Physician empathy: definition, components, measurement, and relationship to gender and specialty. Am J Psychiatry. 159:1563–1569.

17. Quince T, Thiemann P, Benson J, Hyde S. 2016. Undergraduate medical students’ empathy: current perspectives. Adv Med Educ Pract. 7:443–455.

18. McTighe AJ, DiTomasso RA, Felgoise S, Hojat M. 2016. Effect of medical education on empathy in osteopathic medical students. J Am Osteopath Assoc. 116:668–674.

19. Mercer SW, Reynolds WJ. 2002. Empathy and quality of care. Br J Gen Pract. 52 Suppl:S9-12.

20. Igde FA, Sahin MK. 2017. Changes in Empathy during Medical Education: An Example from Turkey. Pak J Med Sci Q. 33:1177–1181.

21. Lim BT, Moriarty H, Huthwaite M. 2011. “Being-in-role”: A teaching innovation to enhance empathic communication skills in medical students. Med Teach. 33:e663-9.

22. Hojat M, Axelrod D, Spandorfer J, Mangione S. 2013. Enhancing and sustaining empathy in medical students. Med Teach. 35:996–1001.

23. Van Winkle LJ, Fjortoft N, Hojat M. 2012. Impact of a workshop about aging on the empathy scores of pharmacy and medical students. Am J Pharm Educ. 76:9.

24. Wen LS, Baca JT, O’Malley P, Bhatia K, Peak D, Takayesu JK. 2013. Implementation of small-group reflection rounds at an emergency medicine residency program. CJEM. 15:175–178.

25. LaNoue, M, Roter, D. 2018. Exploring patient-centeredness: the relationship between self-reported empathy and patient-centered communication in medical trainees. Patient Education and Counseling. 101:1143-1156.