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Assessing medical student empathy in a family medicine clinical test: validity of the CARE measure

机译：在家庭医学临床测试中评估医学生的同理心：CARE措施的有效性

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IntroductionThe Consultation and Relational Empathy (CARE) measure developed and validated in primary care settings and used for general practitioner appraisal is a 10-item instrument used by patients to assess doctors’ empathy. The aim of this study is to investigate the validity of the CARE measure in assessing medical students’ empathy during a formative family medicine clinical test.MethodAll 158 final-year medical students were assessed by trained simulated patients (SPs) – who completed the CARE measure, the Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE), and a global rating score to assess students’ empathy and history-taking ability.ResultsExploratory and confirmatory factor analysis identified a unidimensional structure. The CARE measure strongly correlated with both convergent measures: global rating (ρ =0.79 and 0.001) and JSPPPE (ρ =0.77 and 0.001) and weakly correlated with the divergent measure: history-taking score (ρ =0.28 and 0.001). Internal consistency was excellent (Cronbach’s α=0.94).ConclusionThe CARE measure had strong construct and internal reliability in a formative, undergraduate family medicine examination. Its role in higher stakes examinations and other educational settings should be explored.
机译：简介咨询和关系移情（CARE）措施是在基层医疗机构中开发和验证的，用于全科医生评估，是患者用来评估医生移情的10项工具。这项研究的目的是调查在形成性家庭医学临床测试过程中，CARE量度在评估医学生同理心方面的有效性。方法所有158名最后一年的医学生均由经过培训的模拟患者（SP）进行评估-他们完成了CARE量度，Jefferson病人对医生移情的感知量表（JSPPPE）以及评估学生的移情和历史记录能力的整体评分。结果探索性和验证性因素分析确定了一维结构。 CARE度量与两个收敛度量均密切相关：总体评级（ρ= 0.79和<0.001）和JSPPPE（ρ= 0.77和<0.001），与散度度量相关性较弱：历史记录得分（< i>ρ= 0.28和<0.001）。内部一致性极好（Cronbach'sα= 0.94）。结论在形成性的家庭医学本科生考试中，CARE措施具有较强的结构和内部可靠性。应该探讨其在高分考试和其他教育环境中的作用。

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