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Relationship between level of empathy during residency training and perception of professionalism climate

机译:居住地培养与专业气候感知的同情水平之间的关系

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Empathy is one of the vital personality attributes for all physicians. It is essential for establishing general interpersonal relationships among doctors and patients. Unfortunately, there is evidence for the decline of physician’s empathy during the clinical training phase and is a major concern for medical educators worldwide. One of the major factors reported for the decline of this trait is an unprofessional learning environment. This study examines the relationship between empathy level and perception of climate of professionalism among residents. The study participants included 70 residents of Obstetrics & Gynecology and Pediatrics departments of a private sector tertiary care hospital in Karachi, Pakistan. Two self-administered internet based surveys - Jefferson Scale of Physician Empathy (JSPE) and “Professionalism Climate Instrument”(PCI) - were administered to assess the level of empathy among the participants and their perception of professionalism in the learning environment. The relationship between the level of empathy and professionalism was analyzed using Spearman rank correlation. The overall response rate was 81.4% with mean empathy level of 103?±?13. The internal consistency of each scale measured by Cronbach’s coefficient α was 0.76 for JSPE and 0.65 for PCI. No significant difference was observed in the mean empathy scores between senior and junior residents of both specialties. Statistically significant difference in empathy scores existed between female and male residents (p?=?0.012; 95% CI, 2.27 to 17.59). The mean PCI score was 106?+?8.88 with no significant difference among residents of two specialties. Professionalism score was not found to vary with either the year of residency or gender. Empathy score and professionalism climate were not found to be correlated (rs?=?0.56, p?=?0.64). The findings suggested that empathy is a relatively stable trait that remains unchanged during residency training programs. Female residents had higher empathic concern than the male trainees, however, the empathy level of the participants was not found to be influenced by the climate of professionalism.
机译:同理心是所有医生的重要人格属性之一。它对于建立医生和患者之间的一般人际关系是必不可少的。不幸的是,在临床培训阶段,医生同理心的衰落有证据表明,这是全球医疗教育者的主要关注点。报告这一特征衰落的主要因素之一是一个不专业的学习环境。本研究探讨了居民在居民之间的职业性职业主义气氛之间的关系。该研究参与者包括巴基斯坦卡拉奇私营部门第三节护理医院的70个妇产科和儿科部门居民。两个自适互用于基于互联网的互联网调查 - 医师同情(JSPE)和“专业性气候仪器”(PCI)的杰斐逊规模 - 被管理,以评估参与者之间的同情水平及其对学习环境中专业性的看法。使用Spearman等级相关分析了同理心和专业程度之间的关系。整体反应率为81.4%,平均同情水平为103?±13。通过Cronbach系数α测量的每种规模的内部一致性为JSPE为0.76,PCI为0.65。两种专业的高级和初级居民之间的平均同情分数没有显着差异。女性和雄性居民之间存在的同情评分的统计学意义(p?= 0.012; 95%CI,2.27至17.59)。平均PCI得分为106?+ 8.88,两种专业的居民之间没有显着差异。没有发现专业的评分因居住年度或性别而异。没有发现同理心评分和专业性气候(Rs?=?0.56,p?= 0.64)。调查结果表明,同理心是一种相对稳定的特质,在居住培训计划期间保持不变。女性居民具有比男性学员更高的同情心,但是,没有发现参与者的同情水平受到专业化气候的影响。

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