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Empathy Decline and Its Reasons: A Systematic Review of Studies With Medical Students and Residents

Academic Medicine · 2011 · Vol. 86(8) · pp. 996–1009
Melanie NeumannFriedrich EdelhäuserDiethard TauschelMartin R. FischerMarkus WirtzChristiane WoopenAviad HaramatiChristian Scheffer

Abstract

The results of the reviewed studies, especially those with longitudinal data, suggest that empathy decline during medical school and residency compromises striving toward professionalism and may threaten health care quality. Theory-based investigations of the factors that contribute to empathy decline among trainees and improvement of the validity of self-assessment methods are necessary for further research.

Empathy and Medical EducationInnovations in Medical EducationHealthcare professionals’ stress and burnoutEmpathyPsycINFOPsychologyInclusion (mineral)MEDLINECurriculumClinical psychologyCross-sectional studyMedicineFamily medicine

MeSH terms

Clinical CompetenceCurriculumEmpathyHumansInternship and ResidencyStudents, Medical
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References
A Cross-sectional Measurement of Medical Student Empathy
Journal of General Internal Medicine · 2007 · 552 citations
Measuring empathy: reliability and validity of the Empathy Quotient
Psychological Medicine · 2004 · 986 citations
Educating for empathy
Journal of General Internal Medicine · 2006 · 536 citations
How Do Distress and Well-being Relate to Medical Student Empathy? A Multicenter Study
Journal of General Internal Medicine · 2007 · 611 citations
Is There Hardening of the Heart During Medical School?
Academic Medicine · 2008 · 509 citations
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