期刊论文详细信息
BMC Medical Education
A study of the effect of a visual arts-based program on the scores of Jefferson scale for physician empathy
Jen-Hung Yang2  Kuang-Tao Yang1 
[1] Center for Medical Humanities and Department of Nuclear Medicine, Changhua Christian Hospital, Changhua 50012, Taiwan;School of Medicine, Tzu Chi University, and Department of Dermatology, Tzu Chi General Hospital, Hualien 97004, Taiwan
关键词: ACGME;    Medical humanities;    Empathy;    Jefferson scale for physician empathy;    Visual arts;   
Others  :  1138593
DOI  :  10.1186/1472-6920-13-142
 received in 2013-04-16, accepted in 2013-10-21,  发布年份 2013
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【 摘 要 】

Background

The effect of visual arts interventions on development of empathy has not been quantitatively investigated. A study was conducted on the effect of a visual arts-based program on the scores of the Jefferson Scale for Physician Empathy (JSPE).

Methods

A total of 110 clerks (n = 92) and first-year postgraduate residents (PGY1s) (n = 18) participating in the program were recruited into this study. The 4-hr program covered the subjects of learning to interpret paintings, interpreting paintings relating to medicine, illness and human suffering, the related-topics of humanitarianism and the other humanities fields and values and meaning. The JSPE was completed at the beginning (pretest) and the end (posttest) of the program.

Results

There was no significant difference between the pretest and posttest JSPE scores. The average of the scores for the pretest was lower in the subgroup of PGY1s than the subgroup of clerks (p = 0.0358). An increased but not significantly mean posttest JESPE score was noted for the subgroup of PGY1s. Neither the females nor the males had higher posttest JSPE scores than the pretest scores.

Conclusions

Although using a structured visual arts-based program as an intervention may be useful to enhance medical students’ empathy, our results failed to show a positive effect on the JSPE Scores for a group of clerks and PGY1s. This suggests that further experimental studies are needed if quantitative evaluation of the effectiveness of visual-arts based programs on empathy is to be investigated.

【 授权许可】

   
2013 Yang and Yang; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Dolev JC, Friedlander LK, Braverman I: Use of fine art to enhance visual diagnostic skills. JAMA 2001, 286:1020-1021.
  • [2]Kiessling C, Müller T, Becker-Witt C, Begenau J, Prinz V, Schleiermacher S: A medical humanities special study module on principles of medical theory and practice at the Charite, Humboldt University, Berlin, Germany. Acad Med 2003, 78:1031-1035.
  • [3]Perry M, Maffulli N, Willson S, Morrissey D: The effectiveness of arts-based interventions in medical education: a literature review. Med Educ 2011, 45:141-148.
  • [4]Reilly JM, Ring J, Duke L: Visual thinking strategies: a new role for art in medical education. Fam Med 2005, 37(4):250-252.
  • [5]Shapiro J, Rucker L, Beck J: Training the clinical eye and mind: using the arts to develop medical students’ observational and pattern recognition skills. Med Educ 2006, 40:263-268.
  • [6]Yang KT, Lin CC, Chang LY: A Program to Interest Medical Students in Changhua, Taiwan in the Incorporation of Visual Arts in Medicine. Education for Health 2011, 11(online):563. (http://www.educationforhealth.net/articles/subviewnew.asp?ArticleID=563 webcite). Published Dec 8, 2001. Accessed Dec 22, 2011
  • [7]Hojat M, Gonnella JS, Nasca TJ, Mangione S, Vergare M, Magee M: Physician empathy: definition, components, measurement, and relationship to gender and specialty. Am J Psychiatry 2002, 159:1563-1569.
  • [8]Chen D, Lew R, Hershman W, Orlander J: A cross-sectional measurement of medical student empathy. J General Intern Med 2007, 22(10):1434-1438.
  • [9]Colliver JA, Conlee MJ, Verhulst SJ, Dorsey JK: Reports of the decline of empathy during medical education are greatly exaggerated: a reexamination of the research. Acad Med 2010, 85(4):588-593.
  • [10]Association of American Medical Colleges: Report 1: Learning Objectives for Medical Student Education - Guidelines for Medical Schools. Washington, DC: Association of American Medical Colleges; 1998:4.
  • [11]Institute of Medicine: Primary Care: America’s Health in a New Era. Washington, DC: National Academy Press; 1996:3.
  • [12]Phenix PH: Realms of Meaning. In Curriculum design. Edited by Golby M, Greenwald J, West R. London: Redwood Burn Ltd; 1975:165-168.
  • [13]Evans M: Reflections on the humanities in medical education. Med Educ 2002, 36:508-513.
  • [14]Velicer WF: Determining the number of components from the matrix of partial correlations. Psychometrika 1976, 41:321-327.
  • [15]Hojat M, Gonnella JS, Mangione S, Nasca TJ, Magee M: Physician empathy in medical education and practice: experience with the Jefferson scale of physician empathy. Semin Integr Med 2003, 1(1):25-41.
  • [16]Shapiro J: Perspective: does medical education promote professional alexithymia? a call for attending to the emotions of patients and self in medical training. Acad Med 2011, 86:326-332.
  • [17]Shapiro G, Morrison EH, Boker J: Teaching empathy to first year medical students: evaluation of an elective literature and medicine course. Edu Health 2004, 7(1):73-84.
  • [18]Sands SA, Stanley P, Charon R: Pediatric narrative oncology: interprofessional training to promote empathy, build teams, and prevent burnout. J Support Oncol 2008, 6(7):307-312.
  • [19]Winefield HR, Chur-Hansen A: Evaluating the outcome of communication skill teaching for entry-level medical students: does knowledge of empathy increase? Med Educ 2000, 34:90-94.
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