(Bauchat 2016)

Title: Simulation-Based Empathetic Communication Curriculum

DOI or Website Link: http://dx.doi.org/10.15766/mep_2374-8265.10336

Publication: mededportal.org

Authors:

• Jeanette Bauchat, MD,

• Christine Park, MD,

  • Lauren Anderson, PhD, MEd

  • Janique Santos

Date: 2016.

Affiliation(s):

Abstract:

"This is a 1.5-hour empathy curriculum designed for four to five resident participants at a time and includes a simulation scenario followed by a debriefing session, a didactic session, and a role-playing exercise. The residents are the patient in a simulated scenario where they experience preparations to undergo an urgent cesarean delivery. The simulation experience includes being rushed to the operating room (OR) by an obstetrician and anesthesiologist, the consent process, undergoing a medical history and physical exam, responding to questions and commands imposed by the health care team, hemodynamic monitor application, preparatory OR work, and witnessing emergency team dynamics"

Topic Area:

(In which field / sector / perspective was this study conducted?)

Definition:

(How was empathy defined?)

Benefits:

(Were any benefits of empathy mentioned?)

Methods:

(What were the methods used to train empathy?)

• Didactic session,

  • peer-reviewed literature linking empathy with health outcomes

• Role-Playing Exercise Doctors roleplay patients.

• Empathetic communication

• Debriefing session

• Simulation

Target Group:

(Who participated in this study / training?)

• Physicians

Measurements:

(About the assessment: How was the change in empathy measured before/after the intervention/method?)

• Jefferson Scale of Physician Empathy,

Result:

(What was the result?)

• This curriculum has been shown to increase scores on the Jefferson Scale of Physician Empathy,

• high marks on the evaluations

Posted By: Edwin Rutsch

Notes:

(Any other relevant information)

References:

• • Calvert M, Blazeby J, Altman DG, et al; for CONSORT PRO Group. Reporting of patient-reported outcomes in randomized trials: the CONSORT PRO extension. JAMA. 2013;309(8):814-822.http://dx.doi.org/10.1001/jama.2013.879

  • Cosgrove DM, Fisher M, Gabow P, et al. Ten strategies to lower costs, improve quality, and engage patients: the view from leading health system CEOs. Health Aff. 2013;32(2):321-327. http://dx.doi.org/10.1377/hlthaff.2012.1074

  • Epstein RM, Hadee T, Carroll J, Meldrum SC, Larnder J, Shields CG. “Could this be something serious?” Reassurance, uncertainty, and empathy in response to patients’ expressions of worry. J Gen Intern Med. 2007;22(12):1731-1739. http://dx.doi.org/10.1007/s11606-007-0416-9

  • Hojat M, Gonnella JS, Nasca TJ, Mangione S, Veloksi JJ, Magee M. The Jefferson Scale of Physician Empathy: further psychometric data and differences by gender and specialty at item level. Acad Med. 2002;77(10):S58-S60.http://dx.doi.org/10.1097/00001888-200210001-00019

  • Janssen AL, MacLeod RD. What can people approaching death teach us about how to care? Patient Educ Couns. 2010;81(2):251-256. http://dx.doi.org/10.1016/j.pec.2010.02.009

  • Kim SS, Kaplowitz S, Johnston MV. The effects of physician empathy on patient satisfaction and compliance. Eval Health Prof. 2004;27(3):237-251. http://dx.doi.org/10.1177/0163278704267037

  • Levinson W, Gorawara-Bhat R, Lamb J. A study of patient clues and physician responses in primary care and surgical settings. JAMA. 2000;284(8):1021-1027. http://dx.doi.org/10.1001/jama.284.8.1021

  • Neumann M, Edelhäuser F, Tauschel D, et al. Empathy decline and its reasons: a systematic review of studies with medical students and residents. Acad Med. 2011;86(8):996-1009.http://dx.doi.org/10.1097/ACM.0b013e318221e615

  • Neumann M, Wirtz M, Bollschweiler E, et al. Determinants and patient-reported long-term outcomes of physician empathy in oncology: a structural equation modelling approach. Patient Educ Couns. 2007;69(1-3):63-75.http://dx.doi.org/10.1016/j.pec.2007.07.003

  • Nightingale SD, Yarnold PR, Greenberg MS. Sympathy, empathy, and physician resource utilization. J Gen Intern Med. 1991;6(5):420-423. http://dx.doi.org/10.1007/BF02598163

  • Price S, Mercer SW, MacPherson H. Practitioner empathy, patient enablement and health outcomes: a prospective study of acupuncture patients. Patient Educ Couns. 2006;63(1-2):239-245.http://dx.doi.org/10.1016/j.pec.2005.11.006

  • Roter DL, Stewart M, Putnam SM, Lipkin M Jr, Stiles W, Inui TS. Communication patterns of primary care physicians. JAMA. 1997;277(4):350-356. http://dx.doi.org/10.1001/jama.1997.03540280088045

  • Stepien KA, Baernstein A. Educating for empathy: a review. J Gen Intern Med. 2006;21(5):524-530.http://dx.doi.org/10.1111/j.1525-1497.2006.00443.x