(Riess 2011)
DOI or website link: http://j.mp/1SIpy0i
Publication: Journal of General Internal Medicine
Authors:
John M. Kelley, Ph
Robert W. BaileyBS
Emily J. Dunn BA
Margot Phillips
Date: January 2011
Affiliation(s):
Massachusetts General Hospital, Boston, MA, USA;
Harvard Medical School, Boston, MA,
Endicott College, Beverly, MA,
Empathy and Relational Science Program, Department of Psychiatry, Massachusetts General Hospital, Boston
Associate Clinical Professor of Psychiatry, Harvard Medical School, Massachusetts General Hospital, Boston, MA,
Citation:
Riess H, Kelley JM, Bailey R, Konowitz PM, Gray ST: Improving empathy and relational skills in otolaryngology residents: a pilot study. Otolaryngol Head Neck Surg. 2011, 144: 120-122. 10.1177/0194599810390897.
Comments
Reviewed in Meta-study (KELM+ 2014)*
Abstract:
BACKGROUND: Physician empathy is an essential attribute of the patient–physician relationship and is associated with better outcomes, greater patient safety and fewer malpractice claims.
OBJECTIVE: We tested whether an innovative empathy training protocol grounded in neuroscience could improve physician empathy as rated by patients.
Topic Area:
Medicine
Healthcare
Intervention/Methods used:
receive standard postgraduate medical education or education augmented with three 60-minute empathy training modules.
Participants:
residents and fellows from
surgery,
medicine,
anesthesiology,
psychiatry,
ophthalmology,
and orthopedics
About the assessment:
(How was the change in empathy measures before / after the intervention/method?)
What was the result?:
"The empathy training group showed greater changes in patient-rated CARE scores than the control"
"A brief intervention grounded in the neurobiology of empathy significantly improved physician empathy as rated by patients, suggesting that the quality of care in medicine could be improved by integrating the neuroscience of empathy into medical education."
REFERENCES
1. Nunes P, Williams S, Stevenson K. A study of empathy decline in students from five health disciplines during their first year of training. Int J Med Educ. 2011;2:12–7.
2. Hojat M, Vergare MJ, Maxwell K, et al. The devil is in the third year: A longitudinal study of erosion of empathy in medical school. Acad Med. 2009;84(9):1182–91.
3. Bellini LM, Shea JA. Mood changes and empathy decline persist during internal medicine residency training. Acad Med. 2005;80:164–7.
4. 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.
5. Colliver JA, Conlee MJ, Verhulst SJ, Dorsery JK. Reports of the decline of empathy during medical education are greatly exaggerated: A reexamination of the research. Acad Med. 2010;85(4):588–93.
6. Medical School Objectives Project. Learning Objectives for Medical Education: Guidelines for Medical Schools. Association of American Medical Colleges, 1998.
7. Chaudhry HJ, Rhyne J, Cain FE, Young A, Crane M, Bush F. Maintenance of licensure: protecting the public, promoting quality health care. J Med Regul. 2010;96(1):1–8.
8. Hickson GB, Federspiel CF, Pichert JW, Miller CS, Gauld-Jaeger J, Bost P. Patient complaints and malpractice risk. J Am Med Assoc. 2002;287(22):2951–7.
9. Halpern J. from detached concern to empathy: Humanizing medical practice. Paperbackth ed. New York: Oxford University Press; 2010.
10. Brennan TA, Leape LL, Laird NM. Incidence of adverse events and negligence in hospitalized patients: Results of the Harvard medical practice study I. N Engl J Med. 1991;324:370–6.
11. Marci CD, Riess H. The clinical relevance of psychophysiology: Support for the psychobiology of empathy and psychodynamic process. Am J Psychother. 2005;59(3):213–26.
12. Kelley JM, Lembo AJ, Ablon JS, et al. Patient and practitioner influences on the placebo effect in irritable bowel syndrome. Psychosom Med. 2009;71(7):789–97.
13. Kaptchuk TJ, Kelley JM, Conboy LA, et al. Components of placebo effect: Randomised controlled trial in patients with Irritable Bowel Syndrome. Br Med J. 2008;336:998–1003.
14. Hojat M, Louis DZ, Markham FW, Wender R, Rabinowitz CG. J S. Physicians’ empathy and clinical outcomes for diabetic patients. Acad Med. 2011;86(3):359–64.
15. Krasner MS, Epstein RM, Beckman H, Suchman AL, Chapman B, Mooney CJ. Association of an educational program in mindful communication with burnout, empathy, and attitudes among primary care physicians. J Am Med Assoc. 2009;302(12):1284–93.
16. Decety J, Yang C, Chen Y. Physicians down-regulate their pain empathy response: An event-related brain potential study. Neuroimage. 2010;50:1676–82.
17. Harris J. The evolutionary neurobiology, emergence and facilitation of empathy. In: Farrow TFD, Woodruff PWR, eds. Empathy in mental illness. Cambridge: Cambridge University Press; 2007:506.
18. Neumann M, Bensing J, Mercer S, Ernstmann N, Ommen O, Pfaff H. Analyzing the "nature" and "specific effectiveness" of clinical empathy: a theoretical overview and contribution towards a theory-based research agenda. Patient Educ Couns. 2009;74(3):339–46.
19. Decety J, Jackson PL. The functional architecture of human empathy. Behav Cogn Neurosci Rev. 2004;3:71–100.
20. Decety J. Dissecting the neural mechanisms mediating empathy. Emotion Review. 2011;3(1):92–108.
21. Riess H. Biomarkers in the psychotherapeutic relationship: the role of physiology, neurobiology, and biological correlates of E.M.P.A.T.H.Y. Harv Rev Psychiatry. 2011;19(3):162–74.
22. Smith RC, Lyles JS, Mettler JA, et al. A strategy for improving patient satisfaction by the intensive training of residents in psychosocial medicine: a controlled, randomized study. Acad Med. 1995;70(8):729– 32.
23. Alder J, Christen R, Zemp E, Bitzer J. Communication skills training in obstetrics and gynaecology: whom should we train? A randomized controlled trial. Arch Gynecol Obstet. 2007;276:605–612.
24. Stein T, Frankel RM, Krupat E. Enhancing clinician communication skills in a large healthcare organization: a longitudinal case study. Patient Educ Couns. 2005;58(1):4–12.
25. Riess H. Empathy in medicine—A neurobiological perspective. J Am Med Assoc. 2010;304(14):1604–5.
26. Riess H, Kelley JM, Bailey RW, Konowitz PM, Gray ST. Improving empathy and relational skills in otolaryngology residents: a pilot study. Otolaryngol Head Neck Surg. 2011;144(1):120–2.
27. Carr L, Iacoboni M, Dubeau M, Mazziotta JC, Lenzi GL. Neural mechanisms of empathy in humans: a relay from neural systems for imitation to limbic areas. Proc Natl Acad Sci. 2003;100(9):5497–502.
28. Saarela MV, Hlushchuk Y, Williams AC, Schürmann M, Kalso E, Hari R. The compassionate brain: humans detect intensity of p
29. Hammond DC. Hypnotic induction and suggestion: An introductory manual. 1st ed. Des Plaines, IL: The American Society of Clinical Hypnosis; 1988.
30. Epstein R. Mindful practice. J Am Med Assoc. 1999;282:833–9.
31. Mercer SW, Maxwell M, Heaney D, Watt GCM. The consultation and relational empathy (CARE) measure: development and preliminary validation and reliability of an empathy-based consultation process measure. Fam Pract. 2004;21(6):699–705.
32. Harris PA, Taylor R, Thielke R, Payne J, Gonzalez N, Conde JG. Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform. 2009;42:377–81.
33. Ekman P. Emotions revealed: Recognizing faces and feelings to improve communication and emotional life. New York: Holt; 2004.
34. Hojat M, Mangione S, Nasca TJ, et al. The Jefferson Scale of Physician Empathy: Development and preliminary psychometric data. Educ Psychol Meas. 2001;61:349–65.
35. Mehrabian A, Epstein N. A measure of emotional empathy. J Pers. 1972;40:525–43. 36. Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.
37. Hemmerdinger JM, Samuel DR Stoddart SDR, Lilford RJ. A systematic review of tests of empathy in medicine. BMC Med Educ. 2007;7(24).
38. Bieber C, Muller KG, Blumenstiel K, et al. A shared decision-making communication training program for physicians treating fibromyalgia patients: effects of a randomized controlled trial. J Psychosom Res. 2008;64:13–20.
39. Brown LD, De Negri B, Hernandez O, Domingueq L, Sanchack JH, Roter DL. An evaluation of the impact of training Honduran health care providers in interpersonal communication. Int J Qual Health Care. 2000;12(6):595–01.
40. Roter DL, Rosenbaum J, de Negri B, Renaud D, DiPrete-Brown L, Hernandez O. The effects of a continuing medical education programme in interpersonal communication skills on doctor practice and patient satisfaction in Trinidad and Tobago. Med Educ. 1998;32:181–9.
41. Sulmasy DP. Should medical schools be schools for virtue? J Gen Intern Med. 2000;15(7):514–6
Posted By: Edwin Rutsch
Notes:
(Any other relevant information)
