Empathy Enhancement Based on a Semiotics Training Program: A Longitudinal Study in Peruvian Medical Students

BackgroundEmpathy, as a core element of medical professionalism, is part of leadership in medicine. This attribute, predominantly cognitive, involves understanding and communication capacity. Empathy can be enhanced with courses on medical semiotics. It appears adequate to apply this enhancement in...

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Main Authors: Lissett J. Fernández-Rodríguez, Víctor H. Bardales-Zuta, Montserrat San-Martín, Roberto C. Delgado Bolton, Luis Vivanco
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-10-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2020.567663/full
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author Lissett J. Fernández-Rodríguez
Víctor H. Bardales-Zuta
Montserrat San-Martín
Roberto C. Delgado Bolton
Roberto C. Delgado Bolton
Roberto C. Delgado Bolton
Luis Vivanco
Luis Vivanco
author_facet Lissett J. Fernández-Rodríguez
Víctor H. Bardales-Zuta
Montserrat San-Martín
Roberto C. Delgado Bolton
Roberto C. Delgado Bolton
Roberto C. Delgado Bolton
Luis Vivanco
Luis Vivanco
author_sort Lissett J. Fernández-Rodríguez
collection DOAJ
description BackgroundEmpathy, as a core element of medical professionalism, is part of leadership in medicine. This attribute, predominantly cognitive, involves understanding and communication capacity. Empathy can be enhanced with courses on medical semiotics. It appears adequate to apply this enhancement in the early stages of professional training. Based on this, this study was performed with the purpose of demonstrating the positive effect that an academic course on medical semiotics has on the development of empathy in medical students.MethodsA quasi-experimental study was conducted in one School of Medicine in Peru, where medical students had to attend a 17-week course on medical semiotics as part of their regular training. The sample, composed by 269 students, included two cohorts of third-year medical students. As main measures, the Jefferson Scales of Empathy (JSE), inter-professional collaboration (JSAPNC), and lifelong learning (JeffSPLL), were used. In addition, students’ scores evaluating theoretical and practical aspects of the course were collected once the course was finished. Pre- and post-tests were administered in week 1 and in week 17. Analyses compared measures in both moments and in time. Inter-professional collaboration and lifelong learning scores and empathy scores were used as discriminant and convergent validity measures of students’ course scores, respectively.ResultsGender differences on empathy appeared, but only at the beginning. In the entire sample, empathy enhancement was confirmed in time (p < 0.001), with a large effect size (r = 0.45). This effect was also observed in both gender groups, separately. On the contrary, no changes appeared in inter-professional collaboration and in lifelong learning abilities in time. In addition, a positive correlation was observed among empathy, inter-professional collaboration and lifelong learning abilities at the beginning and at the end, confirming that the improvement observed was specific for empathy and explained by the educational intervention assessed.ConclusionThese findings bring empiric evidence supporting the positive effect that training in medical semiotics has on empathy. In addition, these findings highlight some gender differences in the development of empathy in medical students.
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spelling doaj.art-3a207825be514345a67036b81991f9082022-12-22T00:30:07ZengFrontiers Media S.A.Frontiers in Psychology1664-10782020-10-011110.3389/fpsyg.2020.567663567663Empathy Enhancement Based on a Semiotics Training Program: A Longitudinal Study in Peruvian Medical StudentsLissett J. Fernández-Rodríguez0Víctor H. Bardales-Zuta1Montserrat San-Martín2Roberto C. Delgado Bolton3Roberto C. Delgado Bolton4Roberto C. Delgado Bolton5Luis Vivanco6Luis Vivanco7Faculty of Medicine, Antenor Orrego Private University, Trujillo, PeruFaculty of Medicine, Antenor Orrego Private University, Trujillo, PeruFaculty of Social Sciences of Melilla, University of Granada, Melilla, SpainDepartment of Diagnostic Imaging (Radiology) and Nuclear Medicine, University Hospital San Pedro, Logroño, SpainPlatform of Bioethics and Medical Education, Centre for Biomedical Research of La Rioja (CIBIR), Logroño, SpainNational Centre of Documentation on Bioethics, Rioja Health Foundation, Logro o, SpainPlatform of Bioethics and Medical Education, Centre for Biomedical Research of La Rioja (CIBIR), Logroño, SpainNational Centre of Documentation on Bioethics, Rioja Health Foundation, Logro o, SpainBackgroundEmpathy, as a core element of medical professionalism, is part of leadership in medicine. This attribute, predominantly cognitive, involves understanding and communication capacity. Empathy can be enhanced with courses on medical semiotics. It appears adequate to apply this enhancement in the early stages of professional training. Based on this, this study was performed with the purpose of demonstrating the positive effect that an academic course on medical semiotics has on the development of empathy in medical students.MethodsA quasi-experimental study was conducted in one School of Medicine in Peru, where medical students had to attend a 17-week course on medical semiotics as part of their regular training. The sample, composed by 269 students, included two cohorts of third-year medical students. As main measures, the Jefferson Scales of Empathy (JSE), inter-professional collaboration (JSAPNC), and lifelong learning (JeffSPLL), were used. In addition, students’ scores evaluating theoretical and practical aspects of the course were collected once the course was finished. Pre- and post-tests were administered in week 1 and in week 17. Analyses compared measures in both moments and in time. Inter-professional collaboration and lifelong learning scores and empathy scores were used as discriminant and convergent validity measures of students’ course scores, respectively.ResultsGender differences on empathy appeared, but only at the beginning. In the entire sample, empathy enhancement was confirmed in time (p < 0.001), with a large effect size (r = 0.45). This effect was also observed in both gender groups, separately. On the contrary, no changes appeared in inter-professional collaboration and in lifelong learning abilities in time. In addition, a positive correlation was observed among empathy, inter-professional collaboration and lifelong learning abilities at the beginning and at the end, confirming that the improvement observed was specific for empathy and explained by the educational intervention assessed.ConclusionThese findings bring empiric evidence supporting the positive effect that training in medical semiotics has on empathy. In addition, these findings highlight some gender differences in the development of empathy in medical students.https://www.frontiersin.org/articles/10.3389/fpsyg.2020.567663/fullmedicine studentsprofessionalismmedical curriculummedical semioticslifelong learningteamwork ability
spellingShingle Lissett J. Fernández-Rodríguez
Víctor H. Bardales-Zuta
Montserrat San-Martín
Roberto C. Delgado Bolton
Roberto C. Delgado Bolton
Roberto C. Delgado Bolton
Luis Vivanco
Luis Vivanco
Empathy Enhancement Based on a Semiotics Training Program: A Longitudinal Study in Peruvian Medical Students
Frontiers in Psychology
medicine students
professionalism
medical curriculum
medical semiotics
lifelong learning
teamwork ability
title Empathy Enhancement Based on a Semiotics Training Program: A Longitudinal Study in Peruvian Medical Students
title_full Empathy Enhancement Based on a Semiotics Training Program: A Longitudinal Study in Peruvian Medical Students
title_fullStr Empathy Enhancement Based on a Semiotics Training Program: A Longitudinal Study in Peruvian Medical Students
title_full_unstemmed Empathy Enhancement Based on a Semiotics Training Program: A Longitudinal Study in Peruvian Medical Students
title_short Empathy Enhancement Based on a Semiotics Training Program: A Longitudinal Study in Peruvian Medical Students
title_sort empathy enhancement based on a semiotics training program a longitudinal study in peruvian medical students
topic medicine students
professionalism
medical curriculum
medical semiotics
lifelong learning
teamwork ability
url https://www.frontiersin.org/articles/10.3389/fpsyg.2020.567663/full
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