Why might medical student empathy change throughout medical school? Protocol for a systematic review and thematic synthesis of qualitative studies

Introduction Several studies suggest that medical student empathy declines throughout medical school. However, no studies have systematically investigated why. The objective of our proposed review is to conduct a systematic review and thematic synthesis of qualitative studies investigating the reaso...

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Main Authors: Jeremy Howick, Ahmed Ahmed, Rachel Winter, Keith Nockels, Richard Holland, Maya Dudko, Shi Nan Feng, Namitha Alluri
Format: Article
Language:English
Published: BMJ Publishing Group 2022-11-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/11/e067157.full
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author Jeremy Howick
Ahmed Ahmed
Rachel Winter
Keith Nockels
Richard Holland
Maya Dudko
Shi Nan Feng
Namitha Alluri
author_facet Jeremy Howick
Ahmed Ahmed
Rachel Winter
Keith Nockels
Richard Holland
Maya Dudko
Shi Nan Feng
Namitha Alluri
author_sort Jeremy Howick
collection DOAJ
description Introduction Several studies suggest that medical student empathy declines throughout medical school. However, no studies have systematically investigated why. The objective of our proposed review is to conduct a systematic review and thematic synthesis of qualitative studies investigating the reasons empathy may change throughout medical school.Methods and analysis This systematic review protocol follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We have searched MEDLINE, Scopus, CINAHL, ERIC and APA PsycINFO for relevant studies. We will also search reference lists of included studies and contact experts to identify additional studies. We will include any qualitative study investigating the reasons why empathy changes throughout medical school. We will use the Joanna Briggs Institute tool to evaluate the risk of bias in the included studies. We will use thematic analysis to synthesise our results. For all included studies, we will summarise the main characteristics including the number of participants, medical school year, country and gender. In our discussion, we will summarise the limitations of the evidence (including the risk of bias and inconsistency), and provide a general interpretation of the results and important implications.Ethics and dissemination This study will not require ethical approval since no original data will be collected. The results of this review will be published through peer-reviewed publications and conference presentations. Additionally, this review will inform changes to the enhanced empathy curriculum at the Leicester Medical School.
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spelling doaj.art-cdd457ded2c64e4ca59b91781e0da5d92022-12-22T03:43:29ZengBMJ Publishing GroupBMJ Open2044-60552022-11-01121110.1136/bmjopen-2022-067157Why might medical student empathy change throughout medical school? Protocol for a systematic review and thematic synthesis of qualitative studiesJeremy Howick0Ahmed Ahmed1Rachel Winter2Keith Nockels3Richard Holland4Maya Dudko5Shi Nan Feng6Namitha Alluri7Faculty of Philosophy, University of Oxford, Oxford OX2 6GG, UKStoneygate Centre for Excellence in Empathic Healthcare, Leicester Medical School, University of Leicester, Leicester, UKCollege of Life Sciences, University of Leicester, Leicester, UK2 Learning and Teaching Services, University of Leicester, Leicester, UKNorwich Medical School, University of East Anglia, Norwich, UKStoneygate Centre for Excellence in Empathic Healthcare, Leicester Medical School, University of Leicester, Leicester, UKUNC Gillings School of Global Public Health, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USADartmouth College, Hanover, New Hampshire, USAIntroduction Several studies suggest that medical student empathy declines throughout medical school. However, no studies have systematically investigated why. The objective of our proposed review is to conduct a systematic review and thematic synthesis of qualitative studies investigating the reasons empathy may change throughout medical school.Methods and analysis This systematic review protocol follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We have searched MEDLINE, Scopus, CINAHL, ERIC and APA PsycINFO for relevant studies. We will also search reference lists of included studies and contact experts to identify additional studies. We will include any qualitative study investigating the reasons why empathy changes throughout medical school. We will use the Joanna Briggs Institute tool to evaluate the risk of bias in the included studies. We will use thematic analysis to synthesise our results. For all included studies, we will summarise the main characteristics including the number of participants, medical school year, country and gender. In our discussion, we will summarise the limitations of the evidence (including the risk of bias and inconsistency), and provide a general interpretation of the results and important implications.Ethics and dissemination This study will not require ethical approval since no original data will be collected. The results of this review will be published through peer-reviewed publications and conference presentations. Additionally, this review will inform changes to the enhanced empathy curriculum at the Leicester Medical School.https://bmjopen.bmj.com/content/12/11/e067157.full
spellingShingle Jeremy Howick
Ahmed Ahmed
Rachel Winter
Keith Nockels
Richard Holland
Maya Dudko
Shi Nan Feng
Namitha Alluri
Why might medical student empathy change throughout medical school? Protocol for a systematic review and thematic synthesis of qualitative studies
BMJ Open
title Why might medical student empathy change throughout medical school? Protocol for a systematic review and thematic synthesis of qualitative studies
title_full Why might medical student empathy change throughout medical school? Protocol for a systematic review and thematic synthesis of qualitative studies
title_fullStr Why might medical student empathy change throughout medical school? Protocol for a systematic review and thematic synthesis of qualitative studies
title_full_unstemmed Why might medical student empathy change throughout medical school? Protocol for a systematic review and thematic synthesis of qualitative studies
title_short Why might medical student empathy change throughout medical school? Protocol for a systematic review and thematic synthesis of qualitative studies
title_sort why might medical student empathy change throughout medical school protocol for a systematic review and thematic synthesis of qualitative studies
url https://bmjopen.bmj.com/content/12/11/e067157.full
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