Using theater to teach clinical empathy: a pilot study

J Gen Intern Med. 2007 Aug;22(8):1114-8. doi: 10.1007/s11606-007-0224-2. Epub 2007 May 8.

Abstract

Background: Clinical empathy, a critical skill for the doctor-patient relationship, is infrequently taught in graduate medical education. No study has tested if clinical empathy can be taught effectively.

Objective: To assess whether medicine residents can learn clinical empathy techniques from theater professors.

Design: A controlled trial of a clinical empathy curriculum taught and assessed by 4 theater professors.

Setting: Virginia Commonwealth University, Richmond, Virginia, a large urban university and health system.

Participants: Twenty Internal Medicine residents: 14 in the intervention group, 6 in the control group.

Intervention: Six hours of classroom instruction and workshop time with professors of theater.

Measurements: Scores derived from an instrument with 6 subscores designed to measure empathy in real-time patient encounters. Baseline comparisons were made using two-sample T tests. A mixed-effects analysis of variance model was applied to test for significance between the control and intervention groups.

Results: The intervention group demonstrated significant improvement (p < or = .011) across all 6 subscores between pre-intervention and post-intervention observations. Compared to the control group, the intervention group had better posttest scores in 5 of 6 subscores (p < or = .01).

Limitations: The study was neither randomized nor blinded.

Conclusions: Collaborative efforts between the departments of theater and medicine are effective in teaching clinical empathy techniques.

Publication types

  • Controlled Clinical Trial

MeSH terms

  • Adult
  • Communication*
  • Curriculum
  • Empathy*
  • Female
  • Humans
  • Internal Medicine / education*
  • Internship and Residency*
  • Male
  • Physician-Patient Relations*
  • Pilot Projects
  • Teaching / methods*