Comparison of empathy with patients between first-year and last-year medical students of Tehran University of Medical Sciences

BMC Med Educ. 2021 Aug 30;21(1):460. doi: 10.1186/s12909-021-02897-0.

Abstract

Purpose: This study was conducted to assess the developmental factors of empathy among medical students of Tehran University of Medical Sciences (TUMS).

Methods: To assess the empathy levels, 42 first-year and an equal number of last-year medical students were randomly selected. They answered a questionnaire including the medical student version of the Jefferson Scale, demographic, and some related variables. Statistical analyses were performed using the Chi-square test, T-test, univariate, and multivariate regressions.

Result: The study population consisted of 51 (60.7 %) men and 33 (39.3 %) women with a mean (SD) age of 22.24 (4.10) years. The Jefferson score was 110.19 ± 13.61 and 103.52 ± 20.00 in first- and last-year medical students, respectively. Moreover, medical students who completely passed at least one of the considered empathy courses of the TUMS curriculum had higher empathy scores compared to their counterparts (109.83 ± 15.54 vs. 103.68 ± 19.02). There was no significant association between empathy and gender, self-experience of illness, marital status, family history of chronic disease, and parents' education (all P-values > 0.05). After adjusting for the effects of confounders, the empathy scores were significantly associated with the academic year level (p = 0.04), level of interest in medicine (p = 0.001), and passing the empathy courses (p = 0.04).

Conclusions: The data provided from a top Iranian medical school indicated that the academic year level, level of interest in medicine, and passing the empathy courses were significantly associated with the empathy level. Further studies are recommended.

Keywords: Behavioral sciences; Communication skills; Curriculum; Empathy; Ethics/attitudes; Professionalism.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Empathy
  • Female
  • Humans
  • Iran
  • Male
  • Physician-Patient Relations
  • Sex Factors
  • Students, Medical*
  • Young Adult