The Cross-Sectional Study for Comparison of Empathy-based on Competency-based Curriculum among Indian Undergraduates
DOI:
https://doi.org/10.54169/ijocp.v4i01.102DOI:
Abstract
Introduction: Competency-based medical education (CBME) was introduced by the National Medical Commission in 2019. The system tries to incorporate the Attitude, Ethics, and Communication (AETCOM) module for the enhancement of empathy, cognition, and soft skill development in undergraduates (UGs). Longitudinal and comparative studies in this area show mixed findings regarding response to CBME. Therefore, this study aims to compare empathy in UGs before and after the introduction of a new curriculum and assess the predictors for the same.
Methods: The empathy was assessed and compared cross-sectionally among 700 UGs, belonging to both old and new curricula, with the Toronto empathy questionnaire (TEQ). Results: A course of fluctuating levels was observed in empathy for UGs with advancement of MBBS years followed by a dip in the end. Females (47.52 ± 6.00) had more empathy scores than males (42.97 ± 7.55) with significance (p < 0.05). There was no comparable rise in empathy scores with the introduction of a new curriculum. Gender proved significant in predicting empathy with multiple linear regression (p < 0.05) in both CBME and non-CBME students.
Conclusion: The nurture of empathy starts during early medical education. The students had a decrease in empathy scores at the end of medical training, with females having higher empathy levels. The new curriculum tries to inculcate empathic communication for better care but needs further evaluation on causal factors and data on longitudinal trends.
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References
Hojat M, Vergare MJ, Maxwell K, Brainar G, Herrine SK, Isenberg GA et al. The Devil is in the Third Year: A Longitudinal Study of Erosion of Empathy in Medical School. Academic Medicine 2009; 84: 1182–1191.
Buie DH. Empathy: Its Nature and Limitations. J Am Psychoanal Assoc 1981; 29: 281–307.
neural components of empathy: Predicting daily prosocial behavior | Social Cognitive and Affective Neuroscience | Oxford Academic, https://academic.oup.com/scan/article/9/1/39/1672363?login=false (accessed 26 April 2023).
Schweller M, Ribeiro DL, Celeri EV, Carvalho F, Marco A et al. Nurturing virtues of the medical profession: does it enhance medical students’ empathy? Int J Med Educ 2017; 8: 262–267.
Hojat M, Mangione S, Nasca TJ, Rattner S, Erdmann JB, Gonnella JS et al. An empirical study of decline in empathy in medical school. Medical Education 2004; 38: 934–941.
Jacob KS. Medical Council of India’s New Competency-Based Curriculum for Medical Graduates: A Critical Appraisal. Indian J Psychol Med 2019; 41: 203–209.
Rathod N, Rawat S, Solanki UK, Makwana K. Will AETCOM Resurrect Empathy in Medical Profession ?- A Lost Touch of Compassionate Communication. JCDR. Epub ahead of print 2022. DOI: 10.7860/JCDR/2022/52713.15827.
Chatterjee A, Ravikumar R, Singh S, Chauhan PS, Goel M. Clinical empathy in medical students in India measured using the Jefferson Scale of Empathy–Student Version. J Educ Eval Health Prof 2017; 14: 33.
Shashikumar R, Agarwal K, Mohammad A, Kaushik C. Multiple cross-sectional assessments of empathy in medical undergraduate students. Industrial Psychiatry Journal 2021; 30: 147.
Nandan T, Negi R, Singh D, Mehto AK. Empathy and its Correlates among Undergraduate Medical Students at a Medical College in India. INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY 2021; 9: 64–68.
Vinay KM, Swanand P. Assessment of empathy among undergraduate medical students. Journal of Education Technology in Health Sciences 2016; 3: 23–27.
Pandit S, Thomas MR, Banerjee A, Angadi M, Kumar S, Tandon A. et al. A crossover comparative study to assess efficacy of competency based medical education (CBME) and the traditional structured (TS) method in selected competencies of living anatomy of first year MBBS curriculum: A pilot study. Med J Armed Forces India 2019; 75: 259–265.
Dhedhi BJ, Gattavali R, Nadukuru GN, Macharapu R, Mallepalli PK. A level of empathy and spirituality among undergraduate medical students of a tertiary hospital in Telangana: A cross-sectional study. Telangana J Psychiatry 2022;8:46-52
Bhatia G, Shetty JV. Trends of Change in Empathy Among Indian Medical Students: A Two-Year Follow-Up Study. Indian Journal of Psychological Medicine 2023; 45: 162–167.
Haque M, Lutfi SNNB, Othman NSAB, Othman NSA, Lugova H, Abdullah SL. Empathy level among the medical students of national defence university of malaysia consuming toronto empathy scale. Acta Medica International 2018; 5: 24.
Spreng* RN, McKinnon* MC, Mar RA, Levine B. The Toronto Empathy Questionnaire: Scale Development and Initial Validation of a Factor-Analytic Solution to Multiple Empathy Measures. Journal of Personality Assessment 2009; 91: 62–71.
Tavakol S, Dennick R, Tavakol M. Empathy in UK Medical Students: Differences by Gender, Medical Year and Specialty Interest. Education for Primary Care 2011; 22: 297–303.
Akgün Ö, Akdeniz M, Kavukcu E, Avci HH. Medical Students’ Empathy Level Differences by Medical Year, Gender, and Specialty Interest in Akdeniz University. Journal of Medical Education and Curricular Development 2020; 7: 2382120520940658.
Biswas B, Haldar A, Dasgupta A, Mallick N, Karmakar A. An Epidemiological Study on Empathy and its Correlates: A Cross-sectional Assessment among Medical Students of a Government Medical College of India. Indian J Psychol Med 2018; 40: 364–369.
Chen D, Lew R, Hershman W, Orlander J. A Cross-sectional Measurement of Medical Student Empathy. Journal of General Internal Medicine 2007; 22: 1434.
Shashikumar R, Chaudhary R, Ryali VSSR, Bhat PS, Srivastava K, Prakash J et al . Cross sectional assessment of empathy among undergraduates from a medical college. Medical Journal Armed Forces India 2014; 70: 179–185.
Santos MA, Grosseman S, Morelli TC, Giulliano ICB, Erdmann TR. Empathy differences by gender and specialty preference in medical students: a study in Brazil. Int J Med Educ 2016; 7: 149–153.
Quince TA, Kinnersley P, Hales J, daSilva A, Moriarty P, Thiemann P, et al. Empathy among undergraduate medical students: A multi-centre cross-sectional comparison of students beginning and approaching the end of their course. BMC Med Educ 2016; 16: 92.
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