Balint groups and narrative medicine compared to a control condition in promoting students' empathy

被引：28

作者：

Lemogne, Cedric ^{[1
,2
,3
]}

Buffel du Vaure, Celine ^{[4
,5
]}

Hoertel, Nicolas ^{[1
,3
,6
]}

Catu-Pinault, Annie ^{[4
]}

Limosin, Frederic ^{[1
,3
,6
]}

Ghasarossian, Christian ^{[4
]}

Le Jeunne, Claire ^{[1
,8
]}

Jaury, Philippe ^{[4
,7
]}

机构：

[1] Univ Paris, Fac Sante, UFR Med, 15 Rue Ecole Med, F-75006 Paris, France

[2] Ctr Univ Paris, Hop Hotel Dieu, AP HP, Serv Psychiat Adulte, 1 Pl Parvis Notre Dame, F-75004 Paris, France

[3] Univ Paris, INSERM, Inst Psychiat & Neurosci Paris IPNP, UMR S1266, 102-108 Rue Sante, F-75014 Paris, France

[4] Univ Paris, Fac Sante, UFR Med, Dept Med Gen, 24 Rue Faubourg St Jacques, F-75014 Paris, France

[5] Sorbonne Paris Cite, METHODS Team, Epidemiol & Stat, Res Ctr,Inserm,UMR 1153, 1 Pl Parvis, F-75004 Paris, France

[6] Ctr Univ Paris, Hop Corentin Celton, AP HP, Serv Psychiat & Addictol Adulte & Sujet Age, 4 Parvis Corentin Celton, F-92130 Issy Les Moulineaux, France

[7] Soc Med Balint, 10 Route Thionville, F-57140 Woippy, France

[8] Ctr Univ Paris, Hop Cochin, AP HP, Serv Med Interne, Paris, France

来源：

BMC MEDICAL EDUCATION | 2020年 / 20卷 / 01期

关键词：

Balint groups; Empathy; Medical education; Narrative medicine; Physician-patient relations; Students; medical; EDUCATION; PHYSICIANS; DECLINE;

D O I：

10.1186/s12909-020-02316-w

中图分类号：

G40 [教育学];

学科分类号：

040101 ; 120403 ;

摘要：

Background The perceived importance of clinical empathy may decline among students during medical training. Several interventions have been shown to be effective in promoting or preserving medical students' empathic abilities, such as empathy skills training or Balint groups. Although narrative medicine training shares some features with these interventions, no randomized study to date examined the efficacy of narrative medicine training. This study aimed to assess the effects of Balint groups and narrative medicine training on clinical empathy measured by the self-rated Jefferson's School Empathy Scale - Medical Student (JSPE-MS (c)) among fourth-year medical students. Methods Students who gave their consent to participate were randomly allocated in equal proportion to Balint groups, narrative medicine training or to the control group. Participants in the intervention groups received either seven sessions of 1.5-h Balint groups or a 2-h lecture and five sessions of 1.5-h narrative medicine training from October 2015 to December 2015. The main outcome was the change in JSPE-MS (c) score from baseline to one week after the last session. Results Data from 362 out of 392 participants were analyzed: 117 in the control group, 125 in the Balint group and 120 in the narrative medicine group. The change in JSPE-MS (c) score from baseline to follow-up was significantly higher in the Balint group than in the control group [mean (SD): 0.27 (8.00) vs. -2,36 (11.41), t = 2.086, P = 0.038]. The change in JSPE-MS (c) score in the narrative medicine group [mean (SD): - 0.57 (8.76)] did not significantly differ from the changes in the control group (t = 1.355, P = 0.18) or the Balint group (t = 0.784, P = 0.43). Adjusting for participants' characteristics at baseline, Balint groups remained associated with better outcomes compared to the control group (beta = 2.673, P = 0.030). Conclusions Balint groups may promote clinical empathy to some extent among medical students, at least in the short run.

引用

页数：8

共 33 条

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