Aptitude;
Clinical competence;
Empathy;
Medical students;
Writing;
D O I:
10.3352/jeehp.2014.11.20
中图分类号:
G40 [教育学];
学科分类号:
040101 ;
120403 ;
摘要:
Purpose: Medical schools are increasingly aware of the ways in which physician empathy can have a profound impact on patients' lives and have developed humanities initiatives to address this concern. Reflective writing in particular is more commonly promoted in medical curricula, but there is limited research on the impact of reflective writing on medical student empathy levels. It aims to find the emotional effects of reflective writing interventions on medical and healthcare students by systemic review. Methods: Two investigators independently reviewed educational publications for critical analysis. This review focused systematically on quantitative papers that measure the impact of reflective writing on empathy. Results: Of the 1,032 studies found on Medline and CINAHL, only 8 used quantitative measures pre-and post-written reflection to measure any impact on empathy outcomes. The outcomes measured included impact of reflective writing exercises on student wellness, aptitude, and/or clinical skills. Of these studies, a significant change in student empathy was observed in 100% of the studies, demonstrating a significant change in outcomes. Conclusion: Although the lack of homogeneity in outcome measurement in the literature limits possible conclusion from this review, the overwhelmingly positive reporting of outcomes suggests that reflective writing should be considered in any medical curriculum.
机构:
Univ Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USAUniv Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USA
Haas, JS
;
Cook, EF
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USAUniv Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USA
Cook, EF
;
Puopolo, AL
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USAUniv Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USA
Puopolo, AL
;
Burstin, HR
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USAUniv Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USA
Burstin, HR
;
Cleary, PD
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USAUniv Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USA
Cleary, PD
;
Brennan, TA
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USAUniv Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USA
机构:
Thomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USAThomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USA
Vergare, Michael J.
;
Maxwell, Kaye
论文数: 0引用数: 0
h-index: 0
机构:Thomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USA
Maxwell, Kaye
;
Brainard, George
论文数: 0引用数: 0
h-index: 0
机构:
Jefferson Med Coll, Light Res Program, Philadelphia, PA 19107 USAThomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USA
Brainard, George
;
Herrine, Steven K.
论文数: 0引用数: 0
h-index: 0
机构:
Jefferson Med Coll, Div Gastroenterol & Hepatol, Philadelphia, PA 19107 USAThomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USA
Herrine, Steven K.
;
Isenberg, Gerald A.
论文数: 0引用数: 0
h-index: 0
机构:
Jefferson Med Coll, Dept Surg, Philadelphia, PA 19107 USAThomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USA
Isenberg, Gerald A.
;
Veloski, Jon
论文数: 0引用数: 0
h-index: 0
机构:
Jefferson Med Coll, Med Educ Div, Ctr Res Med Educ & Hlth Care, Philadelphia, PA 19107 USAThomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USA
Veloski, Jon
;
Gonnella, Joseph S.
论文数: 0引用数: 0
h-index: 0
机构:Thomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USA
机构:
Univ Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USAUniv Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USA
Haas, JS
;
Cook, EF
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USAUniv Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USA
Cook, EF
;
Puopolo, AL
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USAUniv Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USA
Puopolo, AL
;
Burstin, HR
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USAUniv Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USA
Burstin, HR
;
Cleary, PD
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USAUniv Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USA
Cleary, PD
;
Brennan, TA
论文数: 0引用数: 0
h-index: 0
机构:
Univ Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USAUniv Calif San Francisco, San Francisco Gen Hosp, Div Gen Internal Med, San Francisco, CA 94143 USA
机构:
Thomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USAThomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USA
Vergare, Michael J.
;
Maxwell, Kaye
论文数: 0引用数: 0
h-index: 0
机构:Thomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USA
Maxwell, Kaye
;
Brainard, George
论文数: 0引用数: 0
h-index: 0
机构:
Jefferson Med Coll, Light Res Program, Philadelphia, PA 19107 USAThomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USA
Brainard, George
;
Herrine, Steven K.
论文数: 0引用数: 0
h-index: 0
机构:
Jefferson Med Coll, Div Gastroenterol & Hepatol, Philadelphia, PA 19107 USAThomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USA
Herrine, Steven K.
;
Isenberg, Gerald A.
论文数: 0引用数: 0
h-index: 0
机构:
Jefferson Med Coll, Dept Surg, Philadelphia, PA 19107 USAThomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USA
Isenberg, Gerald A.
;
Veloski, Jon
论文数: 0引用数: 0
h-index: 0
机构:
Jefferson Med Coll, Med Educ Div, Ctr Res Med Educ & Hlth Care, Philadelphia, PA 19107 USAThomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USA
Veloski, Jon
;
Gonnella, Joseph S.
论文数: 0引用数: 0
h-index: 0
机构:Thomas Jefferson Univ, Jefferson Med Coll, Dept Psychiat & Human Behav, Philadelphia, PA 19107 USA