Association between tolerance for ambiguity specific to the clinical context and empathy in medical trainees: A multicenter cross-sectional study in Japan.

IF 3.3 2区教育学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Medical Teacher Pub Date : 2024-04-01 Epub Date: 2023-09-21 DOI:10.1080/0142159X.2023.2259065

Hirohisa Fujikawa, Takuya Aoki, Daisuke Son, Mikio Hayashi, Masato Eto

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引用次数: 0

Abstract

Purpose: Physicians' empathy and ambiguity tolerance have recently become a focus of medical education. However, the association between the two concepts remains unclear. This study examined the association between empathy and ambiguity tolerance in the clinical context among medical trainees.

Methods: We conducted a multicenter cross-sectional study in 12 institutions: 2 universities for medical students and 10 hospitals for residents. We assessed ambiguity tolerance using the Japanese version of the Tolerance of Ambiguity in Medical Students and Doctors scale. The outcome variable was empathy, measured using the Japanese translation of the Jefferson Scales of Empathy (JSE).

Results: Data from 100 medical students and 135 residents were analyzed. After adjustment for possible confounders, the factor scores of 'tolerance for things that are not black or white in medicine' showed a dose-dependent association with the JSE. There was no clear trend in the association between the total scores or other factor scores and empathy.

Conclusion: This nationwide multicenter study showed that the factor scores of 'tolerance for things that are not black or white in medicine' were associated with empathy among medical trainees. Our findings may be helpful for developing interventions in the field of medical education to nurture empathy.

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医学实习生对临床特定歧义的容忍度与移情之间的关系：一项在日本进行的多中心横断面研究。

目的：医生的同理心和歧义容忍能力最近成为医学教育的焦点。然而，这两个概念之间的联系仍然不清楚。本研究考察了医学实习生在临床环境中的移情和歧义容忍之间的关系。方法：我们在12所机构进行了一项多中心横断面研究：2所大学为医学生，10所医院为住院医生。我们使用日语版的《医学生和医生歧义容忍度量表》来评估歧义容忍度。结果变量是移情，使用日语翻译的杰斐逊移情量表（JSE）进行测量。结果：分析了100名医学生和135名居民的数据。在调整了可能的混杂因素后，“对医学上非黑即白的事物的耐受性”的因子得分显示出与JSE的剂量依赖性关联。总分或其他因素得分与移情之间的关系没有明显的趋势。结论：这项全国性的多中心研究表明，“对医学上非黑即白的事物的容忍度”的因素得分与医学实习生的同理心有关。我们的发现可能有助于在医学教育领域制定干预措施，以培养同理心。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Medical Teacher 医学-卫生保健

CiteScore

7.80

自引率

8.50%

发文量

396

审稿时长

3-6 weeks

期刊介绍： Medical Teacher provides accounts of new teaching methods, guidance on structuring courses and assessing achievement, and serves as a forum for communication between medical teachers and those involved in general education. In particular, the journal recognizes the problems teachers have in keeping up-to-date with the developments in educational methods that lead to more effective teaching and learning at a time when the content of the curriculum—from medical procedures to policy changes in health care provision—is also changing. The journal features reports of innovation and research in medical education, case studies, survey articles, practical guidelines, reviews of current literature and book reviews. All articles are peer reviewed.