Evidence map›Paper›PMID 31243037›Full record

Observational studyBMJ open2019

Investigating the relation between self-assessment and patients' assessments of physicians-in-training empathy: a multicentric, observational, cross-sectional study in three teaching hospitals in Brazil.

Mônica Oliveira Bernardo, Dario Cecilio-Fernandes, Alba Regina de Abreu Lima, Julian Furtado Silva, Hugo Dugolin Ceccato, Manuel João Costa, Marco Antonio de Carvalho-Filho

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 34 citations in OpenAlex.

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  9. Game of Mirrors: Health Profiles in Patient and Physician Perceptions.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 3 countries.

Mônica Oliveira Bernardo *Radiology, Pontificia Universidade Catolica de Sao Paulo Faculdade de Ciencias Medicas e da Saude, Sorocaba, São Paulo, Brazil.
Dario Cecilio-Fernandes *CEDAR - Center for Education Development and Research in Health Professions, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0002-8746-1680
Alba Regina de Abreu LimaMedical Faculty of São Jose do Rio Preto, São José do Rio Preto, Brazil.
Julian Furtado SilvaInternal Medicine, Universidade Estadual de Campinas Faculdade de Ciencias Medicas, Campinas, São Paulo, Brazil.
Hugo Dugolin CeccatoInternal Medicine, Universidade Estadual de Campinas Faculdade de Ciencias Medicas, Campinas, São Paulo, Brazil.
Manuel João CostaLife and Health Sciences Research Institute, School of Health Sciences, University of Minho, Braga, Portugal.
Marco Antonio de Carvalho-FilhoCEDAR - Center for Education Development and Research in Health Professions, University Medical Center Groningen, Groningen, The Netherlands.ORCID 0000-0001-7008-4092
Universidade Estadual de Campinas (UNICAMP) · BRUniversity Medical Center Groningen · NLFaculdade de Medicina de São José do Rio Preto · BRPontifícia Universidade Católica de São Paulo · BRUniversity of Minho · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study investigated the associations between self-assessed empathy levels by physicians in training and empathy levels as perceived by their patients after clinical encounters. The authors also examined whether patient assessments were valid and reliable tools to measure empathy in physicians in training.

designA multicentric, observational, cross-sectional study.

settingThis study was conducted in three public teaching hospitals in Brazil.

participantsFrom the 668 patients invited to participate in this research, 566 (84.7%) agreed. Of these, 238 (42%) were male and 328 (58%) were female. From the invited 112 physicians in training, 86 (76.8%) agreed. Of the 86 physicians in training, 35 (41%) were final-year medical students and 51 (59%) were residents from clinical and surgical specialties. The gender distribution was 39 (45%) males and 47 (51%) females. PRIMARY AND SECONDARY OUTCOME MEASURES: Physicians in training filled the Jefferson Scale of Physician Empathy (JSE) and the Interpersonal Reactivity Index. Patients answered the Jefferson Scale of Patient's Perceptions of Physician Empathy (JSPPPE) and the Consultation and Relational Empathy Scale (CARE).

resultsThis study found non-significant correlations between patient and physicians-in-training self-assessments, except for a weak correlation (0.241, p<0.01) between the JSPPPE score and the JSE compassionate care subscore. CARE and JSPPPE scales proved to be valid and reliable instruments.

conclusionsPhysicians-in-training self-assessments of empathy differ from patient assessments. Knowledge about empathy derived from self-assessment studies probably does not capture the perspective of the patients, who are key stakeholders in patient-centred care. Future research on the development of physician empathy or on outcomes of educational interventions to foster empathy should include patient perspectives.

Indexed as

EmpathyInternship and ResidencySelf-AssessmentAdolescentAdultAgedBrazilCross-Sectional StudiesFemaleHospitals, TeachingHumansMaleMiddle AgedPatientsPhysician-Patient RelationsStudents, Medicaleducationempathyinternship and residencymedicalpatients

Identifiers

PMID31243037
PMCPMC6597646
OpenAlexW2955382546

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.