Evidence map›Paper›PMID 32311676›Full record

ArticleInternational journal of medical education2020

Can empathy be preserved in medical education?

Astrid Seeberger, Annalena Lönn, Håkan Hult, Maria Weurlander, Annika Wernerson

Abstract read
In one paragraph

Article in International journal of medical education, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  6. Empathy Decline During Medical Training: Insights from a Novelist.Journal of general internal medicine · 2025
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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

5 authors.

Astrid SeebergerDivision of Renal Medicine, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Insti-tutet, Stockholm, Sweden.
Annalena LönnDivision of Renal Medicine, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Insti-tutet, Stockholm, Sweden.
Håkan HultDivision of Renal Medicine, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Insti-tutet, Stockholm, Sweden.
Maria WeurlanderDepartment of Learning, School of Education and Communication in Engineering Science (ECE), KTH Royal Institute of Technology, Stockholm, Sweden.
Annika WernersonDivision of Renal Medicine, Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Insti-tutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe aim of this study was to investigate changes in empathy during medical education, as well as to identify promoters and inhibitors of empathy and analyse their roles.

methodsWe used qualitative content analysis to examine 69 critically reflective essays written by medical students as a part of their final examination at the end of the medical program. The essays were based on previous self-evaluations performed each term and represented retrospective reflections on their professional development.

resultsA majority of the students felt that their empathy did not decrease during medical education. On the contrary, many felt that their empathy had increased, especially the cognitive part of empathy, without loss of affective empathy. Many of them described a professionalisation process resulting in an ability to meet patients with preserved empathy but without being overwhelmed by emotions. They identified several factors that promoted the development of empathy: a multiplicity of patients, positive role models, and educational activities focusing on reflection and self-awareness. They also identified inhibitors of empathy: lack of professional competence and a stressful and empathy-hostile medical culture.

conclusionsOur analysis of these retrospective reflections by students suggests that empathy can be preserved during medical education, despite the presence of important inhibitors of empathy. This finding might be due to the presence of more potent promoters and/or to the fact that educational activities might result in a decreased susceptibility to empathy-decreasing circumstances.

Indexed as

EmpathyPhysician-Patient RelationsAdultCurriculumEducational MeasurementEducation, MedicalEmotionsFemaleHumansMaleProfessional CompetenceQualitative ResearchRetrospective StudiesSelf-AssessmentStudents, MedicalSwedenempathymedical educationprofessionalisationreflectionstudents´ experiences

Identifiers

PMID32311676
PMCPMC7246122

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.