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      The Association of “First 1000 Days of Life” Training Program on Communication Skill and Empathy of Undergraduate Medical Students: A Cross-Sectional Study

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          Abstract

          Introduction:

          1000 First Days of Life (1000FDL) training program is carried out for 2 years from the 3rd to 6th semester; in this program, students are asked to accompany pregnant women until their children are 2 years old. This study aimed to analyse undergraduate medical students' communication skills and empathy levels and determine the association between communication skills and empathy after the training program.

          Methods:

          This is a cross-sectional study in which 176 undergraduate medical students in Hasanuddin University participated; they were enrolled in 1000FDL training program and selected using purposive sampling. Data were collected using Modified Arabic Version of the ABIM’s Patient Assessment (MAV-ABIM) and Jefferson Scale of Empathy – Student Version (JSE-S) questionnaires to assess their level of communication skills and empathy. In this study, demographic data were obtained using a semi-open-ended questionnaire. Data were analysed using descriptive statistics, Chi-Square, and Spearman tests.

          Results:

          Communication skill was very good (83.5%), good (15.9%), and inadequate (0.6%), while the empathy level was high (9.1%), medium (25%), and low (65.9%). There was no significant difference between the level of communication skills (p-value 0.168) and empathy (p=0.145) based on gender, but there was a significant difference between <12 or >12 times interaction with the empathy level (p<0.001). The association between the level of communication showed that the level of empathy was significant (p<0.001, r=0.399).

          Conclusion:

          Undergraduate medical students had very good communication skills but low empathy levels. There was a positive association between communication skills and empathy level after the training program. The students’ empathy level can be improved by increasing the frequency of interaction with patients in experiential learning through training programs.

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          Most cited references37

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          Doctor-patient communication: a review.

          Effective doctor-patient communication is a central clinical function in building a therapeutic doctor-patient relationship, which is the heart and art of medicine. This is important in the delivery of high-quality health care. Much patient dissatisfaction and many complaints are due to breakdown in the doctor-patient relationship. However, many doctors tend to overestimate their ability in communication. Over the years, much has been published in the literature on this important topic. We review the literature on doctor-patient communication.
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            Empathy in medical students as related to academic performance, clinical competence and gender.

            Empathy is a major component of a satisfactory doctor-patient relationship and the cultivation of empathy is a learning objective proposed by the Association of American Medical Colleges (AAMC) for all American medical schools. Therefore, it is important to address the measurement of empathy, its development and its correlates in medical schools. We designed this study to test two hypotheses: firstly, that medical students with higher empathy scores would obtain higher ratings of clinical competence in core clinical clerkships; and secondly, that women would obtain higher empathy scores than men. A 20-item empathy scale developed by the authors (Jefferson Scale of Physician Empathy) was completed by 371 third-year medical students (198 men, 173 women). Associations between empathy scores and ratings of clinical competence in six core clerkships, gender, and performance on objective examinations were studied by using t-test, analysis of variance, chi-square and correlation coefficients. Both research hypotheses were confirmed. Empathy scores were associated with ratings of clinical competence and gender, but not with performance in objective examinations such as the Medical College Admission Test (MCAT), and Steps 1 and 2 of the US Medical Licensing Examinations (USMLE). Empathy scores are associated with ratings of clinical competence and gender. The operational measure of empathy used in this study provides opportunities to further examine educational and clinical correlates of empathy, as well as stability and changes in empathy at different stages of undergraduate and graduate medical education.
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              Physician Empathy: Definition, Components, Measurement, and Relationship to Gender and Specialty

              There is a dearth of empirical research on physician empathy despite its mediating role in patient-physician relationships and clinical outcomes. This study was designed to investigate the components of physician empathy, its measurement properties, and group differences in empathy scores.
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                Author and article information

                Journal
                J Adv Med Educ Prof
                J Adv Med Educ Prof
                Journal of Advances in Medical Education & Professionalism
                Shiraz University of Medical Sciences (Iran )
                2322-2220
                2322-3561
                October 2023
                : 11
                : 4
                : 222-229
                Affiliations
                [1 ] Department of Medical Education, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
                [2 ] Departement of Microbiology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
                [3 ] Psychology Study Program, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
                [4 ] Departement of Anatomy, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
                [5 ] Departement of Opthalmology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
                [6 ] Department of Anatomical Pathology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
                [7 ] Departement of Obstetrics and Gynaecology, Faculty of Medicine, Hasanuddin University, Makassar, Indonesia
                Author notes
                *Corresponding author: Khaeriah Amru, MD; Jalan Perintis Kemerdekaan Kampus Tamalanrea, KM 10, Postal code: 90245 Makassar, Indonesia; Tel: +62-411586010 Fax: +62-411586010 Email: khaeriahamru@ 123456unhas.ac.id
                Article
                JAMP-11-4
                10.30476/JAMP.2023.98979.1820
                10611933
                37901761
                fab5ce4e-05c2-4b7d-8062-673dda1e02c2
                Copyright: © Journal of Advances in Medical Education & Professionalism

                This is an Open Access article distributed under the terms of the Creative Commons Attribution-NoDerivatives 4.0 Unported License, ( http://creativecommons.org/licenses/by-nd/4.0/ ) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 5 August 2023
                : 26 May 2023
                Categories
                Original Article

                communication, empathy, experiential learning
                communication, empathy, experiential learning

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