Background: The development of an ideal doctor-patient
relationship requires empathy. Empathetic conversation aids
in the formation of an open and trusting equation between
doctor and patient. Furthermore, this leads to accurate
diagnoses and more compliance to the advised treatment. In
this manner, empathy helps in overall recovery of the patient
and improves global functioning and generalised well-being.
This study aims to make note of the fluctuation in empathy
levels during medical education. Studies done in various
countries have found factors such as curriculum, clinical
rotations timing and gender to progressively influences
empathy levels in students throughout their medical training.
The recent trend of violence against healthcare professionals
in India calls for an urgent action into the gap between doctors
and patients communication. Empathy towards patients and
attendants will reduce such untoward events. In this current
context, we should improve empathy levels among the training
doctors. As a first step, we should assess various factors
affecting empathy among health care professionals.
Method: This cross sectional study was done among
undergraduates of a rural medical college in Northern
Telangana during the time period of October to December
2019. Their empathy levels were assessed using Jefferson’s
Scale for Empathy- Student version (JSE-S).
Result: Of the 470 students surveyed, 227 were males and 243
females. Female students were having higher empathy among
first year and second years (p<0.001). Empathy levels seem to
decline from first year to second year following which the mean
empathy remains similar throughout the remaining years in
students of both sexes. There is no significant relation between
mean empathy scores and choice of future speciality (p>0.05).
Conclusion: Female undergraduate students are found to be
more empathetic than their male counterparts. A fall in
empathy scores from the first to second year of MBBS is seen,
which is when students enter their clinical rotations. Targeted
intervention at this time may go a long way in the creation of
a new generation of more empathetic physicians. Hence, there
is a need for evaluation of teaching and learning techniques in
medical education.
Further, there is a call for more research into the determinants
of decline in empathy amongst medical professionals.