Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2016 Aug 12;16(1):204.
doi: 10.1186/s12909-016-0724-z.

"There's no billing code for empathy" - Animated comics remind medical students of empathy: a qualitative study

Affiliations

"There's no billing code for empathy" - Animated comics remind medical students of empathy: a qualitative study

Pamela Tsao et al. BMC Med Educ. .

Abstract

Background: Physician empathy is associated with improved diabetes outcomes. However, empathy declines throughout medical school training. This study seeks to describe how comics on diabetes affect learning processes for empathy in medical students.

Methods: All first- or second-year students at a Canadian medical school were invited to provide written reflections on two comics regarding diabetes and participate in a focus group. Responses were analyzed qualitatively for emergent themes. Students completed the Jefferson Scale of Physician Empathy (JSPE) at baseline, after the comic, and after the focus group. Linear mixed model statistical analyses were performed.

Results: Thirteen first-year and 12 second-year students participated. Qualitative analysis revealed four themes: 1) Empathy decline and its barriers; 2) Impact of the comic and focus group on knowledge, attitudes and skills; 3) Role of the comic in the curriculum as a reminder tool of the importance of empathy; 4) Comics as an effective medium. Baseline mean JSPE scores were 116.4 (SD 10.5) and trended up to 117.2 (SD 12.5) and 119.6 (SD 15.2) after viewing the comics and participating in the focus groups, respectively (p = 0.08).

Conclusions: Animated comics on diabetes are novel methods of reminding students about empathy by highlighting the patient perspective.

Keywords: Comics; Empathy; Medical student education.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Changes in mean JSPE scores (SD) by group: all, year 1 and year 2

References

    1. Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK, Isenberg GA, Veloski J, Gonnella JS. The devil is in the third year: a longitudinal study of erosion of empathy in medical school. Acad Med. 2009;84(9):1182–91. doi: 10.1097/ACM.0b013e3181b17e55. - DOI - PubMed
    1. Kim SS, Kaplowitz S, Johnston MV. The effects of physician empathy on patient satisfaction and compliance. Eval Health Prof. 2004;27(3):237–51. doi: 10.1177/0163278704267037. - DOI - PubMed
    1. Hojat M, Louis DZ, Markham FW, Wender R, Rabinowitz C, Gonnella JS. Physicians’ empathy and clinical outcomes for diabetic patients. Acad Med. 2011;86(3):359–64. doi: 10.1097/ACM.0b013e3182086fe1. - DOI - PubMed
    1. Shanafelt TD, West C, Zhao X, Novotny P, Kolars J, Habermann T, Sloan J. Relationship between increased personal well-being and enhanced empathy among internal medicine residents. J Gen Intern Med. 2005;20(7):559–64. doi: 10.1007/s11606-005-0102-8. - DOI - PMC - PubMed
    1. Learning objectives for medical student education--guidelines for medical schools: report I of the Medical School Objectives Project. Acad Med. 1999;74(1):13–18. - PubMed