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. 2021 Dec 3;11(12):e053070.
doi: 10.1136/bmjopen-2021-053070.

Study protocol for the ETMED-L project: longitudinal study of mental health and interpersonal competence of medical students in a Swiss university using a comprehensive framework of empathy

Alexandre Berney  1   2 , Valerie Carrard  3   2 , Sylvie Berney  2   4 , Katja Schlegel  5 , Jacques Gaume  2   6 , Mehdi Gholam  7 , Pierre-Alexandre Bart  2   8 , Martin Preisig  2   9 , Katarzyna Wac  10 , Marianne Schmid Mast  11 , Céline Bourquin  3   2
Affiliations

Study protocol for the ETMED-L project: longitudinal study of mental health and interpersonal competence of medical students in a Swiss university using a comprehensive framework of empathy

Alexandre Berney et al. BMJ Open. .

Abstract

Introduction: Physician interpersonal competence is crucial for patient care. How interpersonal competence develops during undergraduate medical education is thus a key issue. Literature on the topic consists predominantly of studies on empathy showing a trend of decline over the course of medical school. However, most existing studies have focused on narrow measures of empathy. The first aim of this project is to study medical students' interpersonal competence with a comprehensive framework of empathy that includes self-reported cognitive and affective empathy, performance-based assessments of emotion recognition accuracy, and a behavioural dimension of empathy. The second aim of the present project is to investigate the evolution of mental health during medical school and its putative link to the studied components of interpersonal competence. Indeed, studies documented a high prevalence of mental health issues among medical students that could potentially impact their interpersonal competence. Finally, this project will enable to test the impact of mental health and interpersonal competence on clinical skills as evaluated by experts and simulated patients.

Methods and analysis: This project consists of an observational longitudinal study with an open cohort design. Each year during the four consecutive years of the project, every medical student (curriculum years 1-6) of the University of Lausanne in Switzerland will be asked to complete an online questionnaire including several interpersonal competence and mental health measures. Clinical skills assessments from examinations and training courses with simulated patients will also be included. Linear mixed models will be used to explore the longitudinal evolutions of the studied components of interpersonal competence and mental health as well as their reciprocal relationship and their link to clinical skills.

Ethics and dissemination: The project has received ethical approval from the competent authorities. Findings will be disseminated through internal, regional, national and international conferences, news and peer-reviewed journals.

Keywords: anxiety disorders; depression & mood disorders; medical education & training; mental health.

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Conflict of interest statement

Competing interests: None declared.

References

    1. Duffy FD, Gordon GH, Whelan G, et al. Assessing competence in communication and interpersonal skills: the Kalamazoo II report. Acad Med 2004;79:495–507. 10.1097/00001888-200406000-00002 - DOI - PubMed
    1. Dohrenwend AM. Defining empathy to better teach, measure, and understand its impact. Acad Med 2018;93:1754–6. 10.1097/ACM.0000000000002427 - DOI - PubMed
    1. Mead N, Bower P. Patient-centredness: a conceptual framework and review of the empirical literature. Soc Sci Med 2000;51:1087–110. 10.1016/s0277-9536(00)00098-8 - DOI - PubMed
    1. Quince TA, Parker RA, Wood DF, et al. Stability of empathy among undergraduate medical students: a longitudinal study at one UK medical school. BMC Med Educ 2011;11:90–8. 10.1186/1472-6920-11-90 - DOI - PMC - PubMed
    1. Crandall SJ, Marion GS. Commentary: identifying attitudes towards empathy: an essential feature of professionalism. Acad Med 2009;84:1174–6. 10.1097/ACM.0b013e3181b17b11 - DOI - PubMed

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