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Empathy in undergraduate medical students: a multi-center cross-sectional study in China

dc.contributor.authorRunzhi Huang
dc.contributor.authorZhitong Zhou
dc.contributor.authorYifan Liu
dc.contributor.authorMin Lin
dc.contributor.authorMeiqiong Gong
dc.contributor.authorShuyuan Xian
dc.contributor.authorHuabin Yin
dc.contributor.authorTong Meng
dc.contributor.authorXiaonan Wang
dc.contributor.authorYue Wang
dc.contributor.authorWenfang Chen
dc.contributor.authorChongyou Zhang
dc.contributor.authorErbin Du
dc.contributor.authorXin Liu
dc.contributor.authorQing Lin
dc.contributor.authorHongbin Wu
dc.contributor.authorZongqiang Huang
dc.contributor.authorJie Zhang
dc.contributor.authorGuoyang Zhang
dc.contributor.authorShizhao Ji
dc.contributor.otherDepartment of Burns, The First Affiliated Hospital of Naval Medical University
dc.contributor.otherTongji University School of Medicine
dc.contributor.otherShanghai Jiao Tong University School of Medicine
dc.contributor.otherMental Health Education and Consultation Center, Chongqing Medical University
dc.contributor.otherOffice of Educational Administration, Shanghai University
dc.contributor.otherTongji University School of Medicine
dc.contributor.otherDepartment of Orthopedics, Shanghai General Hospital, School of Medicine, Shanghai Jiaotong University
dc.contributor.otherDepartment of Orthopedics, Shanghai General Hospital, School of Medicine, Shanghai Jiaotong University
dc.contributor.otherDepartment of Epidemiology and Health Statistics, School of Public Health, Capital Medical University
dc.contributor.otherDepartment of Health Statistics, School of Public Health, Air Force Medical University
dc.contributor.otherFaculty of Medicine, Jinggangshan University
dc.contributor.otherBasic Medical College, Harbin Medical University
dc.contributor.otherFrist Clinical Medical College, Mudanjiang Medical University
dc.contributor.otherDepartment of Rheumatology and Immunology, Second Affiliated Hospital of Naval Medical University
dc.contributor.otherDepartment of Human Anatomy, Laboratory of Clinical Applied Anatomy, School of Basic Medical Sciences, Fujian Medical University
dc.contributor.otherNational Centre for Health Professions Education Development, Peking University
dc.contributor.otherDepartment of Orthopedics, The First Affiliated Hospital of Zhengzhou University
dc.contributor.otherTongji University School of Medicine
dc.contributor.otherMaastricht University School of Health Professions Education
dc.contributor.otherDepartment of Burns, The First Affiliated Hospital of Naval Medical University
dc.date.accessioned2024-06-09T11:28:52Z
dc.date.accessioned2025-10-08T08:23:21Z
dc.date.available2025-10-08T08:23:21Z
dc.date.issued01-06-2024
dc.identifier.urihttp://digilib.fisipol.ugm.ac.id/repo/handle/15717717/35712
dc.description.abstractAbstract Background Fostering empathy has been continuously emphasized in the global medical education. Empathy is crucial to enhance patient-physician relationships, and is associated with medical students’ academic and clinical performance. However, empathy level of medical students in China and related influencing factors are not clear. Methods This was a cross-sectional study among medical students in 11 universities. We used the Jefferson Scale of Empathy Student-version of Chinese version to measure empathy level of medical students. Factors associated with empathy were identified by the univariate and multivariate logistic regression analyses. Based on the variables identified above, the nomogram was established to predict high empathy probability of medical students. Receiver operating characteristic curve, calibration plot and decision curve analysis were used to evaluate the discrimination, calibration and educational utility of the model. Results We received 10,901 samples, but a total of 10,576 samples could be used for further analysis (effective response rate of 97.02%). The mean empathy score of undergraduate medical students was 67.38 (standard deviation = 9.39). Six variables including gender, university category, only child or not, self-perception doctor-patient relationship in hospitals, interest of medicine, Kolb learning style showed statistical significance with empathy of medical students (P < 0.05). Then, the nomogram was established based on six variables. The validation suggested the nomogram model was well calibrated and had good utility in education, as well as area under the curve of model prediction was 0.65. Conclusions We identify factors influencing empathy of undergraduate medical students. Moreover, increasing manifest and hidden curriculums on cultivating empathy of medical students may be needed among medical universities or schools in China.
dc.language.isoEN
dc.publisherBMC
dc.subject.lccPsychiatry
dc.titleEmpathy in undergraduate medical students: a multi-center cross-sectional study in China
dc.typeArticle
dc.description.keywordsEmpathy
dc.description.keywordsInfluencing factors
dc.description.keywordsMedical students
dc.description.keywordsNomogram
dc.description.pages1-11
dc.description.doi10.1186/s12888-023-05350-2
dc.title.journalBMC Psychiatry
dc.identifier.e-issn1471-244X
dc.identifier.oaif4b66f1fe9bb4a0e836c153b434a4ac3
dc.journal.infoVolume 24, Issue 1


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