Carecos study

Medical students’ empathy as assessed with the Care measure by examiners versus standardized patients during a formative Objective and Structured Clinical Examination (OSCE) station

Dados Bibliográficos

ID21449232
AutoresLaurène Dufayet (0000-0001-6594-5855, UFR de médecine, Université Paris Cité, Paris, France), Marie-Aude Piot (0000-0001-6776-1611, UFR de médecine, Université Paris Cité, Paris, France), Pierre A Geoffroy (0000-0001-9121-209X, Lyon 1 Université), Pierre-Alexis Geoffroy (UFR de médecine, Université Paris Cité, Paris, France), Bénédicte Oulès (0000-0001-8269-4306, UFR de médecine, Université Paris Cité, Paris, France), Clara Petitjean-Brichant (Hôpital Bichat-Claude-Bernard), Nathan Peiffer‐Smadja (0000-0003-1166-1958, Lyon 1 Université), Nathan Peiffer-Smadja (UFR de médecine, Université Paris Cité, Paris, France), Donia Bouzid (0000-0002-7538-3320, UFR de médecine, Université Paris Cité, Paris, France), Alexy Tran‐Dinh (0000-0003-4361-5104, Lyon 1 Université), Alexy Tran Dinh (UFR de médecine, Université Paris Cité, Paris, France), Tristan Mirault (0000-0001-8690-1093, UFR de médecine, Université Paris Cité, Paris, France), Albert Faye (0000-0003-4708-6086, UFR de médecine, Université Paris Cité, Paris, France), Cédric Lemogne (0000-0002-3487-4721, UFR de médecine, Université Paris Cité, Paris, France), Philippe Ruszniewski (UFR de médecine, Université Paris Cité, Paris, France), Hugo Peyre (0000-0001-8757-0783, UFR de médecine, Université Paris Cité, Paris, France), Dominique Vodovar (0000-0002-8196-5511, UFR de médecine, Université Paris Cité, Paris, France, autor correspondente)
Ano2024
Volume46
Fascículo9
Páginas1187-1195
Data de publicação2024-09-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoMedical Teacher (JOURNAL)
Identificadores do periódicoISSN: 0142-159X • E-ISSN: 1466-187X
EditoraInforma UK Limited (PUBLISHER • GB)
DOI10.1080/0142159x.2024.2306840
PMID38285021
OpenAlexW4391324296
IdiomaEN
Citações recebidas2
Referências citadas39

Purpose To assess the Consultation And Relational Empathy (CARE) measure as a tool for examiners to assess medical students’ empathy during Objective and Structured Clinical Examinations (OSCEs), as the best tool for assessing empathy during OSCEs remains unknown.Methods We first assessed the psychometric properties of the CARE measure, completed simultaneously by examiners and standardized patients (SP, either teachers - SPteacher - or civil society members - SPcivil society), for each student, at the end of an OSCE station. We then assessed the qualitative/quantitative agreement between examiners and SP.Results We included 129 students, distributed in eight groups, four groups for each SP type. The CARE measure showed satisfactory psychometric properties in the context of the study but moderate, and even poor inter-rater reliability for some items. Considering paired observations, examiners scored lower than SPs (p < 0.001) regardless of the SP type. However, the difference in score was greater when the SP was a SPteacher rather than a SPcivil society (p < 0.01).Conclusion Despite acceptable psychometric properties, inter-rater reliability of the CARE measure between examiners and SP was unsatisfactory. The choice of examiner as well as the type of SP seems critical to ensure a fair measure of empathy during OSCEs

Empathy · Formative assessment · Medical education · Objective structured clinical examination · Pedagogy · Clinical Psychology · Clinical Reasoning and Diagnostic Skills · Empathy and Medical Education · Innovations in Medical Education · Medicine · Psychology · Social Psychology