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Using Theater to Teach Clinical Empathy: A Pilot Study

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Abstract

Background

Clinical empathy, a critical skill for the doctor–patient relationship, is infrequently taught in graduate medical education. No study has tested if clinical empathy can be taught effectively.

Objective

To assess whether medicine residents can learn clinical empathy techniques from theater professors.

Design

A controlled trial of a clinical empathy curriculum taught and assessed by 4 theater professors.

Setting

Virginia Commonwealth University, Richmond, Virginia, a large urban university and health system.

Participants

Twenty Internal Medicine residents: 14 in the intervention group, 6 in the control group.

Intervention

Six hours of classroom instruction and workshop time with professors of theater.

Measurements

Scores derived from an instrument with 6 subscores designed to measure empathy in real-time patient encounters. Baseline comparisons were made using two-sample T tests. A mixed-effects analysis of variance model was applied to test for significance between the control and intervention groups.

Results

The intervention group demonstrated significant improvement (p ≤ .011) across all 6 subscores between pre-intervention and post-intervention observations. Compared to the control group, the intervention group had better posttest scores in 5 of 6 subscores (p ≤ .01).

Limitations

The study was neither randomized nor blinded.

Conclusions

Collaborative efforts between the departments of theater and medicine are effective in teaching clinical empathy techniques.

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Acknowledgments

None.

Conflict of Interest

None disclosed.

Funding sources

None.

Author information

Authors and Affiliations

Authors

Consortia

Corresponding author

Correspondence to Alan W. Dow MD, MSHA.

Additional information

*Other VCU Theater-Medicine Team members: Chris Gennings, PhD, Janet Rodgers, and Lou Szari, from the Departments of Theatre (J.R., L.S.) and Biostatistics (C.G.), Virginia Commonwealth University, Richmond, VA

Appendix

Appendix

Table 2 Instrument Resident Communication Evaluation Form

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Dow, A.W., Leong, D., Anderson, A. et al. Using Theater to Teach Clinical Empathy: A Pilot Study. J GEN INTERN MED 22, 1114–1118 (2007). https://doi.org/10.1007/s11606-007-0224-2

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  • DOI: https://doi.org/10.1007/s11606-007-0224-2

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