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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.

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Title: 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.
Authors: Dufayet, Laurene1,2,3,4, Piot, Marie-Aude1,5,6, Geoffroy, Pierre-Alexis1,7,8,9, Oulès, Bénédicte1,10, Petitjean-Brichant, Clara7, Peiffer-Smadja, Nathan1,11,12, Bouzid, Donia1,12,13, Tran Dinh, Alexy1,14, Mirault, Tristan1,15, Faye, Albert1,16, Lemogne, Cédric1,17,18, Ruszniewski, Philippe1,19, Peyre, Hugo1,20,21, Vodovar, Dominique1,3,4 dominique.vodovar@aphp.fr
Source: Medical Teacher. Sep2024, Vol. 46 Issue 9, p1187-1195. 9p.
Subject Terms: *Empathy, *Data analysis, *Research methodology evaluation, *Health occupations students, *Clinical competence, *Medical schools, *Research methodology, *Psychology of medical students, *National competency-based educational tests, *Factor analysis, *Inter-observer reliability, Scale analysis (Psychology), Multitrait multimethod techniques, Cronbach's alpha, Research evaluation, Mann Whitney U Test, Descriptive statistics, Psychometrics, Simulated patients, Statistics, Patient-professional relations, Confidence intervals, Data analysis software, Medical referrals
Geographic Terms: France
Abstract: 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. [ABSTRACT FROM AUTHOR]
Copyright of Medical Teacher is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Purpose: To assess the Consultation And Relational Empathy (CARE) measure as a tool for examiners to assess medical students&#39; 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 &lt; 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 &lt; 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. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Medical Teacher is the property of Taylor &amp; Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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        Value: 10.1080/0142159X.2024.2306840
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        Text: English
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      – SubjectFull: Empathy
        Type: general
      – SubjectFull: Data analysis
        Type: general
      – SubjectFull: Research methodology evaluation
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      – SubjectFull: Health occupations students
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      – SubjectFull: Clinical competence
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      – SubjectFull: Research methodology
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      – SubjectFull: Data analysis software
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      – SubjectFull: Medical referrals
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