A prospective study of the relationship between medical knowledge and professionalism among internal medicine residents

Colin Patrick West, Jefrey L. Huntington, Mashele M. Huschka, Paul J. Novotny, Jeff A Sloan, Joseph C. Kolars, Thomas Matthew Habermann, Tait D. Shanafelt

Research output: Contribution to journalArticle

29 Citations (Scopus)

Abstract

PURPOSE: To explore residents' competency in medical knowledge and in empathy, one element of professionalism, and to evaluate the relationship between competencies in these domains. METHOD: In 2003-2004 and 2004-2005, first-year internal medicine residents at the Mayo Clinic College of Medicine in Rochester, Minnesota were invited to participate in a prospective, longitudinal study of resident competency. Participating residents completed the annual Internal Medicine In-Training Examination (ITE) each October and the Interpersonal Reactivity Index (IRI), a standardized tool to measure empathy administered at multiple time points during training. Changes in medical knowledge and empathy between the fall of postgraduate years one and two were evaluated, and associations between medical knowledge and empathy were explored. RESULTS: Residents' medical knowledge as measured by the ITE increased over the first year of training (mean increase 8.7 points, P < .0001), whereas empathy as measured by the empathic concern subscale of the IRI decreased over this same time period (mean decrease 1.6 points, P = .0003). No significant correlation was found between medical knowledge and empathy or between changes in these domains of competency over time. CONCLUSIONS: Resident competency in the domains of medical knowledge and empathy seems to be influenced by separate and independent aspects of training. Training environments may promote competency in one domain while simultaneously eroding competency in another. Residency programs should devise specific curricula to promote each domain of physician competency.

Original languageEnglish (US)
Pages (from-to)587-592
Number of pages6
JournalAcademic Medicine
Volume82
Issue number6
DOIs
StatePublished - Jun 2007

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Internal Medicine
empathy
medicine
Prospective Studies
resident
medical association
examination
Internship and Residency
professionalism
Professionalism
Curriculum
Longitudinal Studies
longitudinal study
physician
Medicine
Physicians
curriculum
time

ASJC Scopus subject areas

  • Nursing(all)
  • Public Health, Environmental and Occupational Health
  • Education

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A prospective study of the relationship between medical knowledge and professionalism among internal medicine residents. / West, Colin Patrick; Huntington, Jefrey L.; Huschka, Mashele M.; Novotny, Paul J.; Sloan, Jeff A; Kolars, Joseph C.; Habermann, Thomas Matthew; Shanafelt, Tait D.

In: Academic Medicine, Vol. 82, No. 6, 06.2007, p. 587-592.

Research output: Contribution to journalArticle

West, Colin Patrick ; Huntington, Jefrey L. ; Huschka, Mashele M. ; Novotny, Paul J. ; Sloan, Jeff A ; Kolars, Joseph C. ; Habermann, Thomas Matthew ; Shanafelt, Tait D. / A prospective study of the relationship between medical knowledge and professionalism among internal medicine residents. In: Academic Medicine. 2007 ; Vol. 82, No. 6. pp. 587-592.
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