A lack of empathy in healthcare can be disastrous.
But also the way that the curriculum is structured to create a stressful workload, and to promote the influence of role models has an effect.
Students, who are likely to have little experience of what being a patient is like, often adapt to this hidden curriculum by developing cynicism and becoming emotionally distanced and desensitized. This, in turn, lowers empathy. Like all studies, our review has some limitations. The studies included in the review were small, very few were from outside Europe or North America, and many were of limited quality. However, the remarkable consistency of the identified themes warrants rigorous efforts to reverse the empathy decline.By bringing the cause of empathy decline to light, our study paves the way for educational programs that foster, maintain and even enhance empathy in medical students.
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