Chinese Medical Sciences Journal ›› 2021, Vol. 36 ›› Issue (2): 79-84.doi: 10.24920/003741

• Original Article •     Next Articles

Assessing Empathy in Anesthesia Residents with the Chinese Version of the Consultation and Relational Empathy: A Pilot Standardized Patient Program

Yahong Gong, Lijian Pei, Xia Ruan, Xu Li, Xuerong Yu, Ruiying Wang, Weijia Wang, Gang Tan, Yuguang Huang()   

  1. Department of Anesthesiology, Peking Union Medical College Hospital,Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing 100730, China
  • Received:2020-08-12 Published:2021-06-30 Online:2021-07-07
  • Contact: Yuguang Huang E-mail:garypumch@163.com
Rapid accumulation of medical big data and development of artificial intelligence techniques are promoting next generation of precision medicine in cancer management. High-quality, prospective, and large sample size based cohort is the key for further explorations of AI in cancer management.

Objectives To validate the reliability of the Chinese version of the Consultation and Relational Empathy (CARE) in physician-standardized patient (SP) encounter. We also tried to examine the agreement between video-based ratings and in-room ratings, as well as the agreement between the faculty ratings and SP ratings.
Methods The CARE was translated into Chinese. Forty-eight anesthesia residents were recruited to make preoperative interview in SP-counter. Performance of each resident was graded by in-room raters, video raters and SP raters. Consistency between different raters was examined.
Results The Chinese-CARE measure demonstrated high scale reliability with a Cronbach’s alpha value of 0.95 and high consistency in the in-room ratings in intraclass correlation (coefficient=0.888,P<0.001). Despite a good consistency in intraclass correlation, video ratings were significantly higher than in-room ratings (39.6±7.1vs. 24.0±10.0,P<0.001), and Wilcoxon signed-rank test indicated that the pass/fail rate was significantly higher based on video ratings than based on in-room ratings (45/48vs. 22/48, P<0.001). SP ratings had a moderate consistency with in-room faculty ratings (coefficient=0.568,P<0.001), and there was no significant difference between the pass/fail rates based on the in-room ratings and SP ratings (22/48vs. 28/48, P=0.12).
Conclusions The Chinese-CARE measure is reliable in the assessment of empathy during preoperative anesthesia interview. In-room and video ratings are not equivalent, while SP may provide a feasible alternative for the faculty rater in the assessment of communication skills with an appropriate measure.

Key words: empathy, standardized patient encounter, assessment, rating modality

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