Qualitative insights into empathy in medical education: perspectives from students, doctors, and educators

Abstract Background Empathy is the cornerstone of high-quality medical education and clinical practice. It not only serves as a vital link for establishing trust-based doctor-patient relationships but also significantly impacts patients' treatment compliance and recovery outcomes. In medical ed...

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Main Authors: Fan Yang, Fuhao Lei, Yong Li, Tao Yang
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Medical Education
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Online Access:https://doi.org/10.1186/s12909-025-06882-9
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author Fan Yang
Fuhao Lei
Yong Li
Tao Yang
author_facet Fan Yang
Fuhao Lei
Yong Li
Tao Yang
author_sort Fan Yang
collection DOAJ
description Abstract Background Empathy is the cornerstone of high-quality medical education and clinical practice. It not only serves as a vital link for establishing trust-based doctor-patient relationships but also significantly impacts patients' treatment compliance and recovery outcomes. In medical education, an empathetic approach can cultivate future medical professionals' humanistic care awareness, enabling them to better understand patients' physical and mental sufferings.However, the understanding and cultivation of empathy vary remarkably across different cultural backgrounds.Thus, there is an urgent need to conduct in-depth research to clarify these issues and promote the better development of empathy-based medical education. Methods A total of 24 participants, including medical students, practicing doctors, and medical teachers, were recruited for this study. Semi-structured interviews were employed as the data-collection method. Each interview lasted approximately 30–60 min, and all interviews were audio-recorded and then transcribed verbatim.For data analysis, a three-level coding approach was adopted. The analysis was independently conducted by two members of the research team to ensure reliability and consistency. Results This study delves into empathy ability within medical education. The theme analysis yields significant results: the definition of empathy involves basic understanding with distinct emotional and cognitive emphases, multi-dimensional attributes showcasing empathy's roles in clinical scenarios, and the need for regulation due to its contradictoriness. Expression of empathy hinges on establishing doctor-patient trust and communication, with diverse expression ways and impacts on treatment and relationships. Influencing factors encompass educational background, clinical environment, and individual differences. Strategies for cultivation include teacher guidance, varied methods, and curriculum integration in the first classroom, and activity practice and values guidance in the second. These findings offer valuable insights and practical implications for enhancing empathy in medical education. Conclusions This study's core findings from cross-group analysis of medical students, doctors, and teachers show empathy in medical education is complex and multi-dimensional, involving emotional and cognitive empathy. Empathy abilities change dynamically during medical education, with students initially having high emotional empathy and later developing stronger cognitive empathy. Cultural differences in empathy, like between Western and traditional Chinese medicine, offer new perspectives. Practical implications include: designing curricula to cover both empathy types and adding cross-cultural content; using diverse teaching methods and optimizing clinical internships; organizing teacher training and improving teaching skills; establishing a comprehensive evaluation system with timely feedback. These insights and suggestions guide enhancing empathy in medical education.
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spelling doaj-art-84b0f30fcf804dab87e1f53e56010b322025-08-20T02:25:40ZengBMCBMC Medical Education1472-69202025-04-0125111210.1186/s12909-025-06882-9Qualitative insights into empathy in medical education: perspectives from students, doctors, and educatorsFan Yang0Fuhao Lei1Yong Li2Tao Yang3College of Teacher Education, East China Normal UniversityHospital of Chengdu University of Traditional Chinese MedicineSchool of Management, Chengdu University of Traditional Chinese MedicineSchool of Basic Medical Sciences, Chengdu University of Traditional Chinese MedicineAbstract Background Empathy is the cornerstone of high-quality medical education and clinical practice. It not only serves as a vital link for establishing trust-based doctor-patient relationships but also significantly impacts patients' treatment compliance and recovery outcomes. In medical education, an empathetic approach can cultivate future medical professionals' humanistic care awareness, enabling them to better understand patients' physical and mental sufferings.However, the understanding and cultivation of empathy vary remarkably across different cultural backgrounds.Thus, there is an urgent need to conduct in-depth research to clarify these issues and promote the better development of empathy-based medical education. Methods A total of 24 participants, including medical students, practicing doctors, and medical teachers, were recruited for this study. Semi-structured interviews were employed as the data-collection method. Each interview lasted approximately 30–60 min, and all interviews were audio-recorded and then transcribed verbatim.For data analysis, a three-level coding approach was adopted. The analysis was independently conducted by two members of the research team to ensure reliability and consistency. Results This study delves into empathy ability within medical education. The theme analysis yields significant results: the definition of empathy involves basic understanding with distinct emotional and cognitive emphases, multi-dimensional attributes showcasing empathy's roles in clinical scenarios, and the need for regulation due to its contradictoriness. Expression of empathy hinges on establishing doctor-patient trust and communication, with diverse expression ways and impacts on treatment and relationships. Influencing factors encompass educational background, clinical environment, and individual differences. Strategies for cultivation include teacher guidance, varied methods, and curriculum integration in the first classroom, and activity practice and values guidance in the second. These findings offer valuable insights and practical implications for enhancing empathy in medical education. Conclusions This study's core findings from cross-group analysis of medical students, doctors, and teachers show empathy in medical education is complex and multi-dimensional, involving emotional and cognitive empathy. Empathy abilities change dynamically during medical education, with students initially having high emotional empathy and later developing stronger cognitive empathy. Cultural differences in empathy, like between Western and traditional Chinese medicine, offer new perspectives. Practical implications include: designing curricula to cover both empathy types and adding cross-cultural content; using diverse teaching methods and optimizing clinical internships; organizing teacher training and improving teaching skills; establishing a comprehensive evaluation system with timely feedback. These insights and suggestions guide enhancing empathy in medical education.https://doi.org/10.1186/s12909-025-06882-9Medical studentsEmpathyMedical educationQualitative research
spellingShingle Fan Yang
Fuhao Lei
Yong Li
Tao Yang
Qualitative insights into empathy in medical education: perspectives from students, doctors, and educators
BMC Medical Education
Medical students
Empathy
Medical education
Qualitative research
title Qualitative insights into empathy in medical education: perspectives from students, doctors, and educators
title_full Qualitative insights into empathy in medical education: perspectives from students, doctors, and educators
title_fullStr Qualitative insights into empathy in medical education: perspectives from students, doctors, and educators
title_full_unstemmed Qualitative insights into empathy in medical education: perspectives from students, doctors, and educators
title_short Qualitative insights into empathy in medical education: perspectives from students, doctors, and educators
title_sort qualitative insights into empathy in medical education perspectives from students doctors and educators
topic Medical students
Empathy
Medical education
Qualitative research
url https://doi.org/10.1186/s12909-025-06882-9
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