Objectives This study examined the relationship between self-reported empathy and breaking bad news (BBN) communication skills performance in a sample of undergraduate medical students (n = 100) in the clinical years of their program. Methods Correlational and regression analysis examined the relationship between Jefferson Scale of Physician Empathy (JSPE-S) and Empathy Quotient (EQ) scores, and communication skills performance based on students’ application of the SPIKES protocol to a BBN scenario in a simulated encounter. Results Higher BBN communication skills performance was positively correlated with scores on the “Social Skills” EQ sub-scale (r (99) = 0.31, p = 0.002), which measures spontaneous and context-independent use of social skills. Multiple regression confirmed that “Social Skills” sub-scale variation predicted BBN score variation (B = 2.17, 95% CI = 0.65–3.69, p < 0.01). A weak positive association was also observed between BBN score and the “Standing in Patient’s Shoes” JSPE sub-scale (r (99) = 0.22, p = 0.03). Conclusions Findings suggest that specific aspects of dispositional empathy may moderate BBN communications skills competence in medical students. Practice implications A better understanding of the moderating role of personality may lead to more tailored BBN communications skills training interventions and improved transfer of skills to workplace settings.
Bukowski, H., Sweeney, C., Bennett, D., Rizzo, G., & O’Tuathaigh, C. M. P. (2022). Medical student empathy and breaking bad news communication in a simulated consultation. Patient Education and Counseling, 105(5), 1342-1345. https://doi.org/10.1016/j.pec.2021.09.017 (Original work published 2022)