İKİNCİ SINIF TIP FAKÜLTESİ ÖĞRENCİLERİNDE DUYGUSAL İFADE, EMPATİ VE EKİP ÇALIŞMASINA YATKINLIK ARASINDAKİ İLİŞKİ
Year 2026,
Volume: 25 Issue: 75
,
77
-
90
,
29.04.2026
Ayşe Nilüfer Alçalar
,
Nurhan Eren
,
Sevda Özel Yıldız
Abstract
Amaç: Sağlık hizmeti ekip çalışması gerektirir ve ekip üyelerinin iletişim becerisi yüksek, empatik ve duygu ifade edici olması önemlidir. Bu çalışmanın amacı eğitimlerinin başlangıcında olan ikinci sınıf tıp öğrencileri arasında duygusal ifade, empati ve ekip çalışması eğilimlerini incelemek ve bu değişkenler arasındaki ilişkiyi araştırmaktır.
Yöntem: Bu tanımlayıcı kesitsel çalışma, İstanbul'daki bir devlet üniversitesinde ikinci sınıf tıp öğrencileri (N = 147; 87 kadın ve 60 erkek) arasında yapıldı. 01 Mart- 31 Mayıs 2023 tarihleri arasında gerçekleştirildi. İstanbul Tıp Fakültesi eğitim müfredatında yer alan Ekip Olma Uygulaması öncesinde öğrencilere çevrimiçi platforma yüklenmiş Duygu İfade Ölçeği (DİÖ), Temel Empati Ölçeği (TEÖ) ve Takım Çalışmasına Yatkınlık Ölçeği (TÇYÖ) uygulanarak veriler toplandı. Sürekli değişkenler tanımlayıcı istatistikler (ortalama ve standart sapma gibi) kullanılarak, kategorik değişkenler ise frekans ve yüzdeler kullanılarak değerlendirildi. Gruplar normal dağılımlarına göre t-testi ve Mann-Whitney U testi kullanılarak karşılaştırıldı. Ölçek puanı ilişkileri Spearman rho katsayısı kullanılarak analiz edildi.
Bulgular: Katılımcıların DİÖ ortalaması 71.31 (±9.83), TEÖ ortalaması 58.76 (±4.70) ve TÇYÖ ortalaması 90.35 (±7.39) olarak bulundu. Erkek tıp öğrencileri ile karşılaştırıldığında, kadın tıp öğrencilerinin DİÖ puanları anlamlı derecede daha yüksekti (p<0.05), erkek tıp öğrencilerinin ise TÇYÖ puanları daha yüksekti (p<0.01). İki cinsiyet arasında empati puanları açısından fark bulunmadı (p>0.05). DİÖ ve TEÖ toplam puanları ile TÇYÖ toplam puanı arasında pozitif korelasyon vardı (p<0.001).
Sonuç: Bulgular, empati ve duygusal ifade gibi duygusal zeka bileşenleri ile ekip çalışması eğilimleri arasında anlamlı bir ilişki olduğunu göstermektedir. Tıp eğitiminde iletişim, empati ve ekip çalışması kişilerarası beceriler ve profesyonellik alanlarındaki temel yeterliliklerdir. Bu becerilerin geliştirilmesine önem verilmeli ve buna yönelik uygulamalar erken dönemlerden itibaren tıp eğitimi müfredatına entegre edilmelidir.
References
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2. Sanson-Fisher R, Hobden B, Waller A, Dodd N, Boyd L. Methodological quality of teaching communication skills to undergraduate medical students: a mapping review. BMC Medical Education. 2018;18 (151). https://doi.org/10.1186/s12909-018-1265-4.
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3. Johnson J, Panagioti M. Interventions to improve the breaking of bad or difficult news by physicians, medical students, and interns/residents: A systematic review and meta-analysis. Academic Medicine. 2018; 93 (9): 1400–1412. https://doi.org/10.1097/ACM.0000000000002308.
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4. Nembhard IM, David G, Ezzeddine I, Betts D, Radin J. A systematic review of research on empathy in health care. Health Services Research. 2023; 58 (2): 250–263. https://doi.org/10.1111/1475-6773.14016.
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5. Nomura O, Wiseman J, Sunohara M, Akatsu H, Lajoie SP. Japanese medical learners’ achievement emotions: Accounting for culture in translating Western medical educational theories and instruments into an Asian context. Advances in Health Sciences Education 2021; 26 (4): 1255–1276 https://doi.org/10.1007/s10459-021-10048-9.
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6. Mayer JD, Salovey P, Caruso DR, Sitarenios G. Measuring emotional intelligence with the MSCEIT V2.0. Emotion. 2003: 3(1): 97–105. https://doi.org/10.1037/1528-3542.3.1.97.
-
7. Altaras A, Nikitović T, Mojović -Zdravković K, Krsti´c K., Raji´c M., et al. (2025). The role of emotional intelligence in collaborative problem solving: A systematic review. Canadian Psychology 2025; 66 (1): 45–67. https://doi.org/10.1037/cap0000401
-
8. McNulty JP, Politis Y. Empathy, emotional intelligence and interprofessional skills in healthcare education. Journal of Medical Imaging and Radiation Sciences. 2023; 54 (2): 238–246. https://doi.org/10.1016/j.jmir.2023.02.014
-
9. Kirch DG, Ast C. Interprofessionalism: Educating to meet patient needs. Anatomical Sciences Education 2015; 8 (4): 296–298. https://doi.org/10.1002/ase.1504.
-
10. Hojat M, Louis DZ, Maio V, Gonnella JS. Editorial: Empathy and health care quality. American Journal of Medical Quality. 2013; 28 (1): 6–7. https://doi.org/10.1177/1062860612464731
-
11. Shanafelt TD, West C, Zhao X, Novotny P, Kolars J. et al. Relationship between increased personal well-being and enhanced empathy among internal medicine residents. Journal of General Internal Medicine (JGIM). 2005; 20(7): 559–564. https://doi.org/10.1007/s11606-005-0102-8
-
12. Lamothe M, Boujut E, Zenasni F, Sultan S. To be or not to be empathic: the combined role of empathic concern and perspective taking in understanding burnout in general practice. BMC Family Practice. 2014; 15 (15). https://doi.org/10.1186/1471-2296-15-15
-
13. West CP, Huschka MM, Novotny PJ, Sloan JA., Kolars JC. et al. Association of perceived medical errors with resident distress and empathy: A prospective longitudinal study. JAMA. 2006; 296 (9):1071–1078. https://doi.org/10. 1001/jama.296.9.1071
-
14. Kohn LT, Corrigan JM, Donaldson MS., eds. (Committee on Quality of Health Care in America, Institute of Medicine). To Err Is Human: Building a Safer Health System. Washington, DC: National Academies Press; 2000: PMID: 25077248. https://doi.org/10.17226/9728
-
15. Salas E, Reyes DL, McDaniel SH. The science of teamwork: Progress, reflections, and the road ahead. American Psychologist. 2018; 73(4): 593–600. https://doi.org/10.1037/amp0000334
-
16. Salas E, Bisbey TM, Traylor AM, Rosen MA. Can teamwork promote safety in organizations? Annual Review of Organizational Psychology and Organizational Behavior 2020; 7: 283–313. https://doi.org/10.1146/annurev-orgpsych-012119-045411
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17. James E, Evans M, Mi M. Leadership Training and Undergraduate Medical Education: a Scoping Review. Medical Science Educator 2021; 31: 1501–1509. https://doi.org/10.1007/s40670-021-01308-9
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18. Lerner S, Magrane D, Friedman E. Teaching Teamwork in Medical Education. Mount Sinai Journal of Medicine. 2009; 76: 318–329. https://doi.org/10.1002/msj.20129
-
19. Boone A, Roelants M, Hoppenbrouwers K, Vandermeulen C, Du Bois M. et al. Perceived team roles of medical students: a five-year cross-sectional study. BMC Medical Education. 2022; 22: 198. https://doi.org/10.1186/s12909-022-03263-4
-
20. Walkiewicz M, Sowińska K, Tartas M. Medical studies, team roles and emotional intelligence. Family Medicine & Primary Care Review. 2018; 20 (1):71–77. https://doi.org/10.5114/fmpcr.2018.73708
-
21. Chandrashekar A, Mohan J. Preparing for the National Health Service: the importance of teamwork training in the United Kingdom medical school curriculum. Advances in Medical Education and Practice. 2019; 10: 679–688. https://doi.org/10.2147/AMEP.S203333
-
22. King LA, Emmons RA. Conflict over emotional expression: Psychological and physical correlates. Journal of Personality and Social Psychology. 1990; 58 (5): 864–877. https://doi.org/10.1037/0022-3514.58.5.864
-
23. Kuzucu Y. Adaptation of the Emotional Expression Questionnaire: Validity and reliability studies. Kastamonu Education Journal. 2011; 19 (3): 779-792. https://www.researchgate.net/publication/341910216
-
24. Jolliffe D, Farrington DP. Development and validation of the Basic Empathy Scale. Journal of Adolescence. 2006; 29(4): 589–611. https://doi.org/10.1016/j.adolescence.2005.08.010
-
25. Topçu Ç, Erdur -Baker Ö, Çapa-Aydın Y. (2010). Turkish Adaptation of Basic Empathy Scale: Validity and Reliability Study. Turkish Journal of Psychological Counseling and Guidance. 2010; 4 (34): 174–180. https://doi.org/10.17066/pdrd.58553
-
26. Tuncer UÇ. A Research About the Evaluation of Development Programs Prepared In Respect to Psycho-Social Development Of Human Resources. Master's Thesis, 2008. Gazi University Institute of Social Sciences, Ankara.
-
27. Schober P, Boer C, Schwarte LA. Correlation Coefficients: Appropriate Use and Interpretation. Anesthesia & Analgesia 2018; 126(5): 1763–1768. https://doi.org/10.1213/ANE.0000000000002864
-
28. Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK. et al. The devil is in the third year: A longitudinal study of erosion of empathy in medical school. Academic Medicine. 2009; 84 (9): 1182–1191. https://doi.org/10.1097/ACM.0b013e3181b17e55
-
29. Abe K, Fujisaki K, Niwa M, Suzuki Y. Differences in medical students’ emotional intelligence and empathy according to academic year and sex. Medical Education (Jpn). 2013; 44(5): 315–326. https://doi.org/10.11307/mededjapan.44.315.
-
30. Ekşi H, Ikiz K, Başman M. The mediating role of self-compassion in the relationship between university students' fear of happiness and expressing their emotions. Kastamonu Education Journal. 2020; 28 (2): 820– 829. https://doi.org/10.24106/kefdergi.702904
-
31. Shi M, Du T. (2020). Associations of emotional intelligence and gratitude with empathy in medical students. BMC Medical Education. 2020; 20 :116 https://doi.org/10.1186/s12909-020-02041-4.
-
32. Abe K., Niwa M, Fujisaki K, Suzuki Y. Associations between emotional intelligence, empathy and personality in Japanese medical students. BMC Medical Education. 2018; 18:47. https://doi.org/10.1186/s12909-018-1165-7
-
33. Chen DCR, Kirshenbaum DS, Yan J, Kirshenbaum E, Aseltine RH. Characterizing changes in student empathy throughout medical school. Medical Teacher. 2012; 34 (4): 305-311. https://doi.org/10.3109/0142159X.2012.644600
-
34. Austin EJ, Evans P, Goldwater R, Potter V. A preliminary study of emotional intelligence, empathy and exam performance in first year medical students. Pers Individ Differ. 2005; 39 (8): 1395–1405. https://doi.org/10.1016/j.paid.2005.04.014
-
35. Watzek V, Anselmann V, Mulder R H. Team learning and emotions during teamwork: a qualitative study. Research Papers in Education. 2019; 34(6): 769–789. https://doi.org/10.1080/02671522.2019.1568525
-
36. Hojat M, Bianco JA, Mann D, Massello D, Calabrese LH. Overlap between empathy, teamwork and integrative approach to patient care. Medical Teacher. 2014; 37 (8): 755–758. https://doi.org/10.3109/0142159X.2014.971722
-
37. Calabrese LH, Bianco JA, Mann D, Massello D, Hojat M. Correlates and changes in empathy and attitudes toward interprofessional collaboration in osteopathic medical students. Journal of Osteopathic Medicine. 2013; 113 (12): 898– 907. https://doi.org/10.7556/jaoa.2013.068
-
38. Berduzco-Torres N, Medina P, Choquenaira-Callañaupa B, San-Martín M, Delgado Bolton RC et al. Family loneliness: Its effects in the development of empathy, teamwork and lifelong learning abilities in medical students. Front. Psychol. 2020; 11:2046. https://doi.org/10.3389/fpsyg.2020.02046
-
39. Fernández-Abascal EG, Martín-Díaz MD. Relations between dimensions of emotional intelligence, specific aspects of empathy, and non-verbal sensitivity. Front. Psychol. 2019; 10:1066. https://doi.org/10.3389/fpsyg.2019.01066
-
40. Liu F, Liu S, Xia L, Pang R, Zhou H. Medical narrative competency, empathy, and self-efficacy among senior medical undergraduates in China: A cross-sectional analysis. BMC Medical Education. 2025 Jul 20; 25 (1):1088. https://doi.org/10.1186/s12909-025-07378-2
-
41. Grebenisan LM, Sima-Comaniciu A, Lukacs EE, Nirestean A, Strete GE. et al. Personality traits and empathy in relation to attitudes about communication between medical students and patients. Behavioral Sciences. 2025; 15 (5): 683. https://doi.org/10.3390/bs15050683
RELATIONSHIPS BETWEEN EMOTIONAL EXPRESSION, EMPATHY, AND TEAMWORK TENDENCY IN SECOND –YEAR MEDICAL SCHOOL STUDENTS
Year 2026,
Volume: 25 Issue: 75
,
77
-
90
,
29.04.2026
Ayşe Nilüfer Alçalar
,
Nurhan Eren
,
Sevda Özel Yıldız
Abstract
Aim: Healthcare requires teamwork and it is important for team members to have strong communication skills, be empathetic, and emotional expressive. The aim of this study was to examine the emotional expression, empathy, and teamwork tendencies among second-year medical students at the beginning of their training and to investigate the relationship between these variables.
Methods: This descriptive cross-sectional study was conducted among second-year medical students (N = 147; 87 females and 60 males) at a state university in Istanbul. Data collection took place between March 1 and May 31, 2023. The Emotional Expression Questionnaire (EEQ), the Basic Empathy Scale (BES), and the Teamwork Tendency Scale (TTS) were administered to the students via an online platform prior to the Teamwork Practice session, which is part of the Istanbul Medical Faculty curriculum, and data were collected accordingly. Descriptive statistics (mean, standard deviation) were used for continuous variables; frequencies and percentages for categorical variables. Group comparisons were performed using t-tests or Mann-Whitney U tests based on data distribution. Relationships between scale scores were analyzed using Spearman’s rho correlation coefficient.
Results: The mean scores were 71.31 (±9.83) for EEQ, 58.76 (±4.70) for BES, and 90.35 (±7.39) for TTS. Female students had significantly higher EEQ scores compared to males (p < 0.05), while males scored higher on TTS (p < 0.01). No gender difference was observed in empathy scores (p > 0.05). Positive correlations were found between EEQ and BES total scores and the TTS total score (p < 0.001).
Conclusions: The findings show that there is a significant relationship between emotional intelligence components such as empathy and emotional expression and teamwork tendencies. In medical education, communication, empathy, and teamwork are core competencies within the domains of interpersonal skills and professionalism. Emphasis should be placed on the development of these skills, and corresponding practices ought to be integrated into the medical curriculum from the early stages of education.
Ethical Statement
Ethics committee approval was received for this study from the ethics committee of İstanbul Faculty of Medicine (Date: March 11, 2022; Number: 2022-05).
Supporting Institution
The authors declare that this study had received no financial support
Thanks
We appreciate all the students who completed the questionnaire for this study.
References
-
1. Langberg EM, Dyhr L, Davidsen AS. Development of the concept of patient-centredness - A systematic review. Patient Education and Counseling. 2019; 102 (7): 1228–1236. https://doi.org/10.1016/j.pec.2019.02.023.
-
2. Sanson-Fisher R, Hobden B, Waller A, Dodd N, Boyd L. Methodological quality of teaching communication skills to undergraduate medical students: a mapping review. BMC Medical Education. 2018;18 (151). https://doi.org/10.1186/s12909-018-1265-4.
-
3. Johnson J, Panagioti M. Interventions to improve the breaking of bad or difficult news by physicians, medical students, and interns/residents: A systematic review and meta-analysis. Academic Medicine. 2018; 93 (9): 1400–1412. https://doi.org/10.1097/ACM.0000000000002308.
-
4. Nembhard IM, David G, Ezzeddine I, Betts D, Radin J. A systematic review of research on empathy in health care. Health Services Research. 2023; 58 (2): 250–263. https://doi.org/10.1111/1475-6773.14016.
-
5. Nomura O, Wiseman J, Sunohara M, Akatsu H, Lajoie SP. Japanese medical learners’ achievement emotions: Accounting for culture in translating Western medical educational theories and instruments into an Asian context. Advances in Health Sciences Education 2021; 26 (4): 1255–1276 https://doi.org/10.1007/s10459-021-10048-9.
-
6. Mayer JD, Salovey P, Caruso DR, Sitarenios G. Measuring emotional intelligence with the MSCEIT V2.0. Emotion. 2003: 3(1): 97–105. https://doi.org/10.1037/1528-3542.3.1.97.
-
7. Altaras A, Nikitović T, Mojović -Zdravković K, Krsti´c K., Raji´c M., et al. (2025). The role of emotional intelligence in collaborative problem solving: A systematic review. Canadian Psychology 2025; 66 (1): 45–67. https://doi.org/10.1037/cap0000401
-
8. McNulty JP, Politis Y. Empathy, emotional intelligence and interprofessional skills in healthcare education. Journal of Medical Imaging and Radiation Sciences. 2023; 54 (2): 238–246. https://doi.org/10.1016/j.jmir.2023.02.014
-
9. Kirch DG, Ast C. Interprofessionalism: Educating to meet patient needs. Anatomical Sciences Education 2015; 8 (4): 296–298. https://doi.org/10.1002/ase.1504.
-
10. Hojat M, Louis DZ, Maio V, Gonnella JS. Editorial: Empathy and health care quality. American Journal of Medical Quality. 2013; 28 (1): 6–7. https://doi.org/10.1177/1062860612464731
-
11. Shanafelt TD, West C, Zhao X, Novotny P, Kolars J. et al. Relationship between increased personal well-being and enhanced empathy among internal medicine residents. Journal of General Internal Medicine (JGIM). 2005; 20(7): 559–564. https://doi.org/10.1007/s11606-005-0102-8
-
12. Lamothe M, Boujut E, Zenasni F, Sultan S. To be or not to be empathic: the combined role of empathic concern and perspective taking in understanding burnout in general practice. BMC Family Practice. 2014; 15 (15). https://doi.org/10.1186/1471-2296-15-15
-
13. West CP, Huschka MM, Novotny PJ, Sloan JA., Kolars JC. et al. Association of perceived medical errors with resident distress and empathy: A prospective longitudinal study. JAMA. 2006; 296 (9):1071–1078. https://doi.org/10. 1001/jama.296.9.1071
-
14. Kohn LT, Corrigan JM, Donaldson MS., eds. (Committee on Quality of Health Care in America, Institute of Medicine). To Err Is Human: Building a Safer Health System. Washington, DC: National Academies Press; 2000: PMID: 25077248. https://doi.org/10.17226/9728
-
15. Salas E, Reyes DL, McDaniel SH. The science of teamwork: Progress, reflections, and the road ahead. American Psychologist. 2018; 73(4): 593–600. https://doi.org/10.1037/amp0000334
-
16. Salas E, Bisbey TM, Traylor AM, Rosen MA. Can teamwork promote safety in organizations? Annual Review of Organizational Psychology and Organizational Behavior 2020; 7: 283–313. https://doi.org/10.1146/annurev-orgpsych-012119-045411
-
17. James E, Evans M, Mi M. Leadership Training and Undergraduate Medical Education: a Scoping Review. Medical Science Educator 2021; 31: 1501–1509. https://doi.org/10.1007/s40670-021-01308-9
-
18. Lerner S, Magrane D, Friedman E. Teaching Teamwork in Medical Education. Mount Sinai Journal of Medicine. 2009; 76: 318–329. https://doi.org/10.1002/msj.20129
-
19. Boone A, Roelants M, Hoppenbrouwers K, Vandermeulen C, Du Bois M. et al. Perceived team roles of medical students: a five-year cross-sectional study. BMC Medical Education. 2022; 22: 198. https://doi.org/10.1186/s12909-022-03263-4
-
20. Walkiewicz M, Sowińska K, Tartas M. Medical studies, team roles and emotional intelligence. Family Medicine & Primary Care Review. 2018; 20 (1):71–77. https://doi.org/10.5114/fmpcr.2018.73708
-
21. Chandrashekar A, Mohan J. Preparing for the National Health Service: the importance of teamwork training in the United Kingdom medical school curriculum. Advances in Medical Education and Practice. 2019; 10: 679–688. https://doi.org/10.2147/AMEP.S203333
-
22. King LA, Emmons RA. Conflict over emotional expression: Psychological and physical correlates. Journal of Personality and Social Psychology. 1990; 58 (5): 864–877. https://doi.org/10.1037/0022-3514.58.5.864
-
23. Kuzucu Y. Adaptation of the Emotional Expression Questionnaire: Validity and reliability studies. Kastamonu Education Journal. 2011; 19 (3): 779-792. https://www.researchgate.net/publication/341910216
-
24. Jolliffe D, Farrington DP. Development and validation of the Basic Empathy Scale. Journal of Adolescence. 2006; 29(4): 589–611. https://doi.org/10.1016/j.adolescence.2005.08.010
-
25. Topçu Ç, Erdur -Baker Ö, Çapa-Aydın Y. (2010). Turkish Adaptation of Basic Empathy Scale: Validity and Reliability Study. Turkish Journal of Psychological Counseling and Guidance. 2010; 4 (34): 174–180. https://doi.org/10.17066/pdrd.58553
-
26. Tuncer UÇ. A Research About the Evaluation of Development Programs Prepared In Respect to Psycho-Social Development Of Human Resources. Master's Thesis, 2008. Gazi University Institute of Social Sciences, Ankara.
-
27. Schober P, Boer C, Schwarte LA. Correlation Coefficients: Appropriate Use and Interpretation. Anesthesia & Analgesia 2018; 126(5): 1763–1768. https://doi.org/10.1213/ANE.0000000000002864
-
28. Hojat M, Vergare MJ, Maxwell K, Brainard G, Herrine SK. et al. The devil is in the third year: A longitudinal study of erosion of empathy in medical school. Academic Medicine. 2009; 84 (9): 1182–1191. https://doi.org/10.1097/ACM.0b013e3181b17e55
-
29. Abe K, Fujisaki K, Niwa M, Suzuki Y. Differences in medical students’ emotional intelligence and empathy according to academic year and sex. Medical Education (Jpn). 2013; 44(5): 315–326. https://doi.org/10.11307/mededjapan.44.315.
-
30. Ekşi H, Ikiz K, Başman M. The mediating role of self-compassion in the relationship between university students' fear of happiness and expressing their emotions. Kastamonu Education Journal. 2020; 28 (2): 820– 829. https://doi.org/10.24106/kefdergi.702904
-
31. Shi M, Du T. (2020). Associations of emotional intelligence and gratitude with empathy in medical students. BMC Medical Education. 2020; 20 :116 https://doi.org/10.1186/s12909-020-02041-4.
-
32. Abe K., Niwa M, Fujisaki K, Suzuki Y. Associations between emotional intelligence, empathy and personality in Japanese medical students. BMC Medical Education. 2018; 18:47. https://doi.org/10.1186/s12909-018-1165-7
-
33. Chen DCR, Kirshenbaum DS, Yan J, Kirshenbaum E, Aseltine RH. Characterizing changes in student empathy throughout medical school. Medical Teacher. 2012; 34 (4): 305-311. https://doi.org/10.3109/0142159X.2012.644600
-
34. Austin EJ, Evans P, Goldwater R, Potter V. A preliminary study of emotional intelligence, empathy and exam performance in first year medical students. Pers Individ Differ. 2005; 39 (8): 1395–1405. https://doi.org/10.1016/j.paid.2005.04.014
-
35. Watzek V, Anselmann V, Mulder R H. Team learning and emotions during teamwork: a qualitative study. Research Papers in Education. 2019; 34(6): 769–789. https://doi.org/10.1080/02671522.2019.1568525
-
36. Hojat M, Bianco JA, Mann D, Massello D, Calabrese LH. Overlap between empathy, teamwork and integrative approach to patient care. Medical Teacher. 2014; 37 (8): 755–758. https://doi.org/10.3109/0142159X.2014.971722
-
37. Calabrese LH, Bianco JA, Mann D, Massello D, Hojat M. Correlates and changes in empathy and attitudes toward interprofessional collaboration in osteopathic medical students. Journal of Osteopathic Medicine. 2013; 113 (12): 898– 907. https://doi.org/10.7556/jaoa.2013.068
-
38. Berduzco-Torres N, Medina P, Choquenaira-Callañaupa B, San-Martín M, Delgado Bolton RC et al. Family loneliness: Its effects in the development of empathy, teamwork and lifelong learning abilities in medical students. Front. Psychol. 2020; 11:2046. https://doi.org/10.3389/fpsyg.2020.02046
-
39. Fernández-Abascal EG, Martín-Díaz MD. Relations between dimensions of emotional intelligence, specific aspects of empathy, and non-verbal sensitivity. Front. Psychol. 2019; 10:1066. https://doi.org/10.3389/fpsyg.2019.01066
-
40. Liu F, Liu S, Xia L, Pang R, Zhou H. Medical narrative competency, empathy, and self-efficacy among senior medical undergraduates in China: A cross-sectional analysis. BMC Medical Education. 2025 Jul 20; 25 (1):1088. https://doi.org/10.1186/s12909-025-07378-2
-
41. Grebenisan LM, Sima-Comaniciu A, Lukacs EE, Nirestean A, Strete GE. et al. Personality traits and empathy in relation to attitudes about communication between medical students and patients. Behavioral Sciences. 2025; 15 (5): 683. https://doi.org/10.3390/bs15050683