Lifelong Learning Programme

This project has been funded with support from the European Commission.
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Training for Paediatricians and Paediatric Students

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This training package is addressed to students and medical practitioners in paediatrics on how to autonomously learn, develop and consolidate their soft skills for improving the quality of paediatric services.

Communicating in a Multicultural Environment

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2.3 Empathy
Empathy is an emotional experience between an observer and a subject in which the observer, based on visual and auditory cues, identifies and transiently experiences the subject's emotional state. It has also been described as the ability to put oneself in the other person’s place. During the initial phase of the process, the observer must not only identify but also understand the basis of the subject's feelings. Simply comprehending the circumstances of someone else however, is not enough. The physician then needs to share the feelings that his understanding provokes in him or her. Only if those feelings are shared can and will empathy serve as a tool to foster understanding and connection (i.e. trust) in the doctor-patient-relationship.

As a basic recipe for developing more empathy, physicians should try to listen, observe and use their imagination. Listening helps to discern what problems other people face. While not always verbalized, observation will help to discern feelings that remain unexpressed vocally. Finally, asking oneself questions such as “How would I feel if I were in this situation?” will help to see the problem from the other person’s perspective.

Patients are likely to tell more about their symptoms and psychosocial concerns to an empathic physician. This enhanced medical and psychosocial information sharing leads to a more accurate diagnosis. Additionally, the empathic physician is able to identify with the patient and has a better understanding of individual patient's needs.

It is important to note that while almost everyone has a degree of empathy, not all suffering or emotional pain is readily discernible. When faced with a conversation partner from a culture different of one’s own, it can be a challenge to try to put oneself in the shoes of someone who is experiencing a situation which we personally have never experienced and which might be connected with or due to cultural idiosyncrasies unbeknownst to us. In this case, an empathic response needs to be coupled with awareness of cultural sensitivity.
Practical Applications
  • Role Play – Empathy The anamnesis is a must in child care, although not all the parents are able to distinguish between relevant and irrelevant facts, sensitive information are not managed properly as well. Suggested method: RP, SP
  • Practical Activity – EmpathyMedication needs to follow strict scenario. Parents do not always understand the importance of complying with drug prescriptions and the likelihood of side effects. Suggested method: PBL, CBL
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This project has been funded with support from the European Commission. This web site reflects the views only of the author, and the Commission cannot be held responsible for any use which may be made of the information contained therein.