의료에서의 감성지능 : ACGME 역량에 기반한 리뷰 (Med Educ. 2010)

의료에서의 감성지능 : ACGME 역량에 기반한 리뷰

Emotional intelligence in medicine: a systematic review through the context of the ACGME competencies

Sonal Arora, Hutan Ashrafian, Rachel Davis, Thanos Athanasiou, Ara Darzi & Nick Sevdalis

목적 OBJECTIVES:

감성지능은 감성을 인지하고, 처리하고, 통제하고, 관리하는 것을 포함한다. 이 연구는 ACGME역량에 따라 의료와 관련된 EI의 근거에 대하여 정리하였다.

Emotional intelligence (EI) involves the perception, processing, regulation and management of emotions. This article aims to systematically review the evidence for EI in medicine through the context of the Accreditation Council for Graduate Medical Education (ACGME) competencies.

방법 METHODS:

MEDLINE, EMBASE, PsycINFO, the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials were searched for English-language articles published between January 1980 and March 2009. The grey literature was also searched and experts in the field contacted for additional studies. Two independent reviewers selected articles which reported empirical research studies about clinicians or medical students. Conceptual articles and opinion pieces and commentaries were excluded. Information about the measure used to assess EI, the study parameter or domain, and the educational or clinical outcome (with specific relation to the ACGME competencies) was extracted.

결과 RESULTS:

문헌조사로부터 485개의 문헌을 찾았고, 초록을 검토하여 24개로, 그 중 16개가 최종 검토 대상이 되었다. 11개의 연구는 졸업후과정, 4개는 학부과정, 1개는 의과대학 지원자에 대한 것이었다. 7개 중 6개 연구는 여성이 남성보다 EI가 더 높다고 보고하였다. EI가 높은 것은 환자-의사 관계, 공감, 팀워크와 의사소통 기술, 스트레스 관리, 조직에 대한 헌신과 리더십 등과 상관관계가 있었다.

The literature search identified 485 citations. An abstract review led to the retrieval of 24 articles for full-text assessment, of which 16 articles were included in the final review. Eleven studies focused on postgraduates, four on undergraduates and one on medical school applicants. Six out of seven studies found women to have higher EI than men. Higher EI was reported to positively contribute to the doctor-patient relationship (three studies), increased empathy (five studies), teamwork and communication skills (six studies), and stress management, organisational commitment and leadership (three studies).

• Quality assessment
• Table 1 displays the quality assessment scores for included papers. Once again, there was an excellent level of agreement between the two raters using the quality assessment scale (j = 0.80).
• Study characteristics
• Table 1 shows the characteristics of the included studies. Regarding study design and methodology, the vast majority of reviewed studies were surveybased, employing self-report EI questionnaires (n = 14).
• How EI was measured
• As we highlighted in the Introduction, if we are to understand and apply EI, we must first be able to measure it in a robust, comprehensive manner.

• Effect of gender on EI
• Effect of age and experience on EI
• The doctor–patient relationship and EI
• Empathy and EI
• The role of EI in teamwork, communication and interpersonal skills
• EI and academic performance
• The role of EI in workplace stress, leadership and organisational commitment

결론 CONCLUSIONS:

EI척도는 근대 의학 교육과정이 추구하는 다양한 역량과의 관련성을 보여주고 있었다. 훈련으로 EI가 향상될 수 있을 것인지, 또한 이로 인해 교육적/임상적 성과가 증진될 것인지 연구가 필요하다.

Measures of EI correlate with many of the competencies that modern medical curricula seek to deliver. Further research is required to determine whether training can improve EI and thus augment educational and clinical outcomes.

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Med Educ. 2010 Aug;44(8):749-64. doi: 10.1111/j.1365-2923.2010.03709.x.

Emotional intelligence in medicine: a systematic review through the context of the ACGME competencies.

Arora S1, Ashrafian H, Davis R, Athanasiou T, Darzi A, Sevdalis N.

Author information

Abstract

OBJECTIVES:

Emotional intelligence (EI) involves the perception, processing, regulation and management of emotions. This article aims to systematically review the evidence for EI in medicine through the context of the Accreditation Council for Graduate Medical Education (ACGME) competencies.

METHODS:

MEDLINE, EMBASE, PsycINFO, the Cochrane Database of Systematic Reviews and the Cochrane Central Register of Controlled Trials were searched for English-language articles published between January 1980 and March 2009. The grey literature was also searched and experts in the field contacted for additional studies. Two independent reviewers selected articles which reported empirical research studies about clinicians or medical students. Conceptual articles and opinion pieces and commentaries were excluded. Information about the measure used to assess EI, the study parameter or domain, and the educational or clinical outcome (with specific relation to the ACGME competencies) was extracted.

RESULTS:

The literature search identified 485 citations. An abstract review led to the retrieval of 24 articles for full-text assessment, of which 16 articles were included in the final review. Eleven studies focused on postgraduates, four on undergraduates and one on medical school applicants. Six out of seven studies found women to have higher EI than men. Higher EI was reported to positively contribute to the doctor-patient relationship (three studies), increased empathy (five studies), teamwork and communication skills (six studies), and stress management, organisational commitment and leadership (three studies).

CONCLUSIONS:

Measures of EI correlate with many of the competencies that modern medical curricula seek to deliver. Further research is required to determine whether training can improve EI and thus augment educational and clinical outcomes.

PMID:

 

20633215

 

[PubMed - indexed for MEDLINE]