<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1727-897X</journal-id>
<journal-title><![CDATA[MediSur]]></journal-title>
<abbrev-journal-title><![CDATA[Medisur]]></abbrev-journal-title>
<issn>1727-897X</issn>
<publisher>
<publisher-name><![CDATA[Universidad de Ciencias Médicas de Cienfuegos, Centro Provincial de Ciencias Médicas, Provincia de Cienfuegos.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1727-897X2020000100041</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Empatía y factores asociados en varias fases del desarrollo curricular en estudiantes de medicina en México]]></article-title>
<article-title xml:lang="en"><![CDATA[Empathy and associated factors in various phases of curriculum development in medical students in Mexico]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Luna]]></surname>
<given-names><![CDATA[David]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Figuerola-Escoto]]></surname>
<given-names><![CDATA[Rosa Paola]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Urquiza-Flores]]></surname>
<given-names><![CDATA[Diana Ivette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saturno-Hernández]]></surname>
<given-names><![CDATA[Pedro Jesús]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Carreño-Morales]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Meneses González]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Comisión Nacional de Arbitraje Médico Dirección de Investigación ]]></institution>
<addr-line><![CDATA[ México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Instituto Politécnico Nacional Centro Interdisciplinario de Ciencias de la Salud Unidad Santo Tomás Sección de Estudios]]></institution>
<addr-line><![CDATA[ México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Instituto Tecnológico y de Estudios Superiores de Monterrey Campus Ciudad de México Programa en Ingeniería en Producción Musical Digital]]></institution>
<addr-line><![CDATA[ México]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Instituto Nacional de Salud Pública Centro de Investigación en Evaluación y Encuestas ]]></institution>
<addr-line><![CDATA[ México]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2020</year>
</pub-date>
<volume>18</volume>
<numero>1</numero>
<fpage>41</fpage>
<lpage>49</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1727-897X2020000100041&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1727-897X2020000100041&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1727-897X2020000100041&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Fundamento:  la expresión de empatía en la relación médico-paciente presenta múltiples beneficios en la atención a la salud. La evidencia indica menor empatía en fases avanzadas del desarrollo curricular en medicina. Existe escasa información al respecto en población mexicana.  Objetivo:  identificar el nivel de empatía general y sus factores asociados en tres momentos distintos del desarrollo curricular en estudiantes mexicanos de medicina.  Métodos:  estudio transversal, realizado en la Escuela de Medicina de una universidad privada en la Ciudad de México, sobre 161 estudiantes de medicina inscritos en primer, tercer y quinto semestre de la carrera de medicina que completaron la escala multidimensional de empatía, versión reducida. Se realizaron análisis por semestre y sexo; se identificaron subgrupos con diferente nivel de empatía y se realizó un análisis con estimadores de riesgo.  Resultados:  las mujeres fueron más empáticas que los hombres (p = 0,0001) excepto en la detección de emociones ajenas que no mostró diferencias entre sexos (p = 0,99). Las mujeres no mostraron diferencias entre semestres (p &gt; 0,05), los hombres de primer semestre fueron más empáticos que los de tercero y quinto (p = 0,005) particularmente para detectar emociones ajenas (p = 0,002). Ser hombre aumentó la probabilidad de mostrar menor nivel de empatía (OR = 2,36, p = 0,02).  Conclusiones:  el menor nivel de empatía en estudiantes hombres de semestres avanzados de medicina puede comprometer los beneficios hasta ahora reportados de la expresión de esta habilidad en la relación médico-paciente y en consecuencia disminuir la calidad de la atención. Es necesaria una estrategia de instrucción en empatía para este grupo estudiantil.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Foundation:  the expression of empathy in the doctor-patient relationship has multiple benefits in health care. The evidence indicates lower empathy in advanced stages of curriculum development in medicine. There is little information about it in the Mexican population.  Objective:  to identify the level of general empathy and its associated factors in three different moments of the curricular development in Mexican medical students.  Methods:  a cross-sectional study, conducted at the Higher School of Medicine of a private university in Mexico City, on 161 medical students enrolled in the first, third and fifth semesters of the medical degree that completed the multidimensional empathy scale, reduced version. Analyzes were performed by semester and sex; Subgroups with different levels of empathy were identified and an analysis was carried out with risk estimators.  Results:  women were more empathetic than men (p = 0.0001) except in the detection of other people&#8217;s emotions that showed no differences between sexes (p = 0.99). Women did not show differences between semesters (p&gt; 0.05), the first semester men were more empathetic than the third and fifth (p = 0.005), particularly to detect other people&#8217;s emotions (p = 0.002). Being a man increased the probability of showing a lower level of empathy (OR = 2.36, p = 0.02).  Conclusions:  the lower empathy level in male students of advanced medicine semesters can compromise the benefits so far reported of the ability expression in the doctor-patient relationship and consequently decreases the quality of care. An empathy instructional strategy is necessary for this student group.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[empatía]]></kwd>
<kwd lng="es"><![CDATA[estudiantes de medicina]]></kwd>
<kwd lng="es"><![CDATA[relación médico-paciente]]></kwd>
<kwd lng="es"><![CDATA[calidad de la atención de salud]]></kwd>
<kwd lng="en"><![CDATA[empathy]]></kwd>
<kwd lng="en"><![CDATA[students]]></kwd>
<kwd lng="en"><![CDATA[medical]]></kwd>
<kwd lng="en"><![CDATA[physician-patient relations]]></kwd>
<kwd lng="en"><![CDATA[quality of health care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bauchat]]></surname>
<given-names><![CDATA[JR]]></given-names>
</name>
<name>
<surname><![CDATA[Seropian]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jeffries]]></surname>
<given-names><![CDATA[PR]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Communication and empathy in the patient-centered care model: why simulation-based training is not optional]]></article-title>
<source><![CDATA[Clin Simul Nurs.]]></source>
<year>2016</year>
<volume>12</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>356-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Cuff]]></surname>
<given-names><![CDATA[MPB]]></given-names>
</name>
<name>
<surname><![CDATA[Brown]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Taylor]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Howat]]></surname>
<given-names><![CDATA[JD]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Empathy: A Review of the Concept]]></article-title>
<source><![CDATA[Emot Rev.]]></source>
<year>2016</year>
<volume>8</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>144-53</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alcorta-Garza]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[San-Martín]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Delgado-Bolton]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Soler-González]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Roig]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Vivanco]]></surname>
<given-names><![CDATA[L.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Cross-Validation of the Spanish HP-Version of the Jefferson Scale of Empathy Confirmed with Some Cross-Cultural Differences]]></article-title>
<source><![CDATA[Front Psychol.]]></source>
<year>2016</year>
<volume>7</volume>
<page-range>1002</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kim]]></surname>
<given-names><![CDATA[SS]]></given-names>
</name>
<name>
<surname><![CDATA[Kaplowitz]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Johnston]]></surname>
<given-names><![CDATA[MV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The effects of physician empathy on patient satisfaction and compliance]]></article-title>
<source><![CDATA[Eval Health Prof.]]></source>
<year>2004</year>
<volume>27</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>237-51</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arenas-Ospina]]></surname>
<given-names><![CDATA[CA]]></given-names>
</name>
<name>
<surname><![CDATA[Jaramillo-Jaramillo]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Concepciones de la empatía a nivel general, psicológico y a partir de sus instrumentos de medición]]></article-title>
<source><![CDATA[Psyconex]]></source>
<year>2017</year>
<volume>9</volume>
<numero>15</numero>
<issue>15</issue>
<page-range>1-10</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Stepien]]></surname>
<given-names><![CDATA[KA]]></given-names>
</name>
<name>
<surname><![CDATA[Baernstein]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Educating for empathy. A review]]></article-title>
<source><![CDATA[J Gen Intern Med.]]></source>
<year>2006</year>
<volume>21</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>524-30</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Anderson]]></surname>
<given-names><![CDATA[PF]]></given-names>
</name>
<name>
<surname><![CDATA[Wescom]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Carlos]]></surname>
<given-names><![CDATA[RC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Difficult doctors, difficult patients: building empathy]]></article-title>
<source><![CDATA[J Am Coll Radiol]]></source>
<year>2016</year>
<volume>13</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1595-8</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hegazi]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Hennessy]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Wilson]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Empathy Levels in Medical Students: Do They Really Change Over Time?]]></article-title>
<person-group person-group-type="editor">
<name>
<surname><![CDATA[Kondo]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<source><![CDATA[Empathy An Evidence-based Interdisciplinary Perspective]]></source>
<year>2017</year>
<page-range>147-70</page-range><publisher-loc><![CDATA[Okayama ]]></publisher-loc>
<publisher-name><![CDATA[Okayama University]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Parry]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Are interventions to enhance communication performance in allied health professionals effective, and how should they be delivered? Direct and indirect evidence]]></article-title>
<source><![CDATA[Patient Educ Couns]]></source>
<year>2008</year>
<volume>73</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>186-95</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lussier]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
<name>
<surname><![CDATA[Richard]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Should family physicians be empathetic? Yes]]></article-title>
<source><![CDATA[Can Fam Physician]]></source>
<year>2010</year>
<volume>56</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>740-2</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chen]]></surname>
<given-names><![CDATA[DCR]]></given-names>
</name>
<name>
<surname><![CDATA[Kirshenbaum]]></surname>
<given-names><![CDATA[DS]]></given-names>
</name>
<name>
<surname><![CDATA[Yan]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Kirshenbaum]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Aseltine]]></surname>
<given-names><![CDATA[RH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Characterizing changes in student empathy throughout medical school]]></article-title>
<source><![CDATA[Med Teach]]></source>
<year>2012</year>
<volume>34</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>305-11</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sulzer]]></surname>
<given-names><![CDATA[SH]]></given-names>
</name>
<name>
<surname><![CDATA[Feinstein]]></surname>
<given-names><![CDATA[NW]]></given-names>
</name>
<name>
<surname><![CDATA[Wendland]]></surname>
<given-names><![CDATA[CL]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Assessing empathy development in medical education: a systematic review]]></article-title>
<source><![CDATA[Med Educ]]></source>
<year>2016</year>
<volume>50</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>300-10</page-range></nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hojat]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Mangione]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Nasca]]></surname>
<given-names><![CDATA[TJ]]></given-names>
</name>
<name>
<surname><![CDATA[Cohen]]></surname>
<given-names><![CDATA[MJM]]></given-names>
</name>
<name>
<surname><![CDATA[Gonnella]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Erdmann]]></surname>
<given-names><![CDATA[JB]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Jefferson Scale of Physician Empathy: development and preliminary psychometric data]]></article-title>
<source><![CDATA[Educ Psychol Meas.]]></source>
<year>2001</year>
<volume>61</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>349-65</page-range></nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ramos-Rangel]]></surname>
<given-names><![CDATA[Y]]></given-names>
</name>
<name>
<surname><![CDATA[Liwe-Placeres]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Raya-Álvarez]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Rivero-Cordero]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Empatía en estudiantes de Estomatología de la Universidad Médica de Cienfuegos]]></article-title>
<source><![CDATA[Medisur]]></source>
<year>2017</year>
<volume>15</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>9</page-range></nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Díaz-Loving]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Andrade-Palos]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Nadelsticher-Mitrani]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Desarrollo de la Escala Multidimensional de Empatía]]></article-title>
<source><![CDATA[Rev Psicol Soc Personal]]></source>
<year>1986</year>
<volume>2</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>3-11</page-range></nlm-citation>
</ref>
<ref id="B16">
<label>16</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lozano]]></surname>
<given-names><![CDATA[RG]]></given-names>
</name>
</person-group>
<source><![CDATA[Actitudes y estrategias de persuasión hacia la donación de órganos y tejidos]]></source>
<year>2002</year>
<publisher-loc><![CDATA[Ciudad de México ]]></publisher-loc>
<publisher-name><![CDATA[Universidad Nacional Autónoma de México]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B17">
<label>17</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bratek]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Bulska]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Bonk]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Seweryn]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Krysta]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Empathy among physicians, medical students and candidates]]></article-title>
<source><![CDATA[Psychiatr Danub]]></source>
<year>2015</year>
<volume>27</volume>
<numero>^s1</numero>
<issue>^s1</issue>
<supplement>1</supplement>
<page-range>S48-52</page-range></nlm-citation>
</ref>
<ref id="B18">
<label>18</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Huarcaya-Victoria]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Rivera-Encinas]]></surname>
<given-names><![CDATA[MT]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Evaluación de la empatía en alumnos de medicina humana de una universidad privada del Perú]]></article-title>
<source><![CDATA[Educ Med]]></source>
<year>2018</year>
<page-range>7</page-range></nlm-citation>
</ref>
<ref id="B19">
<label>19</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Youssef]]></surname>
<given-names><![CDATA[FF]]></given-names>
</name>
<name>
<surname><![CDATA[Nunes]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Sa]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Williams]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[An exploration of changes in cognitive and emotional empathy among medical students in the Caribbean]]></article-title>
<source><![CDATA[Int JMed Educ]]></source>
<year>2014</year>
<volume>5</volume>
<page-range>185-92</page-range></nlm-citation>
</ref>
<ref id="B20">
<label>20</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Esquerda]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Yuguero]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Viñas]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Pifarré]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[La empatía médica, ¿nace o se hace? Evolución de la empatía en estudiantes de medicina]]></article-title>
<source><![CDATA[Aten Primaria]]></source>
<year>2016</year>
<volume>48</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>8-14</page-range></nlm-citation>
</ref>
<ref id="B21">
<label>21</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ogle]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Bushnell]]></surname>
<given-names><![CDATA[JA]]></given-names>
</name>
<name>
<surname><![CDATA[Caputi]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Empathy is related to clinical competence in medical care]]></article-title>
<source><![CDATA[Med Educ]]></source>
<year>2013</year>
<volume>47</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>824-31</page-range></nlm-citation>
</ref>
<ref id="B22">
<label>22</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Saylik]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Szameitat]]></surname>
<given-names><![CDATA[AJ]]></given-names>
</name>
<name>
<surname><![CDATA[Raman]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Sex differences in emotion recognition and working memory tasks]]></article-title>
<source><![CDATA[Front Psychol.]]></source>
<year>2018</year>
<volume>9</volume>
<page-range>1072</page-range></nlm-citation>
</ref>
<ref id="B23">
<label>23</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Varella]]></surname>
<given-names><![CDATA[MAC]]></given-names>
</name>
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[JHBP]]></given-names>
</name>
<name>
<surname><![CDATA[Pereira]]></surname>
<given-names><![CDATA[KJ]]></given-names>
</name>
<name>
<surname><![CDATA[Bussab]]></surname>
<given-names><![CDATA[VSR]]></given-names>
</name>
<name>
<surname><![CDATA[Valentova]]></surname>
<given-names><![CDATA[JV]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Empathizing, systemizing, and career choice in Brazil: sex differences and individual variation among areas of study]]></article-title>
<source><![CDATA[Pers Individ Dif.]]></source>
<year>2016</year>
<volume>97</volume>
<page-range>157-64</page-range></nlm-citation>
</ref>
<ref id="B24">
<label>24</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Levinson]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Gorawara-Bhat]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Lamb]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[A study of patient clues and physician responses in primary care and surgical settings]]></article-title>
<source><![CDATA[JAMA]]></source>
<year>2000</year>
<volume>284</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>1021-7</page-range></nlm-citation>
</ref>
<ref id="B25">
<label>25</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kerasidou]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Horn]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Making space for empathy: supporting doctors in the emotional labour of clinical care]]></article-title>
<source><![CDATA[BMC Med Educ]]></source>
<year>2016</year>
<volume>17</volume>
<page-range>8</page-range></nlm-citation>
</ref>
<ref id="B26">
<label>26</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Christov-Moore]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
<name>
<surname><![CDATA[Simpson]]></surname>
<given-names><![CDATA[EA]]></given-names>
</name>
<name>
<surname><![CDATA[Coudé]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Grigaityte]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Iaboconi]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Ferrari]]></surname>
<given-names><![CDATA[PF]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Empathy: Gender effects in brain and behavior]]></article-title>
<source><![CDATA[Neurosci Biobehav Rev]]></source>
<year>2014</year>
<volume>46</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>604-27</page-range></nlm-citation>
</ref>
<ref id="B27">
<label>27</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Magalhães]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Salgueira]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Costa]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Empathy in senior year and first year medical students: a cross-sectional study]]></article-title>
<source><![CDATA[BMC Med Educ]]></source>
<year>2011</year>
<volume>11</volume>
<page-range>52</page-range></nlm-citation>
</ref>
<ref id="B28">
<label>28</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Parra-Ramírez]]></surname>
<given-names><![CDATA[GDJ]]></given-names>
</name>
<name>
<surname><![CDATA[Cámara-Vallejos]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Nivel de empatía médica y factores asociados en estudiantes de medicina]]></article-title>
<source><![CDATA[Inv Ed Me.]]></source>
<year>2017</year>
<volume>6</volume>
<numero>24</numero>
<issue>24</issue>
<page-range>221-7</page-range></nlm-citation>
</ref>
<ref id="B29">
<label>29</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aparicio-Rodríguez]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Cerda-Macías]]></surname>
<given-names><![CDATA[AA]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández-Rivas]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Inteligencia emocional y empatía en estudiantes de medicina de nuevo ingreso y pregrado]]></article-title>
<source><![CDATA[Integ Acad Psic]]></source>
<year>2015</year>
<volume>3</volume>
<page-range>105-14</page-range></nlm-citation>
</ref>
<ref id="B30">
<label>30</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alexander]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
<name>
<surname><![CDATA[Pollak]]></surname>
<given-names><![CDATA[KI]]></given-names>
</name>
<name>
<surname><![CDATA[Morgan]]></surname>
<given-names><![CDATA[PA]]></given-names>
</name>
<name>
<surname><![CDATA[Strand]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Abernethy]]></surname>
<given-names><![CDATA[AP]]></given-names>
</name>
<name>
<surname><![CDATA[Jeffreys]]></surname>
<given-names><![CDATA[AS]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[How do non-physician clinicians respond to advanced cancer patients&#8217; negative expressions of emotions?]]></article-title>
<source><![CDATA[Support Care Cancer]]></source>
<year>2011</year>
<volume>19</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>155-9</page-range></nlm-citation>
</ref>
<ref id="B31">
<label>31</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Epstein]]></surname>
<given-names><![CDATA[RM]]></given-names>
</name>
<name>
<surname><![CDATA[Hadee]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Carroll]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Meldrum]]></surname>
<given-names><![CDATA[SC]]></given-names>
</name>
<name>
<surname><![CDATA[Lardner]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Shields]]></surname>
<given-names><![CDATA[CG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Could this be something serious? Reassurance, uncertainty, and empathy in response to patients&#8217; expressions of worry]]></article-title>
<source><![CDATA[Gen Intern Med.]]></source>
<year>2007</year>
<volume>22</volume>
<numero>12</numero>
<issue>12</issue>
<page-range>1731-9</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
