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EMOTIONAL INTELLIGENCE IN PHYSICIAN ASSISTANT STUDENTS: A DESCRIPTIVE STUDY Holly Dudash, PA-S Mary Guay, PA-S December 10, 2008

Dudash Guay Final P P T

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Page 1: Dudash  Guay Final  P P T

EMOTIONAL INTELLIGENCE IN

PHYSICIAN ASSISTANT STUDENTS:

A DESCRIPTIVE STUDY

Holly Dudash, PA-S

Mary Guay, PA-S

December 10, 2008

Page 2: Dudash  Guay Final  P P T

Study Purpose

The purpose of this study is to assess emotional

intelligence in physician assistant students

matriculating in an educational program as a

predictor of future success

Page 3: Dudash  Guay Final  P P T

Study Hypothesis

The hypothesis of this study is that a

combination of both an objective and

subjective measure will best evaluate the

applicants‟ emotional intelligence and provide

a better screening method when accepting

applicants.

Page 4: Dudash  Guay Final  P P T

Emotional Intelligence (EI)

Emotional intelligence (EI) is the ability to

monitor one‟s own and others‟ emotions, to

discriminate among them, and to use the

information to guide one‟s thinking and

action.1

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History of EI23

1900-1969

Intelligence and emotion separate fields

Intelligence research: Testing for psychological testing for intelligence developed during

this time.

Darwin argued that emotions evolve across species

A search for social intelligence emerged as well

1970-1989

Precursors to emotional intelligence; field of cognitive and affect emerged

Nonverbal communication: scales were developed to measure non verbal

communication

Gardner’s theory of multiple intelligences

1990-1993

Emergence of Emotional Intelligence

Mayer and Salovey first define emotional intelligence

First ability measure of emotional intelligence was published

Emotional intelligence was argued to be a true intelligence

1994-1997

Popularization and Broadening

Goleman published the popular book Emotional Intelligence

The term “EQ” was used; became infused in the mainstream culture

Multiple personality scales were published, under the name emotional intelligence

1998-

Present

Research on and institutionalization of Emotional Intelligence

Introduction of new measures of emotional intelligence

First peer-reviewed research articles on the subject

Page 6: Dudash  Guay Final  P P T

Review of Literature

EI shown to be a predictor of success in medical students and medical doctors9

Doctors who possessed a higher EI during school experienced more success while in school and into their profession, including a positive provider-patient relationship

Higher overall EI and increased ability to handle themselves in stressful environment

Page 7: Dudash  Guay Final  P P T

Review of Literature

Emotional Intelligence can be measured objectively during an admissions process for medical students. 7

No definitive conclusions were made between EI and OSCE success8

EI was one of the “most essential competencies for leaders to succeed in academic institutions.” 13

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Types of EI27,29

Performance Based

Cognitive Ability

Mod – Strong Correlations to IQ

MSCEIT

Atypical scoring process

Resistant to faking

Self Report

Personality Trait

Uncorrelated to IQ

TEIQue

Standardized

scoring process

Susceptible to

faking

Ability Trait

Page 9: Dudash  Guay Final  P P T

Methods: Survey

The Emotional Intelligence Questionnaire

(TEIQue)31

Measures global EI, 4 factors,15 subfacets of

EI

153 questions, 25 minutes

Likert scale 1 – 7

Survey Population

Shenandoah University Physician Assistant

matriculating class of 2010

Page 10: Dudash  Guay Final  P P T

Methods: Statistics

Pearson Correlation Coefficient

Global Trait EI, 4 factors, 15 subfacets

GRE, GPA, healthcare experience, interview score

One way ANOVA

Global EI VS Age

T-test

Global EI VS Gender

Class of 2010 EI scores VS Normative scores

Page 11: Dudash  Guay Final  P P T

Results

Homogeneous population of participants

PA EI Scores higher than Normative Scores

Moderate Correlations

Global Trait EI VS Interview Score

Global Trait EI VS Experience Score

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Figure 1: Demographics of SUPA

population

Population Demographics

Total participants 39

Gender

Male

Female

9

30

Age

22 – 25

26 – 30

31 and above

27

11

1

Healthcare Experience (years)

0 -1

1- 2

2 or more

32

6

1

Cumulative GPA

3.00 – 3.50

3.51 – 4.00

22

17

Page 13: Dudash  Guay Final  P P T

EI Subfacets PA Mean EI Score Norm EI Score

Adaptability 4.32 4.17

Assertiveness 4.72 4.62

Emotion Perception 5.10 4.57

Emotion Regulation 4.55 3.94

Emotion Expression 5.10 4.45

Emotion

Management

4.84 4.67

Impulsivity 4.95 3.94

Relationships 5.99 5.17

Self Esteem 5.31 4.49

Self Motivation 5.14 4.32

Social Awareness 5.00 4.66

Stress Management 4.68 4.17

Empathy 5.56 4.63

Happiness 6.11 5.23

Optimism 5.67 4.94

Figure 2: PA Emotional Intelligence Population Mean VS

Norm Score

Page 14: Dudash  Guay Final  P P T

EI FactorPA Mean EI

Score

Norm EI

Score

Emotionality 5.44 4.71

Self Control 4.73 4.01

Sociability 4.86 4.65

Well Being 5.70 4.89

Global Trait EI 5.13 4.53

Figure 2: Continued

Page 15: Dudash  Guay Final  P P T

EI SubfacetExperience

ScoreInterview Score

Emotion Regulation -0.361 -----

Emotion Perception 0.368 0.326

Emotion

Management0.367 -----

Social Awareness 0.345 0.331

EI FactorExperience

ScoreInterview Score

Emotionality 0.376 -----

Sociability 0.382 0.361

Figure 3: Pearson Correlation Coefficient:

EI Score VS Experience and Interview Score

Page 16: Dudash  Guay Final  P P T

Discussion

SUPA EI scores > Normative scores

If higher EI, able to deal with stress and result in less anxiety

Correlations found include EI abilities needed for good interview skills

Unclear if EI abilities should be present at matriculation OR can be learned and improved

Page 17: Dudash  Guay Final  P P T

Research Limitations

1. Number of participants

2. Age variability

3. EI survey instrument

4. Population normative EI data

Page 18: Dudash  Guay Final  P P T

Future Research

Longitudinal EI measures

Matriculating students Completion of

didactic year Completion of clinical year

Compare EI survey options

Ability vs Trait

EI scores of other PA programs

Page 19: Dudash  Guay Final  P P T

Conclusion

Components of EI already integrated into

SUPA admissions process

Unable to determine if objective measure

more efficient than subjective measure of EI

Possibility of profound impact on PA

admissions process and successful PA

career

Page 20: Dudash  Guay Final  P P T

Acknowledgements

Raymond Eifel, M.S., PA-C, Major Advisor

Anthony Miller, M.Ed., PA-C

SUPA Class of 2010

Dr K.V. Petrides, Dept of Psychology,

University College London

Page 21: Dudash  Guay Final  P P T

References

1. Salovey P, Mayer J. Emotional Intelligence. Imag Cogn Pers. 1990;9:185-211.

2. Mayer J, Salovey P.What is emotional intelligence? In Salovey P, Sluyter D, Eds. Emotional

Development and Emotional Intelligence: Implications for Educators. New York, NY: Basic

Books;1997:3-31.

3. Elam CL. Use of “Emotional Intelligence” as one measure of medical school applicants‟

noncognitive characteristics. Acad Med. 2000;75:445-446.

4. Goleman D. What makes a leader? Harv Bus Rev. 1995;76:93-102.

5. Freshman B, Rubino L. Emotional Intelligence: a core competency for health care administrators.

Health Care Manag (Frederick). 2002;20:1-9.

6. Jensen AR, Wright AS, Lance AR, et al. The emotional intelligence of surgical residents: a

descriptive study. The American Journal of Surgery. 2008;195:5-10.

7. Carrothers RM, Gregory SW Jr, Gallagher TJ. Measuring emotional intelligence of medical school

applicants. Acad med. 2000;75:456-463.

8. Stratten TD, Elam CL, Murphy-Spencer AE, Quinlivan SL. Emotional intelligence and clinical skills:

preliminary results from comprehensive clinical performance examination. Acad Med.

2005;80(suppl-10):S34-37.

9. Hughes P. Can we improve on how we select medical students? J R Soc Med. 2002;95:18-22.

10. Lurie SJ, Nofzinger AC, Meldrum S, Mooney C, Epstein RM. Effects of rater selection on peer

assessment among medical students. Medical Education. 2006;40:1088-1097.

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References (continued)

11. Austin EJ, Evans P, Magnus B, O‟Hanlon K. A preliminary study of empathy, emotional intelligence and examination performance in MBChB students. Medical Education. 2007;41:684-689.

12. Story A, Mercer A. Selection of medical students: an Australian perspective. Internal Medicine Journal. 2005;35:647-649.

13. Lobas JG. Leadership in Academic Medicine: Capabilities and conditions for organization success. American Journal of Medicine. 2006;119(7):617-624.

14. Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA. 2002;287(2):222-235.

15. Maudsley G, Williams EM, Taylor DCM. Junior medical students‟ notions of a „good doctor‟ and related expectations: a mixed methods study. Medical Education. 2007;41:476-486.

16. Satterfield JM, Hughes E. Emotion skills training for medical students: a systemic review. Medical Education. 2007;41:935-941.

17. Grewal D, Davidson HA. Emotional intelligence and graduate medical education. JAMA. 2008;300(10):1200-1202.

18. American Academy of Physician Assistants. The competencies page. Available at: www.aapa.org/gandp/competencies.htm Accessed May 6, 2008.

19. Accreditation Review Commission for the Physician Assistant. The ARC-PA standards and competencies page. Available at: www.arc-pa.org/Standards/StdsandCompetencies3.24.06.pdf. Accessed May 6, 2008.

20. Cawley JF. No longer invisible: Challenges to PA education. Journal of Physician Assistant Education. 2007;18(4):6-8.

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References (continued)

21. Miller AA, Glicken AD. The future of physician assistant education. Journal of Physician Assistant Education. 2007;18(3):109-116.

22. Physician Assistant Education Association. 2007 Health Update page. Available at: www.PAEAonline.org. Accessed May 6, 2008.

23. Mayer JD. A Field Guide to Emotional Intelligence. In Ciarrochi J, Forgas JP, Mayer JD, eds. Emotional intelligence and everyday life. New York, NY: Psychology Press; 2001:3-24.

24. Emotional Intelligence Consortium. The reports page. Available at: http://www.eiconsortium.org/reports/what_is_emotional_intelligence.html. Accessed April 6, 2008.

25. Mayer JD, Caruso DR, Salovey P. Emotional intelligence meets traditional standards for an intelligence. Intelligence. 2000;27(4):267-298.

26. Goleman D. Emotional Intelligence: Why it can matter more than IQ. New York, NY. Bantam Dell;1995.

27. Petrides KV, Furnham A, Mavroveli S. Trait Emotional Intelligence: Moving forward in the field of EI. In Matthews G, Zeider M, and Roberts R, Eds. Emotional Intelligence: Knowns and Unknowns. Oxford: Oxford University Press. 2007:151-166.

28. Mayer JD, Salovey P, Caruso DR, et al. Measuring emotional intelligence with the MSCEIT. V2.0. Emotion. 2003;3:97-105.

29. Petrides KV, Furnham A, Frederickson N. Emotional Intelligence: an argue for a trait approach to the misunderstood construct. Psychologist. 2004;17(10):574-577.

30. Trait Emotional Intelligence Research Program. The TEIQue Version 1.50 page. Available at: http://www.psychometriclab.com/Default.aspx?Content=Page&id=12. Accessed April 15, 2008.

31. Petrides KV. Psychometric properties of the Trait Emotional Intelligence Questionnaire (TEIQue). In Stough C, Saklofske DH, eds. Advances in the measurement of emotional intelligence. New York, NY: Springer. in press 2009.

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Questions??