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O ne widely accepted definition of empathy involves both an understanding of patients’ experiences, concerns and perspectives as well as an ability to communicate this understanding to patients.5 This implies that in order for a patient to experience the benefits of being cared for by an empathic physician, the physician must also be an effective communicator who successfully conveys understanding and validation. But communication breakdown is rampant in medicine; a recent study comparing a self-rated measure of empathy in medical students with a patient-rated empathy tool demonstrated consistently higher self-rating when compared with scores given by patients,1 indicating a gap between physician intention and patient perception.

Empathic Failures from the Patient Perspective: Validation in the Acute Setting