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EMOTIONAL INTELLIGENCE IN
PHYSICIAN ASSISTANT STUDENTS:
     A DESCRIPTIVE STUDY


            Holly Dudash, PA-S
             Mary Guay, PA-S
            December 10, 2008
Study Purpose

    The purpose of this study is to assess emotional
ī‚¨



    intelligence in physician assistant students

    matriculating in an educational program as a

    predictor of future success
Study Hypothesis

    The hypothesis of this study is that a
ī‚¨


    combination of both an objective and

    subjective measure will best evaluate the

    applicants‟ emotional intelligence and provide

    a better screening method when accepting

    applicants.
Emotional Intelligence (EI)

    Emotional intelligence (EI) is the ability to
ī‚¨



    monitor one‟s own and others‟ emotions, to

    discriminate among them, and to use the

    information to guide one‟s thinking and

    action.1
History of EI23
            Intelligence and emotion separate fields
            Intelligence research: Testing for psychological testing for intelligence developed during
1900-1969   this time.
            Darwin argued that emotions evolve across species
            A search for social intelligence emerged as well

            Precursors to emotional intelligence; field of cognitive and affect emerged
            Nonverbal communication: scales were developed to measure non verbal
1970-1989   communication
            Gardner’s theory of multiple intelligences

            Emergence of Emotional Intelligence
            Mayer and Salovey first define emotional intelligence
1990-1993   First ability measure of emotional intelligence was published
            Emotional intelligence was argued to be a true intelligence

            Popularization and Broadening
            Goleman published the popular book Emotional Intelligence
1994-1997   The term “EQ” was used; became infused in the mainstream culture
            Multiple personality scales were published, under the name emotional intelligence

            Research on and institutionalization of Emotional Intelligence
1998-       Introduction of new measures of emotional intelligence
Present     First peer-reviewed research articles on the subject
Review of Literature

    EI shown to be a predictor of success in medical
ī‚¨
    students and medical doctors9
    ī‚¤ 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
ī‚¨
    themselves in stressful environment
Review of Literature

    Emotional Intelligence can be measured
ī‚¨
    objectively during an admissions process for
    medical students. 7
    No definitive conclusions were made between
ī‚¨
    EI and OSCE success8
    EI was one of the “most essential
ī‚¨
    competencies for leaders to succeed in
    academic institutions.” 13
27,29
Types of        EI

          Ability                    Trait

    Performance Based         Self Report
ī‚¨                         ī‚¨

    Cognitive Ability
ī‚¨                             Personality Trait
                          ī‚¨
    Mod – Strong
ī‚¨
                              Uncorrelated to IQ
                          ī‚¨
    Correlations to IQ
                              TEIQue
                          ī‚¨
    MSCEIT
ī‚¨
                              Standardized
                          ī‚¨
    Atypical scoring
ī‚¨
                              scoring process
    process
                              Susceptible to
                          ī‚¨
    Resistant to faking
ī‚¨
                              faking
Methods: Survey

    The Emotional Intelligence Questionnaire
ī‚¨

    (TEIQue)31
    ī‚¤ Measures global EI, 4 factors,15 subfacets of
      EI
    ī‚¤ 153 questions, 25 minutes

    ī‚¤ Likert scale 1 – 7



    Survey Population
ī‚¨

    ī‚¤ Shenandoah University Physician Assistant

      matriculating class of 2010
Methods: Statistics
    Pearson Correlation Coefficient
ī‚¨
    ī‚¤ Global Trait EI, 4 factors, 15 subfacets
    ī‚¤ GRE, GPA, healthcare experience, interview
      score

    One way ANOVA
ī‚¨
    ī‚¤ Global EI VS Age


    T-test
ī‚¨
    ī‚¤ Global EI VS Gender


    Class of 2010 EI scores VS Normative scores
ī‚¨
Results
    Homogeneous population of participants
ī‚¨



    PA EI Scores higher than Normative Scores
ī‚¨



    Moderate Correlations
ī‚¨

    ī‚¤ Global Trait EI VS Interview Score
    ī‚¤ Global Trait EI VS Experience Score
Figure 1: Demographics of SUPA
population
  Population Demographics
  Total participants              39
  Gender
   Male                           9
   Female                         30
  Age
    22 – 25                       27
    26 – 30                       11
    31 and above                  1
  Healthcare Experience (years)
    0 -1                          32
    1- 2                          6
    2 or more                     1
  Cumulative GPA
    3.00 – 3.50                   22
    3.51 – 4.00                   17
Figure 2: PA Emotional Intelligence Population Mean VS
                     Norm Score
    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                4.84             4.67
     Management
      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: Continued

                      PA Mean EI   Norm EI
     EI Factor
                        Score       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 3: Pearson Correlation Coefficient:
        EI Score VS Experience and Interview Score
                       Experience
    EI Subfacet                     Interview Score
                         Score
  Emotion Regulation     -0.361           -----

  Emotion Perception     0.368           0.326
      Emotion
                         0.367            -----
     Management
   Social Awareness      0.345           0.331

                       Experience
      EI Factor                     Interview Score
                         Score
     Emotionality        0.376            -----

      Sociability        0.382           0.361
Discussion
    SUPA EI scores > Normative scores
ī‚¨



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

    Correlations found include EI abilities needed
ī‚¨
    for good interview skills

    Unclear if EI abilities should be present at
ī‚¨
    matriculation OR can be learned and improved
Research Limitations
     Number of participants
1.



     Age variability
2.



     EI survey instrument
3.



     Population normative EI data
4.
Future Research
    Longitudinal EI measures
ī‚¨

    ī‚¤ Matriculating students īƒ  Completion of
      didactic year īƒ  Completion of clinical year

    Compare EI survey options
ī‚¨

    ī‚¤ Ability vs Trait



    EI scores of other PA programs
ī‚¨
Conclusion
    Components of EI already integrated into
ī‚¨

    SUPA admissions process

    Unable to determine if objective measure
ī‚¨

    more efficient than subjective measure of EI

    Possibility of profound impact on PA
ī‚¨

    admissions process and successful PA
    career
Acknowledgements
    Raymond Eifel, M.S., PA-C, Major Advisor
ī‚¨



    Anthony Miller, M.Ed., PA-C
ī‚¨



    SUPA Class of 2010
ī‚¨



    Dr K.V. Petrides, Dept of Psychology,
ī‚¨

    University College London
References

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

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

      Development and Emotional Intelligence: Implications for Educators. New York, NY: Basic
      Books;1997:3-31.
      Elam CL. Use of “Emotional Intelligence” as one measure of medical school applicants‟
3.

      noncognitive characteristics. Acad Med. 2000;75:445-446.
      Goleman D. What makes a leader? Harv Bus Rev. 1995;76:93-102.
4.

      Freshman B, Rubino L. Emotional Intelligence: a core competency for health care administrators.
5.
      Health Care Manag (Frederick). 2002;20:1-9.
      Jensen AR, Wright AS, Lance AR, et al. The emotional intelligence of surgical residents: a
6.

      descriptive study. The American Journal of Surgery. 2008;195:5-10.
      Carrothers RM, Gregory SW Jr, Gallagher TJ. Measuring emotional intelligence of medical school
7.

      applicants. Acad med. 2000;75:456-463.
      Stratten TD, Elam CL, Murphy-Spencer AE, Quinlivan SL. Emotional intelligence and clinical skills:
8.
      preliminary results from comprehensive clinical performance examination. Acad Med.
      2005;80(suppl-10):S34-37.
      Hughes P. Can we improve on how we select medical students? J R Soc Med. 2002;95:18-22.
9.

      Lurie SJ, Nofzinger AC, Meldrum S, Mooney C, Epstein RM. Effects of rater selection on peer
10.
References (continued)
      Austin EJ, Evans P, Magnus B, O‟Hanlon K. A preliminary study of empathy, emotional
11.
      intelligence and examination performance in MBChB students. Medical Education. 2007;41:684-
      689.
      Story A, Mercer A. Selection of medical students: an Australian perspective. Internal Medicine
12.
      Journal. 2005;35:647-649.
      Lobas JG. Leadership in Academic Medicine: Capabilities and conditions for organization
13.
      success. American Journal of Medicine. 2006;119(7):617-624.
      Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA.
14.
      2002;287(2):222-235.
      Maudsley G, Williams EM, Taylor DCM. Junior medical students‟ notions of a „good doctor‟ and
15.
      related expectations: a mixed methods study. Medical Education. 2007;41:476-486.
      Satterfield JM, Hughes E. Emotion skills training for medical students: a systemic review. Medical
16.
      Education. 2007;41:935-941.
      Grewal D, Davidson HA. Emotional intelligence and graduate medical education. JAMA.
17.
      2008;300(10):1200-1202.
      American Academy of Physician Assistants. The competencies page. Available at:
18.
      www.aapa.org/gandp/competencies.htm Accessed May 6, 2008.
      Accreditation Review Commission for the Physician Assistant. The ARC-PA standards and
19.
      competencies page. Available at: www.arc-pa.org/Standards/StdsandCompetencies3.24.06.pdf.
      Accessed May 6, 2008.
      Cawley JF. No longer invisible: Challenges to PA education. Journal of Physician Assistant
20.
      Education. 2007;18(4):6-8.
References (continued)
       Miller AA, Glicken AD. The future of physician assistant education. Journal of Physician Assistant
21.
       Education. 2007;18(3):109-116.
       Physician Assistant Education Association. 2007 Health Update page. Available at:
22.
       www.PAEAonline.org. Accessed May 6, 2008.
       Mayer JD. A Field Guide to Emotional Intelligence. In Ciarrochi J, Forgas JP, Mayer JD, eds. Emotional
23.
       intelligence and everyday life. New York, NY: Psychology Press; 2001:3-24.
       Emotional Intelligence Consortium. The reports page. Available at:
24.
       http://www.eiconsortium.org/reports/what_is_emotional_intelligence.html. Accessed April 6, 2008.
       Mayer JD, Caruso DR, Salovey P. Emotional intelligence meets traditional standards for an intelligence.
25.
       Intelligence. 2000;27(4):267-298.
      Goleman D. Emotional Intelligence: Why it can matter more than IQ. New York, NY. Bantam Dell;1995.
26.

      Petrides KV, Furnham A, Mavroveli S. Trait Emotional Intelligence: Moving forward in the field of EI. In
27.
      Matthews G, Zeider M, and Roberts R, Eds. Emotional Intelligence: Knowns and Unknowns. Oxford:
      Oxford University Press. 2007:151-166.
      Mayer JD, Salovey P, Caruso DR, et al. Measuring emotional intelligence with the MSCEIT. V2.0.
28.
      Emotion. 2003;3:97-105.
      Petrides KV, Furnham A, Frederickson N. Emotional Intelligence: an argue for a trait approach to the
29.
      misunderstood construct. Psychologist. 2004;17(10):574-577.
      Trait Emotional Intelligence Research Program. The TEIQue Version 1.50 page. Available at:
30.
      http://www.psychometriclab.com/Default.aspx?Content=Page&id=12. Accessed April 15, 2008.
      Petrides KV. Psychometric properties of the Trait Emotional Intelligence Questionnaire (TEIQue). In
31.
      Stough C, Saklofske DH, eds. Advances in the measurement of emotional intelligence. New York, NY:
      Springer. in press 2009.
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Dudash Guay Final P P T

  • 1. EMOTIONAL INTELLIGENCE IN PHYSICIAN ASSISTANT STUDENTS: A DESCRIPTIVE STUDY Holly Dudash, PA-S Mary Guay, PA-S December 10, 2008
  • 2. Study Purpose The purpose of this study is to assess emotional ī‚¨ intelligence in physician assistant students matriculating in an educational program as a predictor of future success
  • 3. Study Hypothesis The hypothesis of this study is that a ī‚¨ combination of both an objective and subjective measure will best evaluate the applicants‟ emotional intelligence and provide a better screening method when accepting applicants.
  • 4. Emotional Intelligence (EI) Emotional intelligence (EI) is the ability to ī‚¨ monitor one‟s own and others‟ emotions, to discriminate among them, and to use the information to guide one‟s thinking and action.1
  • 5. History of EI23 Intelligence and emotion separate fields Intelligence research: Testing for psychological testing for intelligence developed during 1900-1969 this time. Darwin argued that emotions evolve across species A search for social intelligence emerged as well Precursors to emotional intelligence; field of cognitive and affect emerged Nonverbal communication: scales were developed to measure non verbal 1970-1989 communication Gardner’s theory of multiple intelligences Emergence of Emotional Intelligence Mayer and Salovey first define emotional intelligence 1990-1993 First ability measure of emotional intelligence was published Emotional intelligence was argued to be a true intelligence Popularization and Broadening Goleman published the popular book Emotional Intelligence 1994-1997 The term “EQ” was used; became infused in the mainstream culture Multiple personality scales were published, under the name emotional intelligence Research on and institutionalization of Emotional Intelligence 1998- Introduction of new measures of emotional intelligence Present First peer-reviewed research articles on the subject
  • 6. Review of Literature EI shown to be a predictor of success in medical ī‚¨ students and medical doctors9 ī‚¤ 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 ī‚¨ themselves in stressful environment
  • 7. Review of Literature Emotional Intelligence can be measured ī‚¨ objectively during an admissions process for medical students. 7 No definitive conclusions were made between ī‚¨ EI and OSCE success8 EI was one of the “most essential ī‚¨ competencies for leaders to succeed in academic institutions.” 13
  • 8. 27,29 Types of EI Ability Trait Performance Based Self Report ī‚¨ ī‚¨ Cognitive Ability ī‚¨ Personality Trait ī‚¨ Mod – Strong ī‚¨ Uncorrelated to IQ ī‚¨ Correlations to IQ TEIQue ī‚¨ MSCEIT ī‚¨ Standardized ī‚¨ Atypical scoring ī‚¨ scoring process process Susceptible to ī‚¨ Resistant to faking ī‚¨ faking
  • 9. Methods: Survey The Emotional Intelligence Questionnaire ī‚¨ (TEIQue)31 ī‚¤ Measures global EI, 4 factors,15 subfacets of EI ī‚¤ 153 questions, 25 minutes ī‚¤ Likert scale 1 – 7 Survey Population ī‚¨ ī‚¤ Shenandoah University Physician Assistant matriculating class of 2010
  • 10. Methods: Statistics Pearson Correlation Coefficient ī‚¨ ī‚¤ Global Trait EI, 4 factors, 15 subfacets ī‚¤ GRE, GPA, healthcare experience, interview score One way ANOVA ī‚¨ ī‚¤ Global EI VS Age T-test ī‚¨ ī‚¤ Global EI VS Gender Class of 2010 EI scores VS Normative scores ī‚¨
  • 11. Results Homogeneous population of participants ī‚¨ PA EI Scores higher than Normative Scores ī‚¨ Moderate Correlations ī‚¨ ī‚¤ Global Trait EI VS Interview Score ī‚¤ Global Trait EI VS Experience Score
  • 12. Figure 1: Demographics of SUPA population Population Demographics Total participants 39 Gender Male 9 Female 30 Age 22 – 25 27 26 – 30 11 31 and above 1 Healthcare Experience (years) 0 -1 32 1- 2 6 2 or more 1 Cumulative GPA 3.00 – 3.50 22 3.51 – 4.00 17
  • 13. Figure 2: PA Emotional Intelligence Population Mean VS Norm Score 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 4.84 4.67 Management 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
  • 14. Figure 2: Continued PA Mean EI Norm EI EI Factor Score 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
  • 15. Figure 3: Pearson Correlation Coefficient: EI Score VS Experience and Interview Score Experience EI Subfacet Interview Score Score Emotion Regulation -0.361 ----- Emotion Perception 0.368 0.326 Emotion 0.367 ----- Management Social Awareness 0.345 0.331 Experience EI Factor Interview Score Score Emotionality 0.376 ----- Sociability 0.382 0.361
  • 16. Discussion SUPA EI scores > Normative scores ī‚¨ If higher EI, able to deal with stress and result ī‚¨ in less anxiety Correlations found include EI abilities needed ī‚¨ for good interview skills Unclear if EI abilities should be present at ī‚¨ matriculation OR can be learned and improved
  • 17. Research Limitations Number of participants 1. Age variability 2. EI survey instrument 3. Population normative EI data 4.
  • 18. Future Research Longitudinal EI measures ī‚¨ ī‚¤ Matriculating students īƒ  Completion of didactic year īƒ  Completion of clinical year Compare EI survey options ī‚¨ ī‚¤ Ability vs Trait EI scores of other PA programs ī‚¨
  • 19. Conclusion Components of EI already integrated into ī‚¨ SUPA admissions process Unable to determine if objective measure ī‚¨ more efficient than subjective measure of EI Possibility of profound impact on PA ī‚¨ admissions process and successful PA career
  • 20. Acknowledgements Raymond Eifel, M.S., PA-C, Major Advisor ī‚¨ Anthony Miller, M.Ed., PA-C ī‚¨ SUPA Class of 2010 ī‚¨ Dr K.V. Petrides, Dept of Psychology, ī‚¨ University College London
  • 21. References Salovey P, Mayer J. Emotional Intelligence. Imag Cogn Pers. 1990;9:185-211. 1. Mayer J, Salovey P.What is emotional intelligence? In Salovey P, Sluyter D, Eds. Emotional 2. Development and Emotional Intelligence: Implications for Educators. New York, NY: Basic Books;1997:3-31. Elam CL. Use of “Emotional Intelligence” as one measure of medical school applicants‟ 3. noncognitive characteristics. Acad Med. 2000;75:445-446. Goleman D. What makes a leader? Harv Bus Rev. 1995;76:93-102. 4. Freshman B, Rubino L. Emotional Intelligence: a core competency for health care administrators. 5. Health Care Manag (Frederick). 2002;20:1-9. Jensen AR, Wright AS, Lance AR, et al. The emotional intelligence of surgical residents: a 6. descriptive study. The American Journal of Surgery. 2008;195:5-10. Carrothers RM, Gregory SW Jr, Gallagher TJ. Measuring emotional intelligence of medical school 7. applicants. Acad med. 2000;75:456-463. Stratten TD, Elam CL, Murphy-Spencer AE, Quinlivan SL. Emotional intelligence and clinical skills: 8. preliminary results from comprehensive clinical performance examination. Acad Med. 2005;80(suppl-10):S34-37. Hughes P. Can we improve on how we select medical students? J R Soc Med. 2002;95:18-22. 9. Lurie SJ, Nofzinger AC, Meldrum S, Mooney C, Epstein RM. Effects of rater selection on peer 10.
  • 22. References (continued) Austin EJ, Evans P, Magnus B, O‟Hanlon K. A preliminary study of empathy, emotional 11. intelligence and examination performance in MBChB students. Medical Education. 2007;41:684- 689. Story A, Mercer A. Selection of medical students: an Australian perspective. Internal Medicine 12. Journal. 2005;35:647-649. Lobas JG. Leadership in Academic Medicine: Capabilities and conditions for organization 13. success. American Journal of Medicine. 2006;119(7):617-624. Epstein RM, Hundert EM. Defining and assessing professional competence. JAMA. 14. 2002;287(2):222-235. Maudsley G, Williams EM, Taylor DCM. Junior medical students‟ notions of a „good doctor‟ and 15. related expectations: a mixed methods study. Medical Education. 2007;41:476-486. Satterfield JM, Hughes E. Emotion skills training for medical students: a systemic review. Medical 16. Education. 2007;41:935-941. Grewal D, Davidson HA. Emotional intelligence and graduate medical education. JAMA. 17. 2008;300(10):1200-1202. American Academy of Physician Assistants. The competencies page. Available at: 18. www.aapa.org/gandp/competencies.htm Accessed May 6, 2008. Accreditation Review Commission for the Physician Assistant. The ARC-PA standards and 19. competencies page. Available at: www.arc-pa.org/Standards/StdsandCompetencies3.24.06.pdf. Accessed May 6, 2008. Cawley JF. No longer invisible: Challenges to PA education. Journal of Physician Assistant 20. Education. 2007;18(4):6-8.
  • 23. References (continued) Miller AA, Glicken AD. The future of physician assistant education. Journal of Physician Assistant 21. Education. 2007;18(3):109-116. Physician Assistant Education Association. 2007 Health Update page. Available at: 22. www.PAEAonline.org. Accessed May 6, 2008. Mayer JD. A Field Guide to Emotional Intelligence. In Ciarrochi J, Forgas JP, Mayer JD, eds. Emotional 23. intelligence and everyday life. New York, NY: Psychology Press; 2001:3-24. Emotional Intelligence Consortium. The reports page. Available at: 24. http://www.eiconsortium.org/reports/what_is_emotional_intelligence.html. Accessed April 6, 2008. Mayer JD, Caruso DR, Salovey P. Emotional intelligence meets traditional standards for an intelligence. 25. Intelligence. 2000;27(4):267-298. Goleman D. Emotional Intelligence: Why it can matter more than IQ. New York, NY. Bantam Dell;1995. 26. Petrides KV, Furnham A, Mavroveli S. Trait Emotional Intelligence: Moving forward in the field of EI. In 27. Matthews G, Zeider M, and Roberts R, Eds. Emotional Intelligence: Knowns and Unknowns. Oxford: Oxford University Press. 2007:151-166. Mayer JD, Salovey P, Caruso DR, et al. Measuring emotional intelligence with the MSCEIT. V2.0. 28. Emotion. 2003;3:97-105. Petrides KV, Furnham A, Frederickson N. Emotional Intelligence: an argue for a trait approach to the 29. misunderstood construct. Psychologist. 2004;17(10):574-577. Trait Emotional Intelligence Research Program. The TEIQue Version 1.50 page. Available at: 30. http://www.psychometriclab.com/Default.aspx?Content=Page&id=12. Accessed April 15, 2008. Petrides KV. Psychometric properties of the Trait Emotional Intelligence Questionnaire (TEIQue). In 31. Stough C, Saklofske DH, eds. Advances in the measurement of emotional intelligence. New York, NY: Springer. in press 2009.