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A pilot randomized controlled trial on the effectiveness of inclusion of a distant learning component into empathy training.

Med J Islam Repub Iran · 2014 · PMC4219893 · PMID 25405130

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a decreasing trendno p-value reported
But the disappointing issue is that, several studies have shown a decreasing trend of empathy scores in medical students and residents with increasing years of education ( 6 - 9 ).

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.