{"id":71852,"date":"2022-09-26T08:57:22","date_gmt":"2022-09-26T00:57:22","guid":{"rendered":"https:\/\/medicine.nus.edu.sg\/taps\/?post_type=issues&#038;p=71852"},"modified":"2023-01-03T09:08:42","modified_gmt":"2023-01-03T01:08:42","slug":"the-associates-of-emotional-intelligence-in-medical-students-a-systematic-review","status":"publish","type":"issues","link":"https:\/\/medicine.nus.edu.sg\/taps\/issues\/the-associates-of-emotional-intelligence-in-medical-students-a-systematic-review\/","title":{"rendered":"The associates of Emotional Intelligence in medical students: A systematic review"},"content":{"rendered":"<p>Submitted: 23 November 2021<br \/>\r\nAccepted: 10 May 2022<br \/>\r\nPublished online: 4 October<span lang=\"EN-GB\">, TAPS 2022, <\/span><span lang=\"EN-GB\">7(4), 59-70<\/span><br \/>\r\n<a href=\"https:\/\/doi.org\/10.29060\/TAPS.2022-7-4\/OA2714\">https:\/\/doi.org\/10.29060\/TAPS.2022-7-4\/OA2714<\/a><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-GB\">Deepthi Edussuriya<sup>1<\/sup>, Sriyani Perera<sup>2<\/sup>, Kosala Marambe<sup>3<\/sup>, Yomal Wijesiriwardena<sup>1<\/sup> &amp; Kasun Ekanayake<sup>1<\/sup><\/span><\/p>\r\n<p style=\"text-align: justify;\"><i><sup><span lang=\"EN-GB\">1<\/span><\/sup><\/i><i><span lang=\"EN-GB\">Department of Forensic Medicine, Faculty of Medicine, University of Peradeniya, Sri Lanka; <sup>2<\/sup>Medical Library, University of Peradeniya, Sri Lanka; <sup>3<\/sup>Department of Medical Education, Faculty of Medicine, University of Peradeniya, Sri Lanka<\/span><\/i><span lang=\"EN-GB\"><\/span><\/p>\r\n<p style=\"text-align: center;\"><b><span lang=\"EN-GB\">Abstract<\/span><\/b><\/p>\r\n<p style=\"text-align: justify;\"><b><span lang=\"EN-GB\">Introduction:<\/span><\/b><span lang=\"EN-GB\"> Emotional Intelligence (EI) is especially important for medical undergraduates due to the long undergraduate period and relatively high demands of the medical course. Determining associates of EI would not only enable identification of those who are most suited for the discipline of medicine but would also help in designing training strategies to target specific groups. However, there is diversity of opinion regarding the associates of EI in medical students. Aim of the study was to determine associates of EI in medical students.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><b><span lang=\"EN-GB\">Methods:<\/span><\/b><span lang=\"EN-GB\"> The databases MEDLINE, CENTRAL, Scopus, EbscoHost, LILAC, IMSEAR and three others were searched. It was followed by hand-searching, cited\/citing references and searching through PQDT. All studies on the phenomenon of EI and\/or its associates with medical students as participants were retrieved. Studies from all continents of the world, published in English were selected. They were assessed for quality using Q-SSP checklist followed by narrative synthesis on selected studies.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><b><span lang=\"EN-GB\">Results:<\/span><\/b><span lang=\"EN-GB\"> Seven hundred and ninety-two articles were identified of which 29 met inclusion criteria. One article was excluded as its full text was not available. Seven articles found an association between \u2018EI and academic performance\u2019, 11 identified an association between \u2018EI and mental health\u2019, 11 found an association between \u2018EI and Gender\u2019, 6 identified an association between \u2018EI and Empathy\u2019 while two have found an association with the learning environment.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><b><span lang=\"EN-GB\">Conclusion:<\/span><\/b><span lang=\"EN-GB\"> Higher EI is associated with better academic performance, better mental health, happiness, learning environment, good sleep quality and less fatigue, female gender and greater empathy.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><b><span lang=\"EN-GB\">Keywords<\/span><\/b><b><span lang=\"EN-GB\">:<\/span><\/b><span lang=\"EN-GB\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/span><i><span lang=\"EN-GB\">Emotional Intelligence, Associates of Emotional Intelligence, Medical Students, Mental Wellbeing, Empathy<\/span><\/i><b><span lang=\"EN-GB\"><\/span><\/b><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Practice Highlights<\/span><\/strong><\/p>\r\n<ul>\r\n\t<li style=\"text-align: justify;\"><span lang=\"EN-US\"> <\/span><span lang=\"EN-US\">Higher emotional intelligence is associated with better academic performance.<\/span><\/li>\r\n\t<li style=\"text-align: justify;\"><span lang=\"EN-US\"> <\/span><span lang=\"EN-US\">Higher emotional intelligence is associated with better mental health.<\/span><\/li>\r\n\t<li style=\"text-align: justify;\"><span lang=\"EN-US\"> <\/span><span lang=\"EN-US\">Higher emotional intelligence is associated with female gender.<\/span><\/li>\r\n\t<li style=\"text-align: justify;\"><span lang=\"EN-US\"> <\/span><span lang=\"EN-US\">Higher emotional intelligence is associated with greater empathy.<\/span><\/li>\r\n<\/ul>\r\n<p style=\"text-align: center;\"><span lang=\"EN-GB\"><\/span><strong><span lang=\"EN-GB\">I. INTRODUCTION<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Emotional intelligence (EI) is defined as \u201cthe ability to perceive emotions accurately, appraise, and express emotion; the ability to assess and\/or generate feelings when they facilitate thought; ability to understand emotions and emotional knowledge, and to regulate emotions to promote emotional and intellectual growth\u201d (Mayer &amp; Salovey, 1997). Studies have found that there is a positive effect between EI and academic as well as professional success<\/span><span lang=\"EN-US\"> (<\/span><span lang=\"EN-US\">Suleman et al., 2019).\u00a0 It has been reported that people and college students with good EI show better social functioning and interpersonal relationship and peers have identified them as less antagonistic and conflictual (<\/span><span lang=\"EN-US\">Petrovici &amp; Dobrescu, 2014<\/span><span lang=\"EN-US\">).<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Several tests and instruments that have been used to assess the Emotional intelligence of medical students were identified through the <\/span><span lang=\"EN-US\">literature. These include standard EI tests, modified versions of standard EI tests, and authors\u2019 assessment methods of their own. Schutte self-report EI test, TEIQue questionnaire and Bar-on\u2019s emotional intelligence questionnaire ((EQ-i) 2.0) have been used frequently. Each of these instruments has different advantages and disadvantages of their own.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The Emotional Quotient Inventory (EQ-i) 2.0 is a revision of the EQ-I (<\/span><span lang=\"EN-US\">Bar-On, 2004)<\/span><span lang=\"EN-US\">. The Emotional Quotient Inventory (EQ-I) 2.0 measures the interaction between an individual and their environment. Since the EQ-i 2.0 is a revision of the original Emotional Quotient Inventory <\/span><span lang=\"EN-US\">(EQ-I) the standard platform of the EQ-i validation remains intact. <\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The Schutte Self-Report Emotional Intelligence Test (SSEIT) is a method of measuring general Emotional Intelligence (EI), using four sub-scales: emotion perception, utilising emotions, managing self- relevant emotions, and managing others\u2019 emotions (<\/span><span lang=\"EN-US\">Schutte et al., 1998)<\/span><span lang=\"EN-US\">. The SSEIT model is closely associated with the EQ-I model of Emotional Intelligence. It has a reliability rating of 0.90. The EI score, overall, is fairly reliable for adults and adolescents. However, the utilising emotions sub-scale has shown poor reliability (<\/span><span lang=\"EN-US\">Ciarrochi et al., 2001)<\/span><span lang=\"EN-US\">.\u00a0 Also, they report a mediocre correlation of the SSREI with self-estimated EI, the Big Five EI scale, and life satisfaction<\/span><sup><span lang=\"EN-US\"> <\/span><\/sup><span lang=\"EN-US\">(<\/span><span lang=\"EN-US\">Petrides &amp; Furnham, 2000)<\/span><span lang=\"EN-US\">.\u00a0 However, SSREI correlated poorly with well-being and EI criteria.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The Trait Emotional Intelligence Questionnaire (TEIQue), is an openly accessible instrument developed to measure global trait emotional intelligence. Based on the Trait Emotional Intelligence Theory, a significant number of research has been conducted regarding emotional intelligence (EI)<\/span><span lang=\"EN-US\"> <\/span><span lang=\"EN-US\">(<\/span><span lang=\"EN-US\">Mikolajczak et al., 2007)<\/span><span lang=\"EN-US\">. The TEIQue is available in long form and short forms.<span style=\"text-decoration: line-through;\"> <\/span>Internal consistency and test-retest both indicated scale reliabilities of 0.71 and 0.76. High correlations between the TEIQue with Shrink\u2019s Emotional Intelligence Scale showed validity in measuring emotional intelligence and the \u201cBig Five\u201d Personality Traits.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Apart from those assessment methods, <\/span><span lang=\"EN-US\">Genos Emotional Intelligence Assessment, Mayer-Salovey-Caruso Emotional Intelligence Test, TMMS-24 data and DASS-21 scale, <\/span><span lang=\"EN-US\">Bradbury-Graves&#8217;s Emotional Intelligence and Siberia Schering&#8217;s Emotional Intelligence Questionnaire have also been used by the authors to assess the EI.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">A comprehensive survey in medicine states that EI had a positive contribution in doctor-patient relationship, increased empathy, teamwork, communication skills, stress management, organisational commitment and leadership<\/span><span lang=\"EN-US\"> (<\/span><span lang=\"EN-US\">Arora et al., 2010). EI is invariably important to medical professionals as it is associated with self-monitoring which would not only ensure adapting to clinical situations appropriately and having desirable interpersonal relations but also result in a favorable outcome for the patient and the wellbeing of the practitioner.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Few studies suggest that EI training can help medical students to build their leadership and empathy skills, as they enter the clinical years<\/span><span lang=\"EN-US\"> (<\/span><span lang=\"EN-US\">Austin et al., 2005; Dolev et al., 2019). Literature surveys on emotional intelligence and medicine, and physician leadership qualities concludes that EI correlates with many of the competencies that modern medical curricula seek to deliver including leadership<\/span><span lang=\"EN-US\"> (<\/span><span lang=\"EN-US\">Mintz &amp; Stoller, 2014; Reshetnikov et al., 2020). Other studies indicate that age and gender are associated with emotional intelligence. However, some studies showed that EI at medical school admission could not reliably predict academic success in later years (Reshetnikov et al., 2020). These studies have all looked at the associates in an isolated sense. However, it would also be interesting to reflect on the concept of EI in a broader sense as it is inevitable that there would be an interaction of factors.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The medical course extends over a period of five years as opposed to most undergraduate degrees which are shorter. Medical training involves close interactions with different categories of people including patients, doctors of different grades and the paramedical staff. Training includes long hours of work in stressful environments where some situations could be emotionally challenging. This long undergraduate period and relatively high demands of the medical course would require medical students to possess a high degree of EI. As findings of different studies on EI are sometimes diverse in opinion, it would be useful to conduct a systematic review to identify the associates of EI in order to design training strategies which target specific groups.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Even though EI is considered a trainable trait, the extent of trainability depends on many personal and institutional factors (Mattingly &amp; Kraiger, 2019). V\u00f6lker (2020) expresses that trainability in emotional intelligence is subjected to acquired knowledge which is situational and may depend on accumulating relevant experience.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">In the Sri Lankan context, the sole criteria for selection of students to a medical course is the academic excellence at the Advanced level examination, which alone may not reflect their suitability to follow a profession like medicine (University Grants Commission, 2022).<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">However, since EI is an essential trait especially for medical practice many universities worldwide use different tools to assess EI in their applicants. Furthermore, different universities adopt varying techniques to develop EI of their students throughout the course. It is envisaged that <\/span><span lang=\"EN-US\">this review would not only help determine what additional factors could be considered in the selection of applicants for a medical course but would also help teachers design training strategies to target specific groups of students and also ensure a more enjoyable and productive learning experience for the students as a whole. There is no doubt that these selection and intervention programs would produce doctors with more favourable qualities which would not only produce greater <\/span><span lang=\"EN-US\">benefits to the patient but would prevent burn out among doctors.<\/span><\/p>\r\n<p><i><span lang=\"EN-US\">A. <\/span><\/i><i><span lang=\"EN-US\">Objective<\/span><\/i><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The objective of this study is to find out, the associates of Emotional Intelligence in Medical students based on available literature in English from 2015 to 2020.<\/span><\/p>\r\n<p style=\"text-align: center;\"><span lang=\"EN-GB\"><\/span><strong><span lang=\"EN-GB\">II. MATERIALS AND METHODS<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The research question was defined based on the PICOS (Population, Intervention, Comparison, Outcomes and Setting) format. The review protocol was developed according to PRISMA-P 2015 (Preferred reporting items for systematic review and meta-analysis protocols) statement (Moher et al. 2015) by all three authors DE, KM and SP and was registered in the PROSPERO Registry (<\/span><span lang=\"EN-US\">CRD42021227877). The methodology for the systematic review (SR) followed the guidelines and standards of IOM (Institute of Medicine) (Eden et al., 2011) and PRISMA-2015 for reporting.<\/span><\/p>\r\n<p><i><span lang=\"EN-US\"><\/span><\/i><i><span lang=\"EN-US\">A. Search Strategy<\/span><\/i><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">A Systematic and comprehensive search was conducted by SP in April 2020 and references were managed using the software Mendeley. The search explicitly aimed to identify all published and unpublished relevant studies in order to limit bias in the searching process.\u00a0 The key search terms were identified with the aid of a search-term-harvesting table by KM and DE. A combination of relevant medical subject headings and search terms tagged with other appropriate search fields were used in the literature search. The following databases were searched:<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">CDSR (Cochrane Database of Systematic Reviews), DARE (The Database of Abstracts of Reviews of Effects), MEDLINE (1950- 2020) via Pubmed (See supplemental Appendix 1 for search strategy), CENTRAL (The Cochrane Central Register of Controlled Trials, 1948 &#8211; 2020), Scopus, EbscoHost, LILAC, IMSEAR (Index Medicus for South East Asian region) and WHO International Clinical Trials Registry Platform (ICTRP). In addition to electronic searches, two key journals (2015-2020) were hand-searched, and cited &amp; citing references of all included studies were screened for further relevant articles. Searches were limited to studies published between the years 2015-2020. Searching other resources included grey literature such as PQDT (ProQuest Dissertations and Thesis database) and Global health (via WHO).<\/span><i><span lang=\"EN-US\"><\/span><\/i><\/p>\r\n<p><i><span lang=\"EN-US\"><\/span><\/i><i><span lang=\"EN-US\">B. Selection Criteria<\/span><\/i><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">After removal of duplicates from the retrieved articles, the remaining articles with abstracts were uploaded to the Web application, Rayyan (Quzzani et al., 2016) for the purpose of screening. The criteria for selection of articles were based on the PICOS elements. The studies were from all continents of the world and limited to those published in English. All studies focusing on the phenomenon of EI and\/or its associates with medical students as participants were considered for inclusion in the review. <\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The authors DE, KM, SP and KE independently screened the uploaded articles in Rayyan, using the above eligibility criteria. In the first phase, title and abstract of each article were reviewed by any of the two authors independently for its candidacy.\u00a0 Following this initial evaluation, the full text of all those selected articles were retrieved and further examined by KM and DE independently (second phase), for the final verification before inclusion in the review. Any disagreements regarding eligibility of studies were resolved by consulting a third author (SP). Reviews, systematic reviews, editorials, letters and comments were removed.\u00a0 Articles which met the eligibility criteria were selected for inclusion in the review. Excluded studies were marked with the \u2018reason\u2019 in Rayyan.<\/span><\/p>\r\n<p><i><span lang=\"EN-US\"><\/span><\/i><i><span lang=\"EN-US\">C. Data Extraction and Quality Assessment <\/span><\/i><span lang=\"EN-US\"><\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Data from all included studies were extracted by the review authors YW and KM using a data extraction table developed for the purpose of this review (Appendix 2). Data extracted were cross-checked by SP for any errors. Information recorded included: study details (author, year, country of origin), participants (number of participants, gender, level of undergrad program, etc.), methods (study aim, design, total study duration, tools used), study type (phenomenon \/context studied) and outcomes (all relevant findings related to primary and secondary outcomes).<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">SP and YW independently assessed the quality of those selected studies using Quality Assessment Checklist for Survey Studies in Psychology (Q-SSP) (Protogerou &amp; Hagger, 2020) Results of the quality assessments were compared (Appendix 3); any disagreements were resolved by consensus. Articles which met the required quality criteria were selected for inclusion in the review.<\/span><\/p>\r\n<p><i><span lang=\"EN-US\"><\/span><\/i><i><span lang=\"EN-US\">D. Strategy for Data Synthesis<\/span><\/i><i><span lang=\"EN-US\"> <\/span><\/i><i><span lang=\"EN-US\"><\/span><\/i><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Due to the heterogeneity between the included studies, a quantitative synthesis was not considered. A narrative synthesis of the findings from individual included studies was carried out by DE, based on the characteristics of the targeted populations and the type of outcome such as association\/correlation of EI with academic performance, professional success, <\/span><span lang=\"EN-US\">social functioning, interpersonal relationship, empathy, teamwork spirit, communication skills, stress management, organizational commitment, leadership quality, self-monitoring, mental health and emotional well-being.<\/span><\/p>\r\n<p style=\"text-align: center;\"><span lang=\"EN-GB\"><\/span><strong><span lang=\"EN-GB\">III. RESULTS<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">A total of 792 articles were retrieved during the literature search. After removing the duplicates, 752 articles were considered for screening using the eligibility criteria. Initial evaluation of articles through title and abstract resulted in only 29 articles meeting the selection criteria. During the full-text evaluation, one article (Parijitham, 2018) was removed, as its full-text article could not be found even after contacting the author. The data that support the findings of this study are openly available at <\/span><span lang=\"EN-US\"><a href=\"https:\/\/doi.org\/10.6084\/m9.figshare.15564210\"><span lang=\"EN-GB\">https:\/\/doi.org\/10.6084\/m9.figshare.15564210<\/span><\/a><\/span><span lang=\"EN-GB\"> (Edussuriya et al., 2021). <\/span><span lang=\"EN-US\">Twenty-eight articles were finally selected for quality assessment. Flow diagram of the selection of studies is shown in Figure 1.<\/span><\/p>\r\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Figure-1-300x287.png\" alt=\"\" class=\" wp-image-71853 aligncenter\" width=\"471\" height=\"450\" srcset=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Figure-1-300x287.png 300w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Figure-1-768x734.png 768w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Figure-1.png 810w\" sizes=\"auto, (max-width: 471px) 100vw, 471px\" \/><\/p>\r\n<p align=\"center\"><span lang=\"EN-US\">Figure 1. Flow diagram illustrating included and excluded studies in the systematic review<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The study design of the selected studies comprised of 26 cross sectional (majority), one longitudinal and one quasi-experimental. However, all studies used standard validated survey questionnaires to collect data. Therefore, to assess the quality of selected studies, Quality Assessment Checklist for Survey Studies in Psychology (Q-SSP) was selected as the best, \u2018applicable to all\u2019 tool in this review, considering its relevance also to the trait emotional intelligence since emotions, thoughts and mental processes are aspects of psychology. The quality of the studies was determined by the extent to which the items on above checklist were met by each of the articles. There were 20 checklist items in the tool out of which one item (item-19 \u2013 Debriefing participants at the end of data collection) could be justifiably waived; one reason being none of the included studies used it in the methodology. Thus 19 items were considered to be applicable in this review (Appendix 4).<\/span><\/p>\r\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.1-300x189.png\" alt=\"\" class=\"alignnone  wp-image-71854 aligncenter\" width=\"573\" height=\"361\" srcset=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.1-300x189.png 300w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.1-1024x645.png 1024w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.1-768x484.png 768w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.1.png 1035w\" sizes=\"auto, (max-width: 573px) 100vw, 573px\" \/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.2-300x187.png\" alt=\"\" class=\" wp-image-71856 aligncenter\" width=\"570\" height=\"355\" srcset=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.2-300x187.png 300w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.2-768x478.png 768w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.2.png 1025w\" sizes=\"auto, (max-width: 570px) 100vw, 570px\" \/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.3-300x92.png\" alt=\"\" class=\" wp-image-71857 aligncenter\" width=\"570\" height=\"175\" srcset=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.3-300x92.png 300w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.3-768x235.png 768w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.3.png 1024w\" sizes=\"auto, (max-width: 570px) 100vw, 570px\" \/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.4-300x188.png\" alt=\"\" class=\" wp-image-71858 aligncenter\" width=\"557\" height=\"349\" srcset=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.4-300x188.png 300w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.4-1024x643.png 1024w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.4-768x482.png 768w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.4.png 1026w\" sizes=\"auto, (max-width: 557px) 100vw, 557px\" \/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.5-300x205.png\" alt=\"\" class=\" wp-image-71859 aligncenter\" width=\"556\" height=\"380\" srcset=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.5-300x205.png 300w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.5-768x524.png 768w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.5.png 1019w\" sizes=\"auto, (max-width: 556px) 100vw, 556px\" \/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.6-300x165.png\" alt=\"\" class=\" wp-image-71861 aligncenter\" width=\"561\" height=\"309\" srcset=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.6-300x165.png 300w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.6-1024x563.png 1024w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.6-768x422.png 768w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-1.6.png 1029w\" sizes=\"auto, (max-width: 561px) 100vw, 561px\" \/><\/p>\r\n<p align=\"center\"><span lang=\"EN-US\">Table 1. Characteristics of included studies<\/span><\/p>\r\n<p align=\"center\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-2-300x182.png\" alt=\"\" class=\"alignnone  wp-image-71862\" width=\"567\" height=\"344\" srcset=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-2-300x182.png 300w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-2-768x465.png 768w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-2.png 1017w\" sizes=\"auto, (max-width: 567px) 100vw, 567px\" \/><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-2.2-300x152.png\" alt=\"\" class=\" wp-image-71863 aligncenter\" width=\"566\" height=\"287\" srcset=\"https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-2.2-300x152.png 300w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-2.2-768x390.png 768w, https:\/\/medicine.nus.edu.sg\/taps\/wp-content\/uploads\/sites\/10\/2022\/09\/OA2714-Table-2.2.png 1016w\" sizes=\"auto, (max-width: 566px) 100vw, 566px\" \/><\/p>\r\n<p align=\"center\"><span lang=\"EN-US\">Table 2. Categorisation of findings of the studies<\/span><\/p>\r\n<p><i><span lang=\"EN-US\">A. <\/span><\/i><i><span lang=\"EN-US\">Findings of Studies and Data Analysis <\/span><\/i><\/p>\r\n<p style=\"text-align: justify;\"><i><span lang=\"EN-US\"><\/span><\/i><i><span lang=\"EN-US\">1) EI and academic performance:<\/span><\/i><span lang=\"EN-US\"> According to studies, a positive correlation was identified between EI and academic performance (Aithal, et al., 2016, Ibrahim et al. 2017; Moslehi et al., 2015, Wijekoon et al., 2017) while (Ranasinghe et al., 2017; Unnikrishnan et al., 2015) also found a significant association between EI and academic performance. These studies indicated that students with higher EI intend to perform better in their academic work. A cross-sectional study done by Chew et al. (2015) showed that medical students with less emotional intelligence were largely unaware of their anxiety, which was associated with lower academic performance. According to studies done by Holman et al., 2016, Gupta et al., 2017 and Vasefi et al., 2018 there was no correlation of EI with academic performance. A study by Othman et al., 2020 revealed that EI showed a significant positive effect on intuitive decision-making style and a negative effect on avoidant and dependent decision-making styles which may explain better academic performance of medical students with high EI.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><i><span lang=\"EN-US\"><\/span><\/i><i><span lang=\"EN-US\">2) EI and mental health (emotional wellbeing): <\/span><\/i><span lang=\"EN-US\">A direct relationship between EI and academic satisfaction was found in studies done by Rouhani et al., 2015, Unnikrishnan et al., 2015 and Carvalho et al., 2018. Further, Carvalho et al., 2018 reported that a positive relationship was observed between EI and academic-related well-being which accounts for both academic performance and mental health. It was seen that medical students with less emotional intelligence were largely unaware of their anxiety (Chew et al., 2015) and those with higher emotional intelligence perceived lesser stress (Gupta et al., 2017 and Ranasinghe et al., 2017). Shi and Du (2020) found that EI was strongly and negatively associated with Personal Distress. Heidari Gorji et al. (2018) identified a direct relationship between emotional intelligence and mental health while a study done by Mahaur et al. (2017) did not find a significant relationship between the two. Ghahramani et al. (2019) identified a significant positive relationship of EI with happiness while Abdali et al. (2019) showed a positive correlation with sleep quality and a negative correlation with general fatigue.<i><\/i><\/span><\/p>\r\n<p style=\"text-align: justify;\"><i><span lang=\"EN-US\"><\/span><\/i><i><span lang=\"EN-US\">3) EI and demographic characters: <\/span><\/i><span lang=\"EN-US\">Higher EI in females compared to males was found (Aithal et al., 2016, Bertram et al., 2015, Ibrahim et al., 2017, Khan et al., 2016, Raut &amp; Gupta, 2019 Sundararajan and Gopichandran, 2018, Tyszkiewicz-Bandur et al., 2017, Unnikrishnan et al., 2015 and Wijekoon et al., 2017). Irfan et al. (2019) suggests that female medical students had significantly higher empathic behavior and emotional intelligence than male students. However, Skokou et al. (2019) did not find any difference in EI in <\/span><span lang=\"EN-US\">males and females. Vasefi et al. (2018) and Abe et al. (2018) too did not find a significant relationship between EI and gender. However, Abe et al. (2018) revealed that females showed significantly higher Neuroticism, Agreeableness and Empathy scores than males. According to Ibrahim et al. (2017) increasing age resulted in higher EI. However, Yee et al. (2018) did not find a significant association of EI with age. According to Yee et al. (2018) there was no significant association of EI with ethnicity. <\/span><\/p>\r\n<p style=\"text-align: justify;\"><i><span lang=\"EN-US\"><\/span><\/i><i><span lang=\"EN-US\">4) EI and empathy: <\/span><\/i><span lang=\"EN-US\">Significant correlation between EI and Empathy was identified (Bertram et al., 2015, Irfan et al., 2019 Khan et al., 2016; Sundararajan &amp; Gopichandran, 2018). Shi and Du (2020) suggests that EI helps medical professionals to establish a better association with the patient. <\/span><\/p>\r\n<p style=\"text-align: justify;\"><i><span lang=\"EN-US\"><\/span><\/i><i><span lang=\"EN-US\">5) Learning environment: <\/span><\/i><span lang=\"EN-US\">Relationship between EI and academic background was identified by both Irfan et al. (2019) and Sundararajan and Gopichandran (2018). According to Sundararajan and Gopichandran (2018), students who <\/span><span lang=\"EN-US\">attended government schools for high school education had greater emotional intelligence than students from private schools. But Irfan et al. (2019) suggests that medical students of private medical schools showed higher level of empathy as compared to public medical schools. Dolev et al. (2019) reveals that there are no differences in EI levels between first-year and sixth-year medical students.<\/span><\/p>\r\n<p style=\"text-align: center;\"><span lang=\"EN-GB\"><\/span><strong><span lang=\"EN-GB\">IV. DISCUSSION<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The review included studies conducted in South and Southeast Asian, European, Arabian, North American and South American countries.\u00a0 Majority of studies on Asian students revealed a high association between EI and academic performance. However, two studies on Asian students and one on US students failed to observe such associations. The impact of EI on academic performance may be explained by <\/span><span lang=\"EN-US\">the fact that being aware of one\u2019s anxiety relieved stress and those with high EI experienced greater mental wellbeing and satisfaction with their programs; which may contribute to better academic performance. Furthermore, the fact that EI showed a positive correlation with better mental health\/wellbeing, less perceived <\/span><span lang=\"EN-US\">stress\/distress, happiness, good sleep quality and less fatigue may account for the better academic performance of students with high EI.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Empathy is an <\/span><span lang=\"EN-US\">important aspect in the delivery of high-quality healthcare. Several researchers from different regions of the world reported strong association between empathy and high EI scores. Therefore, assessment of EI may be useful in admitting students for medical degrees. However, since EI is considered as a \u201ctrainable trait\u201d, the role that EI plays in admitting students to medical schools is debatable. Therefore, all efforts must be taken by medical schools to include activities that enhance EI, during the medical course, irrespective of the EI levels of students on admission.\u00a0\u00a0 The fact that EI did not improve with seniority does not purely support the fact that EI is not trainable but it maybe those students were not exposed to and not sensitised to activities which enhance EI. <\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">\u00a0Evidence indicated a positive association between high EI scores and female gender. It maybe postulated that the \u201cnurturing and caring\u201d role assigned by society to the females influence their upbringing. Thereby improving their emotional intelligence. <\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">In conclusion it must be stated that since a m<\/span><span lang=\"EN-US\">ajority of studies revealed that higher EI is associated with better academic performance, better mental health and greater empathy and since EI is considered a trainable trait, curricular need to be developed with a view to improving EI. <\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">In order to develop EI, curricular should contain programs on general leadership development, self-care\/ wellness and burn-out prevention (Monroe &amp; English, 2013). Small-group experiential learning activities and meeting with trained mentors throughout the years would be helpful. Debriefing sessions and maintaining a journal are some other techniques that need to be considered. It may be helpful to discuss change management and quality improvement with students (Audra et al., 2020). Exposure of students to skills of self-awareness and self-management through discussion, exposure to theories of conflict management, mindfulness practice, leadership training, discussions on learning styles, discussions on power and influence, identification of team dynamics, exposure to high-functioning inter-professional teams, peer coaching, health care leader interview and shadowing of experienced clinicians are some techniques that could be adopted in attempting to develop EI among students (<\/span><span lang=\"EN-US\"><a href=\"https:\/\/journals.sagepub.com\/doi\/10.1111\/j.1529-1006.2006.00030.x\">Kozlowski<\/a><\/span><span lang=\"EN-US\"> &amp;\u00a0<\/span><span lang=\"EN-US\"><a href=\"https:\/\/journals.sagepub.com\/doi\/10.1111\/j.1529-1006.2006.00030.x\">Ilgen<\/a><\/span><span><span lang=\"EN-US\">, 2006)<\/span><\/span><span lang=\"EN-US\">. It would be beneficial to evaluate acquisition based on completion of an EI inventory, feedback from peers and staff, project presentations, reflective writing, measurement of achievement of professional and personal development benchmarks and milestones, performance on simulated scenarios and small-group exercises (<\/span><span lang=\"EN-US\"><a href=\"https:\/\/www.researchgate.net\/profile\/Wei-Pan\">Pan<\/a><\/span><span lang=\"EN-US\"> &amp; <\/span><span lang=\"EN-US\"><a href=\"https:\/\/www.researchgate.net\/profile\/Joseph-Allison\">Allison<\/a><\/span><span lang=\"EN-US\">, 2010). <\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">During the study it was observed that there is paucity of longitudinal studies on Associates of EI. Therefor it would be beneficial to conduct longitudinal studies which may help identify some aspects with regard to the trainability of EI in medical students.<\/span><\/p>\r\n<p style=\"text-align: center;\"><span lang=\"EN-GB\"><\/span><strong><span lang=\"EN-GB\">V. CONCLUSION<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Through this review it was revealed that higher EI is associated with <\/span><\/p>\r\n<ul>\r\n\t<li style=\"text-align: justify;\"><span lang=\"EN-US\"> <\/span><span lang=\"EN-US\">better academic performance,<\/span><\/li>\r\n\t<li style=\"text-align: justify;\"><span lang=\"EN-US\"> <\/span><span lang=\"EN-US\">better mental health including less perception of stress and distress, happiness, good sleep quality and less fatigue,<\/span><\/li>\r\n\t<li style=\"text-align: justify;\"><span lang=\"EN-US\"> <\/span><span lang=\"EN-US\">female gender, and<\/span><\/li>\r\n\t<li style=\"text-align: justify;\"><span lang=\"EN-US\"> <\/span><span lang=\"EN-US\">greater empathy.<\/span><\/li>\r\n<\/ul>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">No significant association was found between age, ethnicity, and seniority in the medical course, and emotional intelligence. No conclusions could be made about the association between the nature of the educational institute (private or state) and emotional intelligence.<\/span><\/p>\r\n<p><i><span lang=\"EN-US\"><\/span><\/i><i><span lang=\"EN-US\">A. Limitations<\/span><\/i><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">In this review, it was found that authors of included studies which used several different tools to assess the EI of medical students. Each of these tools have their own advantages and disadvantages which cause comparison difficult. It could not be assumed that, each and every one of these methods provide results in the same level.<\/span><\/p>\r\n<p><i><span lang=\"EN-US\"><\/span><\/i><i><span lang=\"EN-US\">B. Recommendation<\/span><\/i><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Since high EI has shown a positive correlation with academic performance and better mental wellbeing of students and since it has been identified as a \u201ctrainable trait\u201d all efforts should be made to enhance EI of medical students during their undergraduate training. <\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Notes on Contributors<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Edussuriya D.H (DE) was the Principal Investigator of the study. Protocol drafting, study selection, analysis and interpretation of data, synthesis of findings of individual studies and the drafting of manuscript was done by the author.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Perera S. (SP) facilitated the methodology, involved in drafting the protocol and retrieved selected articles, since the author has previous experience in conducting systematic reviews. Reference management in Mendeley and Rayyan, cross-checking the extracted data, assessed quality of selected studies and final review of draft was also done by the author.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Marambe K.N (KM) was involved in drafting the protocol, involved in article selection and extracted data from the selected articles.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Wijesiriwardena W.M.S.Y (YW) extracted data from selected articles, assessed the quality of selected articles and finalised the manuscript.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Ekanayake E.M.K.B (KE) has screened the uploaded articles in Rayyan.<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Ethical Approval<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The review is registered in PROSPERO &#8211; The International Prospective Register of Systematic Reviews under the registration number CRD42021227877 for the systematic review.<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Data Availability<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-GB\">Data set that support the findings of this study are openly available in Figshare repository <\/span><span lang=\"EN-US\"><a href=\"https:\/\/doi.org\/10.6084\/%20m9.figshare.15564210\"><span lang=\"EN-GB\">https:\/\/doi.org\/10.6084\/ m9.figshare.15564210<\/span><\/a><\/span><span lang=\"EN-GB\"><\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Acknowledgement<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">The authors acknowledge Information Officers of National Science Library and Resources Center, National Science Foundation, Sri Lanka for support in Scopus searches and <\/span><span lang=\"EN-US\">staff of Medical Library of Faculty of Medicine, University of Peradeniya for the assistance in finding full text articles of the included studies in the review.<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Funding<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-GB\">No funding sources are associated with this study.<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">Declaration of Interest<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-GB\">No conflicts of interest are associated with this paper.<\/span><\/p>\r\n<p align=\"center\"><strong><span lang=\"EN-GB\">References<\/span><\/strong><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Abdali, N., Nobahar, M., &amp; Ghorbani, R. (2019). Evaluation of emotional intelligence, sleep quality, and fatigue among Iranian medical, nursing, and paramedical students: A cross-sectional study. <i>Qatar Medical Journal, 2019<\/i>(3), 15. <\/span><span lang=\"EN-US\"><a href=\"https:\/\/doi.org\/10.5339\/qmj.2019.15\">https:\/\/doi.org\/10.5339\/qmj.2019.15<\/a><\/span><span><span lang=\"EN-US\"><\/span><\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Abe, K., Niwa, M., Fujisaki, K., &amp; Suzuki, Y. (2018). Associations between emotional intelligence, empathy and personality in Japanese medical students.\u00a0<i>BMC Medical Education<\/i>,\u00a0<i>18<\/i>, Article 47. <\/span><span lang=\"EN-US\"><a href=\"https:\/\/doi.org\/10.1186\/s12909-018-1165-7\">https:\/\/doi.org\/10.1186\/s12909-018-1165-7<\/a><\/span><span><span lang=\"EN-US\"><\/span><\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Aithal, A. P., Kumar, N., Gunasegeran, P., Sundaram, S. M., Rong, L. Z., &amp; Prabhu, S. P. (2016). A survey-based study of emotional intelligence as it relates to gender and academic performance of medical students. <i>Education for Health, 29<\/i>(3), 255\u2013258.<\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Arora, S., Ashrafian, H., Davis, R., Athanasiou, T., Darzi, A., &amp; Sevdalis, N. (2010). Emotional intelligence in medicine: A systematic review through the context of the ACGME competencies.\u00a0<i>Medical education<\/i>,\u00a0<i>44<\/i>(8), 749\u2013764. <\/span><span lang=\"EN-US\"><a href=\"https:\/\/doi.org\/10.1111\/j.1365-2923.2010.03709.x\">https:\/\/doi.org\/10.1111\/j.1365-2923.2010.03709.x<\/a><\/span><span><span lang=\"EN-US\"><\/span><\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Audra, V. W., O&#8217;Brien, T. C., Varvayanis, S., Alder, J., Greenier, J., Layton, R. L., Stayart,C. A., Wefes, I., &amp; Brady, A. E. (2020). 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(2011).<\/span><span lang=\"EN-US\"> <\/span><span lang=\"EN-US\">Implementing and evaluating the integration of critical thinking into problem based learning in environmental building.<\/span><span lang=\"EN-US\"> <\/span><i><span lang=\"EN-US\">Journal for Education in the Built Environment, 6<\/span><\/i><span lang=\"EN-US\">(2), 93-115. <\/span><span lang=\"EN-US\"><a href=\"https:\/\/doi.org\/10.11120\/jebe.2011.06020093\">https:\/\/doi.org\/10.11120\/jebe.2011.06020093<\/a><\/span><span lang=\"EN-US\"> <\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Wijekoon, C. N., Amaratunge, H., de Silva, Y., Senanayake, S., Jayawardane, P., &amp; Senarath, U. (2017). Emotional intelligence and academic performance of medical undergraduates: A cross-sectional study in a selected university in Sri Lanka. <i>BMC Medical Education, 17<\/i>(1), Article 176. <\/span><span lang=\"EN-US\"><a href=\"https:\/\/doi.org\/10.1186\/s12909-017-1018-9\">https:\/\/doi.org\/10.1186\/s12909-017-1018-9<\/a><\/span><span><span lang=\"EN-US\"><\/span><\/span><\/p>\r\n<p style=\"text-align: justify;\"><span lang=\"EN-US\">Yee, K. T., Yi, M. S., Aung, K. C., Lwin, M. M., &amp; Myint, W. W. (2018). Emotional intelligence level of year one and two medical students of University Malaysia Sarawak: Association with demographic data<i>. Malaysian Applied Biology, 47<\/i>(1), 203-208.<\/span><\/p>\r\n<p><span lang=\"EN-US\"><span lang=\"EN-NZ\"><span lang=\"EN-AU\">*<span lang=\"EN-GB\">Edussuriya D.H<\/span><br \/>\r\n<span lang=\"EN-GB\">Department of Forensic Medicine, Faculty of Medicine,<\/span><br \/>\r\n<\/span><span lang=\"EN-AU\"><span lang=\"EN-GB\">University of Peradeniya, Sri Lanka, 20400<\/span><br \/>\r\n<span lang=\"EN-GB\">+94711698916<\/span><br \/>\r\n<\/span><\/span><\/span><span lang=\"EN-US\"><span lang=\"EN-NZ\"><span lang=\"EN-AU\"><span lang=\"EN-GB\">Email: deepthi.edussuriya@med.pdn.ac.lk<\/span><br \/>\r\n<\/span><\/span><\/span><\/p>","protected":false},"featured_media":0,"parent":0,"menu_order":5,"template":"","issues_category":[16],"archive_category":[],"issue_type":[25],"volume_category":[61873],"class_list":["post-71852","issues","type-issues","status-publish","hentry","issues_category-review-article","issue_type-past-issue","volume_category-volume-7-number-4-october-2022"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - 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