ORCID Identifier(s)


Graduation Semester and Year




Document Type


Degree Name

Doctor of Philosophy in Educational Leadership and Policy Studies


Educational Leadership and Policy Studies

First Advisor

Maria Trache


This dissertation explores the medicalization domains through three studies to assert that communication exists in all facets of the patient- physician relationship. The first study is a policy analysis that examines the institutional domain through policies and educational standards created in the medical community that dictate the importance of communication. The second study examines medical students' level of clinical empathy using the Jefferson Scales of Empathy. The second study ties to the conceptual domain of the medicalization of communication, showing the creation of terminology (i.e., clinical empathy, clinical communication) helps uniquely identify and measure empathy through communication. The third study examines residents in practice and utilizes the interactional domain of communication needed to provide clinical outcomes by creating shared goals between patients and physicians. All three studies provided a comprehensive examination of policies and educational practices surrounding the patient-physician interaction and serve to build a model of the medicalization of communication through all three domains: institutional, conceptual, and interactional.


Empathy, Communication, Education, Patient/relationship-centered skills, Medical education, Inter-professional communication, Medicalization, Clinician-patient relationship, Inter-professional education, Medical students, Residents, Goals of care, Communication skills, Medical school, Medical policy, Communication policy, Educational standards, Educational policy, Communication


Education | Educational Leadership


Degree granted by The University of Texas at Arlington