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Medical education is committed to promoting empathic communication. Despite this, much research indicates that empathy actually decreases as students progress through medical school. In qualitative terms, relatively little is known about this changing student relationship with the concept of empathy for patients and how teaching affects it. This study explores that knowledge gap. Adopting a constructivist paradigm, we utilised a research approach new to medical education Love and Breakup Letter Methodology. A purposive sampl

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