When “Madam” Matters: Why Empathy Training Could Be the Key to Healthcare’s Mental Health Crisis

An incident in Sherpur District Sadar Hospital shook more than just a patient’s heart. A doctor reportedly asked an 11-year-old girl and her father to leave because he was addressed as “Apa” instead of “Madam,” insisting on formal titles. In that one moment, frustration, hierarchy, and perhaps mental fatigue played out in public view. What this shows is not just about respect—it’s a symptom of a deeper crisis: overburdened doctors under emotional, psychological, and systemic strain.


The Hidden Strain Behind White Coats

Doctors across Bangladesh are carrying invisible weights—long hours, understaffed shifts, emotional trauma, criticism, and the constant pressure of life-and-death decisions. According to studies during COVID-19, over 30-60% of physicians in Bangladesh reported depression, anxiety, or stress. Frontiers+2ScienceDirect+2 Intern doctors show high prevalence of insomnia, loneliness, and regret about their profession due to unmet mental health support. SpringerLink

But these issues don’t stay private; they affect how doctors communicate, how patients perceive them, and sometimes lead to incidents like the Sherpur “Madam-vs-Apa” one. The lack of empathy in interactions can speak volumes about accumulated stress and lack of coping mechanisms.


Empathy & Compassion Are Not Optional Extras

This isn’t about small niceties. When a doctor says “Leave my room immediately” to a patient who used a colloquial address—it hurts more than the words. It reflects emotional burnout, lack of emotional bandwidth, perhaps lack of training in how to manage both professional boundaries and compassion.

Empathy and compassion are not soft skills; they are clinical tools. When doctors are trained to manage their own stress and respond thoughtfully to patients, the entire dynamic shifts—communication improves, trust increases, and burnout decreases.


Research Supports Training in Empathy & Compassion

What the Research ShowsBenefits for Doctors & Patients
Formal empathy/compassion training improves physician well-being and resilience. PMC+2Stanford Medicine+2Reduced burnout, higher job satisfaction, less emotional exhaustion.
High rates of depression / anxiety among Bangladeshi physicians during COVID-19; younger doctors particularly affected. Frontiers+2ScienceDirect+2Early intervention can protect long-term mental health, reduce turnover.
Empathetic and compassionate care linked to better patient outcomes, improved compliance, fewer conflicts. (Globally & in HCP-empathy reviews) Harvard Medical School Learning+1Enhanced patient trust, lower complaints or litigation risk.

How Empathy Training Could Be Implemented in Bangladesh

  1. Curriculum Integration – Incorporate formal empathy & compassion modules in medical colleges and internships.
  2. Regular Workshops & Reflective Practice – Role-play difficult conversations; peer reflection; debriefing sessions after critical incidents.
  3. Mental Health Support Systems – Counseling, peer-support groups; providing safe spaces to share emotional burden.
  4. Leadership & Culture Change – Hospital leaders and department heads modelling empathy; acknowledging stress can affect anyone.
  5. Recognition & Reward – Recognize those who display empathy, even in stressful situations; include patient feedback as a metric.

Final Call

Healthcare is not just a science—it’s human. And when the humans inside it are under stress, care can suffer. Incidents like Sherpur’s “Madam versus Apa” are more than just matters of form—they are signals that doctors need support: emotional, ethical, communicative.

If you run a hospital or lead medical education, it’s time to move beyond infrastructure and protocols. Empathy and compassion training can be a powerful, cost-effective way to protect doctor mental health, restore patient trust, and improve quality of care.

👉 Consult with a medical psychology expert or healthcare brand strategist to design empathy-based training programs and culture interventions in your institution.


Q1: What does empathy and compassion training involve?
Structured sessions to teach listening skills, emotional awareness, how to respond rather than react, role-playing patient interactions, reflective debriefing, and self-care practices.

Q2: How prevalent is mental health stress among doctors in Bangladesh?
Very high. Studies show depression, anxiety, and stress affecting 30-60% of physicians; intern doctors report high levels of insomnia, loneliness, and regret over profession during COVID-19. Frontiers+1

Q3: Will empathy training reduce medical errors or improve patient satisfaction?
Yes. Evidence suggests that when doctors communicate more empathetically, patients are more likely to follow advice, feel respected, and rate their care more positively—leading to fewer conflicts or complaints. Harvard Medical School Learning+1

Q4: What are the first steps hospitals can take to build empathy in their culture?
Begin with leadership buy-in, set up regular training, create peer reflection sessions, integrate patient feedback, provide mental health resources, and reward empathetic behaviour.

About the Author

smonawed

Brings 20+ Years of Brand Development Experience
_4+ Years of Healthcare Leadership experience
_Young Lotus 2013, Thailand
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