 This study found that there was a decrease in empathy levels among medical students over time, with males showing lower levels than females at all stages of their education. Additionally, males showed a greater decline in compassionate care compared to females, while both genders experienced a decrease in walking in patient's shoes. These findings suggest that more attention should be paid to the development of empathy in male medical students, particularly in the area of compassionate care. This article was authored by Eugenia Smyrna-Gonzalez Diaz, Maria Guadalupe Silva Vetri, Patricia Diaz-Calzadilla, and others.