Empathy is regarded as a cornerstone in the patient-physician relationship. Regardless, research show that this ability to show empathy decline as our future doctors make their way through medical school. Factors that are of importance for this decline are less studied. This in-depth study is focused on identifying factors that medical students think is affecting their ability to show empathy. The analysis is based on qualitative semi-structured interviews completed by Knut Ørnes Brodahl and Hanne Lise Eikeland, as part of their medical education and medical research project in 2011. The goal of this study is not to make distinct conclusions, but to describe a trend and give focus to a subject that is important and not well studied. We identified 4 main categories and several subcategories that during the analysis got distributed as possible inhibitors or promoters in a final matrix. The results showed that many of the students agreed that long experience with patients, sufficient medico-scientific knowledge, time and “everyday language” was important promoters, as well as ingredients of good empathic role models. They also agreed that the standardized recording of patient history, short consultations, and “small-group” teaching during medical school didn’t make room to practice and develop the empathic relations. These findings are interesting because it gives the medical education system a major role in how we hypothetically can avoid an empathy decline in our future doctors. Maybe we can promote empathy by fostering a proper balance between the focus that we give the humanistic and scientific aspects of the medical field.