Villwock Jennifer A, Sobin Lindsay B, Koester Lindsey A, Harris Tucker M
Department of Otolaryngology, University of Kansas Medical Center, Kansas City, USA.
Department of Otolaryngology, Boston Children's Hospital, Boston, MA, USA.
Int J Med Educ. 2016 Oct 31;7:364-369. doi: 10.5116/ijme.5801.eac4.
To describe levels of burnout and impostor syndrome (IS) in medical students, and to recognize demographic differences in those experiencing burnout and IS.
Anonymous survey administered online in 2014 that included demographic data, the Maslach Burnout Inventory and an IS screening questionnaire. Main outcome measures were level of burnout, and presence or absence of imposter syndrome. The presence of IS and burnout components were analyzed across age, gender, race, year of training, intention to pursue fellowship training, and greater than one year of work experience outside of medicine using chi-squared tests. The association between burnout and IS was also compared using chi-squared tests.
One hundred and thirty-eight students completed the questionnaire. Female gender was significantly associated with IS (χ=10.6, p=0.004) with more than double the percentage of females displaying IS than their male counterparts (49.4% of females versus 23.7% of males). IS was significantly associated with the burnout components of exhaustion (χ =5.9, p=0.045), cynicism (χ=9.4, p=0.004), emotional exhaustion (χ=8.0, p=0.018), and depersonalization (χ =10.3, p=0.006). The fourth year of medical school was significantly associated with IS (χ=10.5, p=0.015).
Almost a quarter of male medical students and nearly half of female students experience IS and IS was found to be significantly associated with burnout indices. Given the high psychological morbidity of these conditions, this association cannot be ignored. It behooves us to reconsider facets of medical education (i.e. shame-based learning and overall teaching style) and optimize the medical learning environment.
描述医学生职业倦怠和冒名顶替综合症（IS）的水平，并识别经历职业倦怠和IS的人群中的人口统计学差异。
2014年进行的在线匿名调查，包括人口统计学数据、马氏职业倦怠量表和一份IS筛查问卷。主要结局指标为职业倦怠水平以及是否存在冒名顶替综合症。使用卡方检验分析IS和职业倦怠成分在年龄、性别、种族、培训年份、追求专科培训的意向以及医学以外超过一年工作经验方面的情况。还使用卡方检验比较职业倦怠与IS之间的关联。
138名学生完成了问卷。女性与IS显著相关（χ=10.6，p=0.004），表现出IS的女性比例是男性的两倍多（49.4%的女性 vs 23.7%的男性）。IS与职业倦怠的疲惫成分（χ =5.9，p=0.045）、玩世不恭（χ=9.4，p=0.004）、情感耗竭（χ=8.0，p=0.018）和去个性化（χ =10.3，p=0.006）显著相关。医学院四年级与IS显著相关（χ=10.5，p=0.015）。
近四分之一的男医学生和近一半的女医学生经历IS，且发现IS与职业倦怠指数显著相关。鉴于这些情况的高心理发病率，这种关联不容忽视。我们理应重新审视医学教育的各个方面（即基于羞耻感的学习和整体教学风格），并优化医学学习环境。
