Division of Adult Palliative Care, Department of Psychosocial Oncology and Palliative Care, Dana-Farber Cancer Institute, Boston, Massachusetts.
Section of Palliative Care, Division of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
J Palliat Med. 2020 Apr;23(4):586-590. doi: 10.1089/jpm.2019.0094. Epub 2019 Aug 13.
The impostor phenomenon (IP) describes the experience of questioning one's abilities and fearing exposure as an intellectual fraud, despite objective evidence of success. The IP has been identified in high-achieving professionals across a variety of disciplines, including clinical medicine, and can be associated with significant anxiety and psychological distress. In this series, we present three authentic cases that demonstrate how the IP may manifest in palliative care practice. Acknowledging the current emphasis on clinician wellness and burnout, we suggest that the IP may be one important source of distress for many early-career clinicians in palliative care. With the physician as the focus of each case, we explore the difficult emotions faced and highlight how palliative care clinicians may be uniquely vulnerable to the IP. We then identify concrete strategies to help clinicians manage feelings of IP and enhance their professional well-being.
冒名顶替者现象(IP)描述了一种经历,即尽管有客观的成功证据,但仍对自己的能力表示怀疑,并担心被揭露为学术骗子。在包括临床医学在内的各种学科的高成就专业人士中,都发现了 IP 的存在,它可能与严重的焦虑和心理困扰有关。在本系列中,我们呈现了三个真实案例,展示了 IP 如何在姑息治疗实践中表现出来。鉴于当前对临床医生健康和倦怠的重视,我们认为 IP 可能是许多姑息治疗领域的早期职业临床医生的一个重要困扰来源。每个案例都以医生为重点,我们探讨了所面临的困难情绪,并强调了姑息治疗临床医生如何特别容易受到 IP 的影响。然后,我们确定了具体的策略来帮助临床医生管理 IP 感并增强他们的职业幸福感。