Division of General Surgery, Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, Canada.
Department of Surgery, Schulich School of Medicine and Dentistry, Western University, London, Canada.
Med Teach. 2022 Jul;44(7):758-764. doi: 10.1080/0142159X.2022.2028751. Epub 2022 Feb 1.
Physician burnout is an issue that has come to the forefront in the past decade. While many factors contribute to burnout the impact of impostorism and self-doubt has largely been ignored. We investigated the relationship of anxiety and impostorism to burnout in postgraduate medical learners.
Postgraduate learners in four diverse training programs: Family Medicine (FM), Paediatric Medicine (PM), Anesthesiology (AN), and General Surgery (GS) were surveyed to identify the incidence of impostorism (IP), anxiety, and burnout. IP, anxiety, and burnout were evaluated using the Clance Impostor Phenomenon Scale (CIPS), Maslach Burnout Inventory-Human Services Survey (MBI-HSS), and the General Anxiety Disorder-7 (GAD-7) questionnaires, respectively. Burnout was defined as meeting burnout criteria on all three domains. Relationships between IP, anxiety, and burnout were explored.
Two hundred and sixty-nine residents responded to the survey (response rate 18.8%). Respondents were distributed evenly between specialties (FM = 24.9%, PM = 33.1%, AN = 20.4%, GS = 21.6%). IP was identified in 62.7% of all participants. The average score on the CIPS was 66.4 ( = 14.4), corresponding to 'frequent feelings of impostorism.' Female learners were at higher risk for IP (RR = 1.27, 95% CI: 1.03-1.57). Burnout, as defined by meeting burnout criteria on all three subscales, was detected in 23.3% of respondents. Significant differences were seen in burnout between specialties ( = 0.02). GS residents were more likely to experience burnout (31.7%) than PM and AN residents (26.7 and 10.0%, respectively, = 0.02). IP was an independent risk factor for both anxiety (RR = 3.64, 95% CI:1.96-6.76) and burnout (RR = 1.82, 95% CI: 1.07-3.08).
Impostorism is commonly experienced by resident learners independent of specialty and contributes to learner anxiety and burnout. Supervisors and Program Directors must be aware of the prevalence of IP and the impact on burnout. Initiatives to mitigate IP may improve resident learner wellness and decrease burnout in postgraduate learners.
医生倦怠已经成为过去十年中的一个突出问题。尽管许多因素都会导致倦怠，但冒名顶替感和自我怀疑的影响在很大程度上被忽视了。我们调查了焦虑和冒名顶替感与研究生医学学习者倦怠之间的关系。
对来自四个不同培训项目的研究生学习者（家庭医学、儿科医学、麻醉学和普通外科）进行了调查，以确定冒名顶替感（IP）、焦虑和倦怠的发生率。使用 Clance 冒名顶替现象量表（CIPS）、Maslach 倦怠量表-人力资源服务调查（MBI-HSS）和一般焦虑障碍-7（GAD-7）问卷分别评估 IP、焦虑和倦怠。倦怠被定义为在所有三个领域都符合倦怠标准。探讨了 IP、焦虑和倦怠之间的关系。
共有 269 名住院医师对调查做出了回应（回应率为 18.8%）。受访者在专业之间分布均匀（家庭医学 24.9%、儿科医学 33.1%、麻醉学 20.4%、普通外科 21.6%）。所有参与者中有 62.7%存在 IP。CIPS 的平均得分为 66.4（ = 14.4），对应于“经常感到冒名顶替”。女性学习者患 IP 的风险更高（RR = 1.27，95%CI：1.03-1.57）。根据所有三个分量表的倦怠标准，有 23.3%的受访者出现了倦怠。不同专业之间的倦怠存在显著差异（ = 0.02）。普通外科住院医师比儿科医学和麻醉学住院医师更容易经历倦怠（31.7%、26.7%和 10.0%，分别为 = 0.02）。IP 是焦虑（RR = 3.64，95%CI：1.96-6.76）和倦怠（RR = 1.82，95%CI：1.07-3.08）的独立危险因素。
冒名顶替感在住院医师学习者中普遍存在，与专业无关，导致学习者焦虑和倦怠。导师和项目主任必须意识到 IP 的普遍性及其对倦怠的影响。减轻 IP 的举措可能会改善住院医师学习者的健康状况，并减少研究生学习者的倦怠。
