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Erschienen in: Journal of General Internal Medicine 7/2008

01.07.2008 | Original Article

Measuring Resident Well-Being: Impostorism and Burnout Syndrome in Residency

verfasst von: Jenny Legassie, BSc (Hon), MD, Elaine M. Zibrowski, BSc (Spec), MSc, MSc, Mark A. Goldszmidt, MD, MHPE, FRCPC

Erschienen in: Journal of General Internal Medicine | Ausgabe 7/2008

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Abstract

Background

Assessing resident well-being is becoming increasingly important from a programmatic standpoint. Two measures that have been used to assess this are the Clance Impostor Scale (CIS) and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). However, little is known about the relationship between the two phenomena.

Objectives

To explore the prevalence and association between impostorism and burnout syndrome in a sample of internal medicine residents.

Design

Anonymous, cross-sectional postal survey.

Participants

Forty-eight internal medicine residents (postgraduate year [PGY] 1–3) at the Schulich School of Medicine & Dentistry (62.3% response rate).

Measurements and Main Results

Short demographic questionnaire, CIS and MBI-HSS. Impostorism and burnout syndrome were identified in 43.8% and 12.5% of residents, respectively. With the exception of a negative correlation between CIS scores and the MBI’s personal accomplishment subscale (r = .30; 95% CI −.54 to −.02), no other significant relations were identified. Foreign-trained residents were more likely to score as impostors (odds ratio [OR] 10.7; 95% CI 1.2 to 98.2) while senior residents were more likely to experience burnout syndrome (OR 16.5 95% CI 1.6 to 168.5).

Conclusions

Both impostorism and burnout syndrome appear to be threats to resident well-being in our program. The lack of relationship between the two would suggest that programs and researchers wishing to address the issue of resident distress should consider using both measures. The finding that foreign-trained residents appear to be more susceptible to impostorism warrants further study.
Literatur
2.
Zurück zum Zitat Gopal R, Glasheen JJ, Miyoshi TJ, Prochazka AV. Burnout and internal medicine resident work-hour restrictions. Arch Intern Med. 2005;165(22):2595–600.CrossRefPubMed Gopal R, Glasheen JJ, Miyoshi TJ, Prochazka AV. Burnout and internal medicine resident work-hour restrictions. Arch Intern Med. 2005;165(22):2595–600.CrossRefPubMed
3.
Zurück zum Zitat Clance P, Imes SA. The impostor phenomenon in high achieving women: dynamics and therapeutic intervention. Psychotherapy (Chic Ill). 1978;15(3):241–7. Clance P, Imes SA. The impostor phenomenon in high achieving women: dynamics and therapeutic intervention. Psychotherapy (Chic Ill). 1978;15(3):241–7.
4.
Zurück zum Zitat Langford J, Clance P. The impostor phenomenon: recent research findings regarding dynamics, personality and family patterns and their implications for treatment. Psychotherapy. 1993;30:495–501. Langford J, Clance P. The impostor phenomenon: recent research findings regarding dynamics, personality and family patterns and their implications for treatment. Psychotherapy. 1993;30:495–501.
5.
Zurück zum Zitat September AN, McCarrey M, Baranowsky A, Parent C, Schindler D. The relation between well-being, impostor feelings, and gender role orientation among Canadian university students. J Soc Psychol. 2001;141(2):218–32.PubMedCrossRef September AN, McCarrey M, Baranowsky A, Parent C, Schindler D. The relation between well-being, impostor feelings, and gender role orientation among Canadian university students. J Soc Psychol. 2001;141(2):218–32.PubMedCrossRef
6.
Zurück zum Zitat Clance PR. The Impostor Phenomenon: When Success Makes You Feel Like a Fake. New York: Bantam Books. Clance PR. The Impostor Phenomenon: When Success Makes You Feel Like a Fake. New York: Bantam Books.
7.
Zurück zum Zitat King JE, Cooley EL. Achievement orientation and the impostor phenomenon among college students. Contemp Educ Psychol. 1995;20(3):304–12.CrossRef King JE, Cooley EL. Achievement orientation and the impostor phenomenon among college students. Contemp Educ Psychol. 1995;20(3):304–12.CrossRef
8.
Zurück zum Zitat Sonnak C, Towell T. The impostor phenomenon in British university students: relationships between self-esteem, mental health, parental rearing style and socioeconomic status. Pers Individ Differ. 2001;31(6):863–74.CrossRef Sonnak C, Towell T. The impostor phenomenon in British university students: relationships between self-esteem, mental health, parental rearing style and socioeconomic status. Pers Individ Differ. 2001;31(6):863–74.CrossRef
9.
Zurück zum Zitat Sightler KW, Wilson MG. Correlates of the impostor phenomenon among undergraduate entrepreneurs. Psychol Rep. 2001;88(3):679–89.CrossRefPubMed Sightler KW, Wilson MG. Correlates of the impostor phenomenon among undergraduate entrepreneurs. Psychol Rep. 2001;88(3):679–89.CrossRefPubMed
10.
Zurück zum Zitat Henning K, Ey S, Shaw D. Perfectionism, the imposter phenomenon and psychological adjustment in medical, dental, nursing and pharmacy students. Med Educ. 1998;32(5):456–64.CrossRefPubMed Henning K, Ey S, Shaw D. Perfectionism, the imposter phenomenon and psychological adjustment in medical, dental, nursing and pharmacy students. Med Educ. 1998;32(5):456–64.CrossRefPubMed
11.
Zurück zum Zitat Oriel K, Plane MB, Mundt M. Family medicine residents and the impostor phenomenon. Fam Med. 2004;36(4):248–52.PubMed Oriel K, Plane MB, Mundt M. Family medicine residents and the impostor phenomenon. Fam Med. 2004;36(4):248–52.PubMed
12.
Zurück zum Zitat Maslach C. Burnout: a Multidimensional Perspective. In: Schaufeli WB, Maslach C, Marek T, eds. Professional Burnout: Recent Developments in Theory and Research. Washington DC: Taylor & Francis; 1993:19–32. Maslach C. Burnout: a Multidimensional Perspective. In: Schaufeli WB, Maslach C, Marek T, eds. Professional Burnout: Recent Developments in Theory and Research. Washington DC: Taylor & Francis; 1993:19–32.
13.
14.
Zurück zum Zitat Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med. 2002;136(5):358–67.PubMed Shanafelt TD, Bradley KA, Wipf JE, Back AL. Burnout and self-reported patient care in an internal medicine residency program. Ann Intern Med. 2002;136(5):358–67.PubMed
15.
Zurück zum Zitat Panagopoulou E, Montgomery A, Benos A. Burnout in internal medicine physicians: differences between residents and specialists. Eur J Intern Med. 2006;17(3):195–200.CrossRefPubMed Panagopoulou E, Montgomery A, Benos A. Burnout in internal medicine physicians: differences between residents and specialists. Eur J Intern Med. 2006;17(3):195–200.CrossRefPubMed
16.
Zurück zum Zitat Martini S, Arfken CL, Churchill A, Balon R. Burnout comparison among residents in different medical specialties. Acad Psychiatry. 2004;28(3):240–2.CrossRefPubMed Martini S, Arfken CL, Churchill A, Balon R. Burnout comparison among residents in different medical specialties. Acad Psychiatry. 2004;28(3):240–2.CrossRefPubMed
17.
Zurück zum Zitat Golub JS, Weiss PS, Ramesh AK, Ossoff RH, Johns MM 3rd. Burnout in residents of otolaryngology-head and neck surgery: a national inquiry into the health of residency training. Acad Med. 2007;82(6):596–601.CrossRefPubMed Golub JS, Weiss PS, Ramesh AK, Ossoff RH, Johns MM 3rd. Burnout in residents of otolaryngology-head and neck surgery: a national inquiry into the health of residency training. Acad Med. 2007;82(6):596–601.CrossRefPubMed
18.
Zurück zum Zitat Biaggi P, Peter S, Ulich E. Stressors, emotional exhaustion and aversion to patients in residents and chief residents—what can be done? Swiss Med Wkly. 2003;133(23–24):339–46.PubMed Biaggi P, Peter S, Ulich E. Stressors, emotional exhaustion and aversion to patients in residents and chief residents—what can be done? Swiss Med Wkly. 2003;133(23–24):339–46.PubMed
19.
Zurück zum Zitat Sargent MC, Sotile W, Sotile MO, Rubash H, Barrack RL. Stress and coping among orthopaedic surgery residents and faculty. J Bone Joint Surg Am. 2004;86-A(7):1579–86.PubMed Sargent MC, Sotile W, Sotile MO, Rubash H, Barrack RL. Stress and coping among orthopaedic surgery residents and faculty. J Bone Joint Surg Am. 2004;86-A(7):1579–86.PubMed
20.
Zurück zum Zitat Collier VU, McCue JD, Markus A, Smith L. Stress in medical residency: status quo after a decade of reform? Ann Intern Med. 2002;136(5):384–90.PubMed Collier VU, McCue JD, Markus A, Smith L. Stress in medical residency: status quo after a decade of reform? Ann Intern Med. 2002;136(5):384–90.PubMed
21.
Zurück zum Zitat Bellini LM, Baime M, Shea JA. Variation of mood and empathy during internship. JAMA. 2002;287(23):3143–6.CrossRefPubMed Bellini LM, Baime M, Shea JA. Variation of mood and empathy during internship. JAMA. 2002;287(23):3143–6.CrossRefPubMed
22.
Zurück zum Zitat Eron LD. Effect of medical education on medical students’ attitudes. J Med Educ. 1955;30:559–66.PubMed Eron LD. Effect of medical education on medical students’ attitudes. J Med Educ. 1955;30:559–66.PubMed
23.
Zurück zum Zitat Chae J, Piedmont R, Estadt B, Wicks R. Personological evaluation of Clance’s impostor phenomenon scale in Korean sample. J Pers Assess. 1995;65(3):486.CrossRef Chae J, Piedmont R, Estadt B, Wicks R. Personological evaluation of Clance’s impostor phenomenon scale in Korean sample. J Pers Assess. 1995;65(3):486.CrossRef
24.
Zurück zum Zitat Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual. 3Mountain View, California: CPP; 1996. Maslach C, Jackson SE, Leiter MP. Maslach Burnout Inventory Manual. 3Mountain View, California: CPP; 1996.
25.
Zurück zum Zitat Kuczkowski KM. International medical school graduates in American medicine: is there the “dark side of the moon”? Acta Obstet Gynecol Scand. 2004;83(12):1228–9.CrossRefPubMed Kuczkowski KM. International medical school graduates in American medicine: is there the “dark side of the moon”? Acta Obstet Gynecol Scand. 2004;83(12):1228–9.CrossRefPubMed
26.
Zurück zum Zitat Fiscella K, Roman-Diaz M, Lue BH, Botelho R, Frankel R. “Being a foreigner, I may be punished if I make a small mistake”: Assessing transcultural experiences in caring for patients. Fam Pract. 1997;14(2):112–6.CrossRefPubMed Fiscella K, Roman-Diaz M, Lue BH, Botelho R, Frankel R. “Being a foreigner, I may be punished if I make a small mistake”: Assessing transcultural experiences in caring for patients. Fam Pract. 1997;14(2):112–6.CrossRefPubMed
27.
Zurück zum Zitat Bates J, Andrew R. Untangling the roots of some IMG's poor academic performance. Acad Med. 2001;76(1):43–6.CrossRefPubMed Bates J, Andrew R. Untangling the roots of some IMG's poor academic performance. Acad Med. 2001;76(1):43–6.CrossRefPubMed
28.
Zurück zum Zitat Prins JT, Gazendam-Donofrio SM, Tubben BJ, van der Heijden FM, van de Wiel HB, Hoekstra-Weebers JE. Burnout in medical residents: a review. Med Educ. 2007;41(8):788–800.CrossRefPubMed Prins JT, Gazendam-Donofrio SM, Tubben BJ, van der Heijden FM, van de Wiel HB, Hoekstra-Weebers JE. Burnout in medical residents: a review. Med Educ. 2007;41(8):788–800.CrossRefPubMed
29.
Zurück zum Zitat Leiter MP, Maslach C. The impact of interpersonal environment on burnout and organizational commitment. J Org Behav. 1988;9(4):297–308.CrossRef Leiter MP, Maslach C. The impact of interpersonal environment on burnout and organizational commitment. J Org Behav. 1988;9(4):297–308.CrossRef
30.
Zurück zum Zitat Leiter MP. Coping patterns as predictors of burnout: the function of control and escapist coping patterns. J Org Behav. 1991;12(2):123–144.CrossRef Leiter MP. Coping patterns as predictors of burnout: the function of control and escapist coping patterns. J Org Behav. 1991;12(2):123–144.CrossRef
Metadaten
Titel
Measuring Resident Well-Being: Impostorism and Burnout Syndrome in Residency
verfasst von
Jenny Legassie, BSc (Hon), MD
Elaine M. Zibrowski, BSc (Spec), MSc, MSc
Mark A. Goldszmidt, MD, MHPE, FRCPC
Publikationsdatum
01.07.2008
Verlag
Springer-Verlag
Erschienen in
Journal of General Internal Medicine / Ausgabe 7/2008
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-008-0536-x

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