Abstract：
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 (SD = 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 (p = 0.02). GS residents were more likely to experience burnout (31.7%) than PM and AN residents (26.7 and 10.0%, respectively, p = 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.
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 (SD = 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 (p = 0.02). GS residents were more likely to experience burnout (31.7%) than PM and AN residents (26.7 and 10.0%, respectively, p = 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.
摘要：
医生倦怠是过去十年来一直处于最前沿的问题。尽管许多因素导致职业倦怠，但impotorism和自我怀疑的影响在很大程度上被忽视了。我们调查了研究生医学学习者的焦虑和不稳定与职业倦怠的关系。
四个不同培训计划的研究生学习者：家庭医学（FM），儿科医学（PM），麻醉学（AN），和普外科（GS）进行了调查，以确定Impostorism（IP）的发生率，焦虑,和倦怠。IP,焦虑,和倦怠使用克莱斯冒充现象量表(CIPS)进行评估，Maslach倦怠清单-人类服务调查(MBI-HSS)，和一般焦虑症-7(GAD-7)问卷，分别。倦怠被定义为满足所有三个领域的倦怠标准。IP之间的关系，焦虑,和倦怠被探索。
二百六十九名居民回答了调查（回答率18.8%）。受访者在专业之间分布均匀(FM=24.9%，PM=33.1%，AN=20.4%，GS=21.6%)。所有参与者中有62.7%的人发现了IP。CIPS的平均得分为66.4（SD=14.4），对应于“频繁的即兴感情”。女性学习者患知识产权的风险较高(RR=1.27，95%CI:1.03-1.57)。倦怠,根据满足所有三个分量表上的倦怠标准定义，在23.3%的受访者中检测到。各专业之间的倦怠存在显着差异（p=0.02）。GS居民比PM和AN居民更有可能经历倦怠（31.7％）（26.7％和10.0％，分别,p=0.02)。IP是焦虑（RR=3.64，95％CI：1.96-6.76）和职业倦怠（RR=1.82，95％CI：1.07-3.08）的独立危险因素。
Impostorism通常是独立于专业的常驻学习者所经历的，并且会导致学习者的焦虑和倦怠。主管和项目主管必须了解知识产权的普遍性以及对倦怠的影响。减轻知识产权的举措可能会改善常驻学习者的健康状况，并减少研究生学习者的倦怠。
四个不同培训计划的研究生学习者：家庭医学（FM），儿科医学（PM），麻醉学（AN），和普外科（GS）进行了调查，以确定Impostorism（IP）的发生率，焦虑,和倦怠。IP,焦虑,和倦怠使用克莱斯冒充现象量表(CIPS)进行评估，Maslach倦怠清单-人类服务调查(MBI-HSS)，和一般焦虑症-7(GAD-7)问卷，分别。倦怠被定义为满足所有三个领域的倦怠标准。IP之间的关系，焦虑,和倦怠被探索。
二百六十九名居民回答了调查（回答率18.8%）。受访者在专业之间分布均匀(FM=24.9%，PM=33.1%，AN=20.4%，GS=21.6%)。所有参与者中有62.7%的人发现了IP。CIPS的平均得分为66.4（SD=14.4），对应于“频繁的即兴感情”。女性学习者患知识产权的风险较高(RR=1.27，95%CI:1.03-1.57)。倦怠,根据满足所有三个分量表上的倦怠标准定义，在23.3%的受访者中检测到。各专业之间的倦怠存在显着差异（p=0.02）。GS居民比PM和AN居民更有可能经历倦怠（31.7％）（26.7％和10.0％，分别,p=0.02)。IP是焦虑（RR=3.64，95％CI：1.96-6.76）和职业倦怠（RR=1.82，95％CI：1.07-3.08）的独立危险因素。
Impostorism通常是独立于专业的常驻学习者所经历的，并且会导致学习者的焦虑和倦怠。主管和项目主管必须了解知识产权的普遍性以及对倦怠的影响。减轻知识产权的举措可能会改善常驻学习者的健康状况，并减少研究生学习者的倦怠。
