Understanding Impostorism in the Pediatric Surgeon

IF 2.6 3区医学 Q1 EDUCATION, SCIENTIFIC DISCIPLINES

Journal of Surgical Education Pub Date : 2024-11-14 DOI:10.1016/j.jsurg.2024.103347

Chelsea Marin MD , Matthew M. Byrne MD , Pamela M. Choi MD , Katherine T. Flynn O'Brien MD, MPH , Jessica Zagory MD , Marion C. Henry MD, MPH , Nicole A. Wilson PhD, MD

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引用次数: 0

Abstract

OBJECTIVES

Impostor phenomenon (IP) is defined as feeling inadequacy, self-doubt, and the tendency to attribute achievement to external causes. We sought to examine IP rates among pediatric surgeons and to identify IP-associated factors, based on the hypothesis that pediatric surgeons experience imposterism, especially in the first few years of practice.

DESIGN

Anonymous survey, including the validated Clance IP Scale (CIPS), distributed to pediatric surgeons. CIPS scores indicated degree of IP characteristics: 21-40= “few,” 41-60=“moderate,” 61-80=“frequent,” 81-100=“intense.” Demographic, training, and practice-based characteristics were collected. Univariate statistics were used to compare differences between groups and logistic regression to further understand associations.

SETTING

Survey study distributed via email to the American Pediatric Surgical Association (January 2023-February 2023).

PARTICIPANTS

1129 surveys were sent. We received 337 responses (29.8%) and analyzed data from 319 respondents, after exclusion of incomplete responses and fellows.

RESULTS

The median CIPS score for analyzed respondents was 52 (IQR 40-65), moderate imposterism. Female respondents were more likely to have IP compared to males (OR 3.52 [CI 2.13-5.73], p < 0.01). Junior attendings (<5y practice) had increased odds of IP (OR 2.88, CI 1.71-4.93) compared to midcareer and senior attendings (p < 0.001). Using multiple logistic regression, the addition of junior attending status plus female gender was even more predictive of imposterism [AUC 0.722; CI 0.661-0.782; p < 0.0001]. There was no relationship between IP and fellowship or practice-based characteristics.

CONCLUSIONS

IP is prevalent among pediatric surgeons, particularly junior surgeons, and females. We did not find a relationship with IP and fellowship or practice-based characteristics but did find higher IP in respondents who did not feel they had support in practice. We underscore both intrapersonal and interpersonal characteristics impact IP in the pediatric surgeon. We suggest interventions that foster inclusion and mentorship be employed to help mitigate possible negative outcomes of IP.

查看原文本刊更多论文

了解小儿外科医生的冒名顶替。

目的：冒名顶替现象（IP）被定义为感觉不足、自我怀疑以及将成就归因于外部原因的倾向。我们试图研究小儿外科医生中的冒名顶替率，并根据小儿外科医生会出现冒名顶替现象（尤其是在开业的头几年）这一假设，找出与冒名顶替现象相关的因素：匿名调查：向小儿外科医生发放调查问卷，其中包括经过验证的克兰斯IP量表（CIPS）。CIPS 分数表示 IP 特征的程度：21-40="很少"，41-60="中等"，61-80="经常"，81-100="强烈"。此外，还收集了人口统计学特征、培训特征和基于实践的特征。单变量统计用于比较组间差异，逻辑回归用于进一步了解相关性：通过电子邮件向美国小儿外科协会分发调查研究（2023 年 1 月至 2023 年 2 月）：共发出 1129 份调查问卷。我们收到了 337 份回复（29.8%），在排除不完整回复和研究员后，对 319 名回复者的数据进行了分析：分析的受访者的 CIPS 得分中位数为 52（IQR 40-65），属于中度冒名顶替。与男性相比，女性受访者更有可能患有 IP（OR 3.52 [CI 2.13-5.73]，P < 0.01）。初级主治医师（结论：IP在小儿外科医生（尤其是初级外科医生）和女性中普遍存在。我们没有发现 IP 与奖学金或执业特点之间的关系，但发现那些认为自己在执业过程中得不到支持的受访者中 IP 较高。我们强调，人内和人际特征都会影响小儿外科医生的 IP。我们建议采取促进包容和导师制的干预措施，以帮助减轻 IP 可能带来的负面影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Surgical Education EDUCATION, SCIENTIFIC DISCIPLINES-SURGERY

CiteScore

5.60

自引率

10.30%

发文量

261

审稿时长

48 days

期刊介绍： The Journal of Surgical Education (JSE) is dedicated to advancing the field of surgical education through original research. The journal publishes research articles in all surgical disciplines on topics relative to the education of surgical students, residents, and fellows, as well as practicing surgeons. Our readers look to JSE for timely, innovative research findings from the international surgical education community. As the official journal of the Association of Program Directors in Surgery (APDS), JSE publishes the proceedings of the annual APDS meeting held during Surgery Education Week.