Michael Gottlieb, Arlene Chung, Nicole Battaglioli, Stefanie S Sebok-Syer, Annahieta Kalantari
{"title":"Impostor syndrome among physicians and physicians in training: A scoping review.","authors":"Michael Gottlieb, Arlene Chung, Nicole Battaglioli, Stefanie S Sebok-Syer, Annahieta Kalantari","doi":"10.1111/medu.13956","DOIUrl":"10.1111/medu.13956","url":null,"abstract":"<p><strong>Context: </strong>Impostor syndrome (IS) is increasingly recognised as a condition among physicians and physicians in training. Impostor syndrome is especially problematic because of its association with increased rates of burnout and suicide. In order to address this issue, we need to fully understand its prevalence, scope, and factors associated with IS. The purpose of this scoping review is to analyse the existing literature on IS among practising physicians and physicians in training in order to identify current trends and directions for future research.</p><p><strong>Methods: </strong>The authors conducted a literature search of nine databases for any articles on IS among practising physicians or physicians in training published prior to January 2019. Two reviewers independently screened articles and identified 18 papers meeting the study inclusion criteria. Two authors independently extracted data and performed quantitative and qualitative syntheses consistent with best practice recommendations for scoping reviews.</p><p><strong>Results: </strong>Most studies utilised the Clance Impostor Phenomenon Scale and cited rates of IS ranging from 22% to 60%. Studies found that gender, low self-esteem and institutional culture were associated with higher rates of IS, whereas social support, validation of success, positive affirmation, and both personal and shared reflections were protective. Overall, IS was also associated with higher rates of burnout.</p><p><strong>Conclusions: </strong>This review summarises the existing literature on IS among practising physicians and physicians in training, providing valuable insights and areas for future research.</p>","PeriodicalId":90259,"journal":{"name":"Medical education (Chicago, Ill.)","volume":"54 1","pages":"116-124"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46090059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"When I say … entrustability.","authors":"Olle Ten Cate","doi":"10.1111/medu.14005","DOIUrl":"10.1111/medu.14005","url":null,"abstract":"","PeriodicalId":90259,"journal":{"name":"Medical education (Chicago, Ill.)","volume":"54 1","pages":"103-104"},"PeriodicalIF":0.0,"publicationDate":"2020-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7004043/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49459575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In this issue","authors":"Iris Poesse","doi":"10.1111/medu.14044","DOIUrl":"https://doi.org/10.1111/medu.14044","url":null,"abstract":"In this issue of Medical Education, Gottlieb and colleagues perform a scoping review of the literature on imposter syndrome among physicians and physicians-in-training. With a prevalence approaching 60% and significant ties to burnout and suicide, this is an essential topic of which educators should be aware.","PeriodicalId":90259,"journal":{"name":"Medical education (Chicago, Ill.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/medu.14044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42908925","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Call to expand teaching opportunities in rural family medicine","authors":"L. Walters, P. Worley","doi":"10.1111/medu.14042","DOIUrl":"https://doi.org/10.1111/medu.14042","url":null,"abstract":"In an attempt to become less dependent on international medical graduates, the Australian government has invested heavily in increased number of medical school places over the last decade. There is now consensus that workforce shortages, particularly in rural practice, general practice and rural generalist medicine are due to maldistribution of medical workforce rather than a national shortage. A rural generalist is defined as a general practitioner who provides emergency after-hours, inpatient services and one or more additional skills such as anaesthetics, palliative care or mental health. Since 2002, the Australian Commonwealth Government has invested in rural medical workforce development through the Rural Health Multidisciplinary Training (RHMT) program.","PeriodicalId":90259,"journal":{"name":"Medical education (Chicago, Ill.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/medu.14042","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45569800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Kelly, C. Svrcek, N. King, A. Scherpbier, T. Dornan
{"title":"Embodying empathy: A phenomenological study of physician touch","authors":"M. Kelly, C. Svrcek, N. King, A. Scherpbier, T. Dornan","doi":"10.1111/medu.14040","DOIUrl":"https://doi.org/10.1111/medu.14040","url":null,"abstract":"Empathic physician behaviour is associated with improved patient outcomes. One way to demonstrate empathy is through the use of non‐verbal communication (NVC) including touch. To date, research on NVC, and specifically touch, has been relatively limited in medicine, which is surprising given the central role it plays in conveying affective and empathic messages. To inform curriculum development on NVC, this study aimed to examine physicians' experiences of communicating by touch.","PeriodicalId":90259,"journal":{"name":"Medical education (Chicago, Ill.)","volume":"54 1","pages":"400 - 407"},"PeriodicalIF":0.0,"publicationDate":"2019-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/medu.14040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44425029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mind the gap(s): The case for junior doctor involvement in change and innovation","authors":"Scott Clarke, David Hope","doi":"10.1111/medu.14008","DOIUrl":"https://doi.org/10.1111/medu.14008","url":null,"abstract":"We proposed that greater emphasis on experiencebased learning (ExBL), as a broad approach to clinical education, would allow medical students to assume clinical responsibility incrementally over time, thus approximating the role of senior medical student and newly qualified doctor.1 The recently published Association for Medical Education in Europe guide on ExBL describes it as a ‘21st century pedagogy of practicebased learning derived from the best current theory and evidence.’4 Experience-based learning espouses supported participation in clinical practice to develop student capability and facilitate professional identity formation, with the coparticipation of clinicians and patients. The provision of organisational and clinicianled support is a cornerstone of ExBL, enabling students to participate in practice, observing, rehearsing and contributing to patient care, based on their individual capabilities. This model of workplace learning, with cognitive, affective and practical support, can be applied throughout undergraduate clinical experience, including early patient contact, thus mitigating the apprehension of junior medical students transitioning to senior clinical clerkships, referred to by Davidson and Davidson.2 The wealth of evidence underpinning ExBL shows that facilitating students to experience responsibility for real patients in a supportive clinical context leads to affective capabilities. These include positive feelings (eg happiness, inspiration, greater motivation and confidence, empathy and compassion) as well as recognising and responding appropriately to ambiguous or negative feelings such as stress or anxiety. Through ExBL, medical students become capable doctors and the abrupt nature of the assumption of responsibility seen in our study is reduced.","PeriodicalId":90259,"journal":{"name":"Medical education (Chicago, Ill.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/medu.14008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43935317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"‘Man up’: Medical students’ perceptions of gender and learning in clinical practice: A qualitative study","authors":"R. Samuriwo, Yasumati Patel, K. Webb, A. Bullock","doi":"10.1111/medu.13959","DOIUrl":"https://doi.org/10.1111/medu.13959","url":null,"abstract":"Gender‐related inequality and disparity hinders efforts to develop a medical workforce that facilitates universal access to safe, just and equitable health care. Little is known about how medical students perceive the impact of their gender on their learning in clinical practice. Our aim in this study was to address this gap, establishing students’ perceptions of the impact of their gender on learning in the clinical context as part of the wider medical education community of practice.","PeriodicalId":90259,"journal":{"name":"Medical education (Chicago, Ill.)","volume":"54 1","pages":"150 - 161"},"PeriodicalIF":0.0,"publicationDate":"2019-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/medu.13959","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41555778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Erratum","authors":"","doi":"10.1111/medu.13947","DOIUrl":"https://doi.org/10.1111/medu.13947","url":null,"abstract":"on transformative learning and implores health profession institutions to enhance education for social justice’ was inadvertently published as part of the article itself. It should appear on the issue e-TOC only. The succeeding paragraph after this commentary has also been removed as it is a duplicated entry. Here is the deleted paragraph: “Central to TL is the concept of frame of reference, which refers to one’s ingrained assumptions and predispositions to perceive and act in the world. By contrast with informational learning, which is aimed at increasing knowledge, skills and cognitive capabilities within the existing frame of reference, 2 the goal of TL is to change one’s frame of reference itself, 3 which helps to change one’s world view permanently to be more inclusive. This occurs through the revised interpretation of the meaning of the experience.” The online version has been corrected. We apologise for the inconvenience caused.","PeriodicalId":90259,"journal":{"name":"Medical education (Chicago, Ill.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/medu.13947","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47118361","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Standardised medical student for clinician educator training","authors":"L. Carenzo, S. Oldani, F. L. Barra, L. Montagna","doi":"10.1111/medu.13971","DOIUrl":"https://doi.org/10.1111/medu.13971","url":null,"abstract":"","PeriodicalId":90259,"journal":{"name":"Medical education (Chicago, Ill.)","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/medu.13971","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46179105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}