Impostor syndrome and burnout among American medical students: a pilot study.
Impostor syndrome and burnout among American medical students: a pilot study.
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DOI：
10.5116/ijme.5801.eac4
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发表时间：
2016-10-31
影响因子：
3.1
通讯作者：
Harris TM
中科院分区：
文献类型：
--
作者：
Villwock JA;Sobin LB;Koester LA;Harris TM
描述医学生中的倦怠和冒名顶替综合征的水平，并认识到倦怠和IS的人口差异。
研究参与者包括2002年至2012年在杰斐逊医学院（Jefferson Medical College）的2,612名医学院学生。该样本分为两组：2002年至2007年之间（n = 1,380）和2008年至2012年之间（n = 1,232）对母系进行EFA（主要成分因子提取），并使用2008-2012的生物文化数据进行CFA（结构）方程建模和均方根误差以进行近似）。
一百三十八名学生完成了问卷。女性的性别显着相关（χ2（3）= 10.6，p = 0.004），女性的百分比比男性的两倍以上（49.4％男性的23.7％与精疲力尽的倦怠成分显着相关（χ2（2）= 5.9，p = 0.045），犬种主义（χ2（2）= 9.4，P = 0.004） （χ2（2）= 8.0，p = 0.018），然后去世（χ2（2）= 10.3，p = 0.006） ）。
几乎四分之一的男性医学生和一半的女学生经验，并且鉴于这些疾病的心理发病率很高，这与倦怠指数有显着联系。教育（即基于耻辱的学习和整体教学风格），并优化医学学习环境。
To describe levels of burnout and impostor syndrome (IS) in medical students, and to recognize demographic differences in those experiencing burnout and IS. Research participants included 2,612 medical students who entered Jefferson Medical College between 2002 and 2012. This sample was divided into two groups: Matriculants between 2002 and 2007 (n=1,380) and between 2008 and 2012 (n=1,232). Data for 2002-2007 matriculants were subjected to EFA (principal component factor extraction), and data for matriculants of 2008-2012 were used for CFA (structural equation modeling, and root mean square error for approximation). One hundred and thirty-eight students completed the questionnaire. Female gender was significantly associated with IS (χ2(3)=10.6, p=0.004) with more than double the percentage of females displaying IS than their male counterparts (49.4% of females versus 23.7% of males). IS was significantly associated with the burnout components of exhaustion (χ2 (2)=5.9, p=0.045), cynicism (χ2(2)=9.4, p=0.004), emotional exhaustion (χ2(2)=8.0, p=0.018), and depersonalization (χ2 (2)=10.3, p=0.006). The fourth year of medical school was significantly associated with IS (χ2(3)=10.5, p=0.015). Almost a quarter of male medical students and nearly half of female students experience IS and IS was found to be significantly associated with burnout indices. Given the high psychological morbidity of these conditions, this association cannot be ignored. It behooves us to reconsider facets of medical education (i.e. shame-based learning and overall teaching style) and optimize the medical learning environment.