Impostor Syndrome and Burnout in Swiss Residents and Chief Residents Anaesthesiologists

NCT ID: NCT06097325

Last Updated: 2023-11-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

ENROLLING_BY_INVITATION

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-05-01

Study Completion Date

2024-12-31

Brief Summary

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Surveys including a demographic chart, the Clance Impostor phenomenon scale (CIPS) and the Malash burnout inventory for medical personnel (MBI-HSS-MP) will be sent to residents and chief-residents in anesthesiology in Latin Switzerland (VD, VS, GE, Ti).

A qualitative study will then explore the experiences and coping strategies of self-doubt and impostor syndrome of junior resident anesthesiologists working at Geneva University Hospital, during their transition from mandatory training in internal medicine to anesthesiology.

Detailed Description

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The Impostor syndrome (IS), as first described by Clance and Imes, is the "Inability to internalize success and the tendency to attribute success to external causes such as luck, error or knowing the appropriate individuals". Failure to recognize personal or professional success may lead to a sense of fraudulence or impostorism and may have negative consequences for career advancement and well-being. IS has been described among men and women in multiple settings worldwide. A systematic review of IS found that it often co-occurs with depression and anxiety and can lead to poor job performance and burnout.

A number of studies have explored IS among health professionals and its impact on professional performance. Healthcare professionals with heavy workloads and responsibility for patient care may be exposed to errors, feelings of self-doubt, anxiety and guilt. A recent scoping review of IS among physicians and physicians in training showed that low self-esteem, institutional culture and female gender were associated with higher rates of IS, which was itself associated with higher rates of burnout. Experiences of underperformance and inadequate self-assessment in physicians were also linked to self-doubt and feelings of fraudulence. Medical culture itself may encourage such individual blame and perfectionism.

IS has not been well studied within the field of anesthesia. Anesthesia is a technical medical specialization characterized by its high stress level. Anesthesiologists are subject to burnout and drug dependence due to their work-related stress and facilitated access to medications. The responsibilities to care for patient lives during unstable periods brought by the surgical act or medical condition generates a particularly high tension for anesthesiologists.

The purpose of our study is to assess the prevalence of IS and burnout in Swiss anesthesiology residents and chief residents and explore in depth the experiences and coping strategies of junior resident anesthesiologists in one French-speaking Swiss hospital.

This will be done by first conducting a survey including two scales (one that assess Burnout (MBI-HSS MP) and one that assess Impostor Syndrome (CIPS)) and a demographic part to understand which residents and chief-residents are more prone to endure such feelings. The investigators also want to understand if those feelings are linked to a recent transition either in institutions or in role.

The investigators also want to do in-depth interviews with residents in anesthesiology to understand how and in which situations those feelings arise and to uncover which coping strategies they use.

The proposed study corresponds to risk category A, as participants in the study are not exposed to any direct health risk. Nonetheless, psychological support will be available to the participants taking part in the qualitative sub-study, in the event that surveys and interviews arouse difficult emotions.

These results will be used to identify potential strategies to prevent IS and its negative consequences, potentially burnout, among Swiss anesthesiologists. The investigators plan to construct and implement (Test) interventions aimed at medical students and residents to increase knowledge of impostor syndrome and burnout and to give them tools to react to such feelings.

Conditions

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Impostor Phenomenon Imposter Syndrome Burnout, Professional Burnout, Student

Keywords

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Impostor Phenomenon Imposter Syndrome Education Burnout Survey Qualitative Research

Study Design

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Observational Model Type

OTHER

Study Time Perspective

OTHER

Study Groups

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Residents in Anaesthesiology

The residents in Anaesthesiology (French-speaking part of Switzerland) will be enrolled to both:

* Fill a cross-sectional online survey
* Enter a qualitative study from the beginning of their residency at Geneva's university hospital

Clance impostor phenomenon scale

Intervention Type DIAGNOSTIC_TEST

The CIPS will be used as "diagnostic test" in the online survey.

Maslach Burnout Inventory for Medical Professional

Intervention Type DIAGNOSTIC_TEST

The MBI-HSS-MP will be used as "diagnostic test" in the online survey.

Chief-Residents in Anaesthesiology

Chief-Residents (Board-certified anaesthesiologists after post-graduate training) in French-speaking part of Switzerland will be enrolled to fill a cross-sectional online survey

Clance impostor phenomenon scale

Intervention Type DIAGNOSTIC_TEST

The CIPS will be used as "diagnostic test" in the online survey.

Maslach Burnout Inventory for Medical Professional

Intervention Type DIAGNOSTIC_TEST

The MBI-HSS-MP will be used as "diagnostic test" in the online survey.

Interventions

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Clance impostor phenomenon scale

The CIPS will be used as "diagnostic test" in the online survey.

Intervention Type DIAGNOSTIC_TEST

Maslach Burnout Inventory for Medical Professional

The MBI-HSS-MP will be used as "diagnostic test" in the online survey.

Intervention Type DIAGNOSTIC_TEST

Other Intervention Names

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CIPS MBI-HSS-MP

Eligibility Criteria

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Inclusion Criteria

• Currently working hospitals included in the COMASUL network (COMmission Latine d'engagement pour l'Anesthésie et SUisse Latine : HUG - CHUV - Lugano - Bellinzona - Morges - Nyon - Rennaz - Payerne - Sion - Neuchâtel - Fribourg)


• Beginning anesthesiology residency at Geneva University Hospitals (HUG) in either May or November (standard residency starting times, which will be used as recruitment time)

Exclusion Criteria

* Working outside of the COMASUL network
* Specialized anaesthesiologists who are not currently chief residents.


• Having started the anesthesiology residency at the HUG before the May or November recruitment times, or having previous work experience at the HUG in the anesthesiology department.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Prof. Savoldelli Georges Louis

UNKNOWN

Sponsor Role collaborator

University Hospital, Geneva

OTHER

Sponsor Role lead

Responsible Party

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Mia Gisselbaek

Principal investigator, Dr. Mia Gisselbaek M.D., MSc.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mia Gisselbaek, MD

Role: PRINCIPAL_INVESTIGATOR

University Hospital, Geneva

Locations

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Geneva's university hospitals

Geneva, , Switzerland

Site Status

Countries

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Switzerland

References

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Bravata DM, Watts SA, Keefer AL, Madhusudhan DK, Taylor KT, Clark DM, Nelson RS, Cokley KO, Hagg HK. Prevalence, Predictors, and Treatment of Impostor Syndrome: a Systematic Review. J Gen Intern Med. 2020 Apr;35(4):1252-1275. doi: 10.1007/s11606-019-05364-1. Epub 2019 Dec 17.

Reference Type BACKGROUND
PMID: 31848865 (View on PubMed)

Sirriyeh R, Lawton R, Gardner P, Armitage G. Coping with medical error: a systematic review of papers to assess the effects of involvement in medical errors on healthcare professionals' psychological well-being. Qual Saf Health Care. 2010 Dec;19(6):e43. doi: 10.1136/qshc.2009.035253. Epub 2010 May 31.

Reference Type BACKGROUND
PMID: 20513788 (View on PubMed)

Clance PR, Imes SA. The imposter phenomenon in high achieving women: Dynamics and therapeutic intervention. Psychotherapy: Theory, Research & Practice US: Division of Psychotherapy (29), American Psychological Association; 1978; 15: 241-7

Reference Type BACKGROUND

Rivera N, Feldman EA, Augustin DA, Caceres W, Gans HA, Blankenburg R. Do I Belong Here? Confronting Imposter Syndrome at an Individual, Peer, and Institutional Level in Health Professionals. MedEdPORTAL. 2021 Jul 6;17:11166. doi: 10.15766/mep_2374-8265.11166. eCollection 2021.

Reference Type BACKGROUND
PMID: 34277932 (View on PubMed)

Hutchins H, Rainbolt H. What triggers imposter phenomenon among academic faculty? A critical incident study exploring antecedents, coping, and development opportunities. Human Resource Development International 2016; 20: 1-21

Reference Type BACKGROUND

Neufeld A, Babenko O, Lai H, Svrcek C, Malin G. Why Do We Feel Like Intellectual Frauds? A Self-Determination Theory Perspective on the Impostor Phenomenon in Medical Students. Teach Learn Med. 2023 Apr-May;35(2):180-192. doi: 10.1080/10401334.2022.2056741. Epub 2022 Apr 17.

Reference Type BACKGROUND
PMID: 35435084 (View on PubMed)

Liu RQ, Davidson J, Van Hooren TA, Van Koughnett JAM, Jones S, Ott MC. Impostorism and anxiety contribute to burnout among resident physicians. Med Teach. 2022 Jul;44(7):758-764. doi: 10.1080/0142159X.2022.2028751. Epub 2022 Feb 1.

Reference Type BACKGROUND
PMID: 35104192 (View on PubMed)

Freeman KJ, Houghton S, Carr SE, Nestel D. Measuring impostor phenomenon in healthcare simulation educators: a validation of the clance impostor phenomenon scale and leary impostorism scale. BMC Med Educ. 2022 Mar 3;22(1):139. doi: 10.1186/s12909-022-03190-4.

Reference Type BACKGROUND
PMID: 35236357 (View on PubMed)

Gottlieb M, Chung A, Battaglioli N, Sebok-Syer SS, Kalantari A. Impostor syndrome among physicians and physicians in training: A scoping review. Med Educ. 2020 Feb;54(2):116-124. doi: 10.1111/medu.13956. Epub 2019 Nov 6.

Reference Type BACKGROUND
PMID: 31692028 (View on PubMed)

LaDonna KA, Ginsburg S, Watling C. "Rising to the Level of Your Incompetence": What Physicians' Self-Assessment of Their Performance Reveals About the Imposter Syndrome in Medicine. Acad Med. 2018 May;93(5):763-768. doi: 10.1097/ACM.0000000000002046.

Reference Type BACKGROUND
PMID: 29116983 (View on PubMed)

Gurman GM, Klein M, Weksler N. Professional stress in anesthesiology: a review. J Clin Monit Comput. 2012 Aug;26(4):329-35. doi: 10.1007/s10877-011-9328-7. Epub 2011 Dec 17.

Reference Type BACKGROUND
PMID: 22180163 (View on PubMed)

Maslach Burnout Inventory - Human Services Survey for Medical Personnel (MBI-HSS (MP)) - Assessments, Tests | Mind Garden - Mind Garden [Internet]. [cited 2022 Sep 28]. Available from: https://www.mindgarden.com/315-mbi-human-services-survey-medical-personne

Reference Type BACKGROUND

Feenstra S, Begeny CT, Ryan MK, Rink FA, Stoker JI, Jordan J. Contextualizing the Impostor "Syndrome". Front Psychol. 2020 Nov 13;11:575024. doi: 10.3389/fpsyg.2020.575024. eCollection 2020.

Reference Type RESULT
PMID: 33312149 (View on PubMed)

Gisselbaek M, Suppan M, Saxena S, Hudelson P, Savoldelli GL. Association of impostor phenomenon and burnout among Swiss residents and junior anaesthesiologists: results of a cross-sectional survey. BMC Anesthesiol. 2025 Feb 22;25(1):98. doi: 10.1186/s12871-025-02957-8.

Reference Type DERIVED
PMID: 39987071 (View on PubMed)

Other Identifiers

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2022-01782

Identifier Type: -

Identifier Source: org_study_id