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Impostor PhenomenonNCT06097325

Impostor Syndrome and Burnout in Swiss Residents and Chief Residents Anaesthesiologists

An observational study of Impostor Phenomenon and Imposter Syndrome, run by University Hospital, Geneva at 1 site in Switzerland.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

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). Read more about this study

Who is it for?
Any age
What is being tested?
Clance impostor phenomenon scale and Maslach Burnout Inventory for Medical Professional
How many people
100 participants
Where
1 siteSwitzerland
Study dates
1 May 2023to 31 Dec 2024
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages Any age
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Study population: Residents and chief residents in anaesthesiology working in Latin Switzerland. Residents are currently undergoing post-graduate medical training in Anaesthesiology Chief-Residents have completed their residency and are board-certified Anaesthesiologists working in Swiss institutions. We estimate a total population of about 140-150 residents and 100-120 chief residents.

Who may be able to join

  • 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)

Who cannot join

  • 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.

Trial locations and contacts

1 site in 1 country.

Switzerland1 site
  • Geneva's university hospitals

    Geneva, 1205

Other trials in Switzerland

About this study

Official title: Prevalence and Experiences of Impostor Syndrome in Anaesthesiology Residents and Chief Residents

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.

Read the detailed description

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.

Being tested
Clance impostor phenomenon scale, Maslach Burnout Inventory for Medical Professional
Keywords
Impostor Phenomenon, Imposter Syndrome, Education, Burnout, Survey, Qualitative Research
Medical subject headings
imposter syndrome, Burnout, Professional, Burnout, Psychological

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Clance impostor phenomenon scaleDiagnostic test

    Also called CIPS

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

  • Maslach Burnout Inventory for Medical ProfessionalDiagnostic test

    Also called MBI-HSS-MP

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

Study groups in NCT06097325
Study groupRoleWhat they receive
Residents in AnaesthesiologyThe 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
Receives: Diagnostic Test: Clance impostor phenomenon scale; Diagnostic Test: Maslach Burnout Inventory for Medical Professional
Chief-Residents in AnaesthesiologyChief-Residents (Board-certified anaesthesiologists after post-graduate training) in French-speaking part of Switzerland will be enrolled to fill a cross-sectional online survey
Receives: Diagnostic Test: Clance impostor phenomenon scale; Diagnostic Test: Maslach Burnout Inventory for Medical Professional

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Impostor syndrome

    Describe the prevalence of and relationship between impostor syndrome in anaesthesiology residents and burnout (other outcome), as well as key socio-demographics.

    A validated score will be used: the Clance impostor phenomenon scale (CIPS) which is a 20 questions on a 5-point Likert scale that investigate feelings about self-assessment of competency, praise, and success. The higher the score, more the participant is prone to impostor syndrome.

    Measured: 6 months

  2. Burnout

    Describe the prevalence of and relationship between burnout in anaesthesiology residents and impostor syndrome (other outcome), as well as key socio-demographics.

    The MBI-HSS-MP (Maslach Burnout Inventory for medical personnel) will be used. It is a scale that captures three dimensions of burnout (emotional exhaustion, depersonalization and personal accomplishment) and uses a 7-level frequency scale on 22 questions. For the domains of depersonalization and emotional exhaustion, the higher the score, the more the participant is subject to burnout. For the domain of personal accomplishment, the lower the score, the more the participant is subject to burnout.

    Measured: 6 months

Secondary outcomes (1)
  1. Coping strategies used by residents regarding impostor syndrome and burnout

    Residents in anaesthesiology will take part in a qualitative study on the experience of burnout and impostor syndrome in anesthesiology and the coping strategies they use.

    The qualitative interviews will assess how residents experience impostor syndrome and burnout and gather coping strategies they employ. A description of coping strategies will yield from analysis.

    Measured: 2 years

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Oct 2023
  2. Study start1 May 2023
  3. Primary completion3 Nov 2023
  4. Study completion31 Dec 2024 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Other
Time perspective
Other
Enrolment
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06097325
Sponsor's protocol ID
2022-01782
Status last verified
Nov 2023
First submitted
29 Sep 2023
Last updated
29 Nov 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • 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.

    PubMed 31848865
  • 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.

    PubMed 20513788
  • 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

  • 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.

    PubMed 34277932
  • 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

  • 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.

    PubMed 35435084
  • 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.

    PubMed 35104192
  • 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.

    PubMed 35236357
  • 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.

    PubMed 31692028
  • 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.

    PubMed 29116983
  • 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.

    PubMed 22180163
  • 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

  • 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.

    PubMed 33312149
  • 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.

    PubMed 39987071

Questions about this trial

What is this clinical trial studying?

An observational study of Impostor Phenomenon and Imposter Syndrome, run by University Hospital, Geneva at 1 site in Switzerland.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 2 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 29 Nov 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Switzerland. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Impostor syndrome (time frame: 6 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT06097325, which also lists 14 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Nov 2023.

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