Impostor Phenomenon Among Medical Students In A Malaysian Private Medical School
Background: Impostor phenomenon is described as an “internal experience of intellectual fraudulence” among high achievers, which include medical students who often doubt their ability to become good doctors in the future. This study sought to determine the prevalence of impostor phenomenon among medical students and how impostorism is correlated with other psychological distresses namely anxiety, depression and low self-esteem.
Methods: To conduct this cross sectional study, various scales were distributed to all 4th year medical students in Melaka-Manipal Medical College (MMMC), Muar campus to measure impostorism, depression, anxiety and self-esteem. Clance Impostor Phenomenon Scale (CIPS) was used to measure impostorism and a score of 62 was set as the cut off value to classify a participant as an “imposter”.
Results: Out of 300, 256 (85.3%) students completed the questionnaires. 48% and 44% of male and female students respectively scored as ‘impostors’ with no significant difference between the two genders. Positive correlations were noted between impostor phenomenon with low self-esteem (rho=0.56), depression (rho=0.42) and anxiety (rho=0.41). Impostors significantly have stronger intentions of quitting medical school (p < 0.001) and felt that they were not ready to cope with challenges during housemanship (p < 0.05).
Conclusion: Impostors suffer greatly from psychological distress. They are not confident to face the future challenges of housemanship and have stronger intentions of quitting the course. It is necessary for medical colleges to acknowledge this feeling and help the students to cope with it to ensure smooth transition from medical school to housemanship period.
2. Matthews G, Clance PR. Treatment of the impostor phenomenon in psychotherapy clients. Psychotherapy in Private practice. 1985 Feb 28;3(1):71-81.
3. Legassie J, Zibrowski EM, Goldszmidt MA. Measuring resident well-being: impostorism and burnout syndrome in residency. Journal of general internal medicine. 2008 Jul 1;23(7):1090-4.
4. Oriel K, Plane MB, Mundt M. Family medicine residents and the impostor phenomenon. Family Medicine-Kansas City-. 2004 Apr 1;36(4):248-52.
5. Kumar S, Jagacinski CM. Imposters have goals too: The imposter phenomenon and its relationship to achievement goal theory. Personality and Individual Differences. 2006 Jan 31;40(1):147-57.
6. Jostl G, Bergsmann E, Luftenegger M, Schober B, Spiel C. When will they blow my cover? The impostor phenomenon among Austrian doctoral students. Journal of Psychology. 2012;220(2):109.
7. Topping ME, Kimmel EB. The imposter phenomenon: Feeling phony. Academic Psychology Bulletin. 1985.
8. Fried-Buchalter S. Fear of success, fear of failure, and the imposter phenomenon among male and female marketing managers. Sex roles. 1997 Dec 1;37(11):847-59.
9. Castro DM, Jones RA, Mirsalimi H. Parentification and the impostor phenomenon: An empirical investigation. The American Journal of Family Therapy. 2004 May 1;32(3):205-16.
10. Cokley K, McClain S, Enciso A, Martinez M. An examination of the impact of minority status stress and impostor feelings on the mental health of diverse ethnic minority college students. Journal of multicultural counseling and development. 2013 Apr 1;41(2):82-95.
11. Griffin JM, Fuhrer R, Stansfeld SA, Marmot M. The importance of low control at work and home on depression and anxiety: do these effects vary by gender and social class?. Social science & medicine. 2002 Mar 31;54(5):783-98.
12. Matthews S, Power C. Socio-economic gradients in psychological distress: a focus on women, social roles and work–home characteristics. Social Science & Medicine. 2002 Mar 31;54(5):799-810.
13. Mathiesen KS, Tambs K, Dalgard OS. The influence of social class, strain and social support on symptoms of anxiety and depression in mothers of toddlers. Social psychiatry and psychiatric epidemiology. 1999 Mar 24;34(2):61-72.
14. Mattie C, Gietzen J, Davis S, Prata J. The Imposter Phenomenon: Self-Assessment And Competency to Perform as a Physician Assistant in the United States. Journal of Physician Assistant Education (Physician Assistant Education Association). 2008 Mar 1;19(1).
15. Cusack CE, Hughes JL, Nuhu N. Connecting Gender and Mental Health to Imposter Phenomenon Feelings. Psi Chi Journal of Psychological Research. 2013 Jun 1;18(2).
16. Ghorbanshirodi S. The relationship between self-esteem and emotional intelligence with impostor syndrome among medical students of Guilan and Heratsi universities. Journal of Basic and Applied Scientific Research. 2012;2(2):1793-802.
17. Holmes SW, Kertay L, Adamson LB, Holland CL, Clance PR. Measuring the impostor phenomenon: A comparison of Clance's IP Scale and Harvey's IP Scale. Journal of Personality Assessment. 1993 Feb 1;60(1):48-59.
18. Chrisman SM, Pieper WA, Clance PR, Holland CL, Glickauf-Hughes C. Validation of the Clance imposter phenomenon scale. Journal of Personality Assessment. 1995 Dec 1;65(3):456-67.
19. Henning K, Ey S, Shaw D. Perfectionism, the impostor phenomenon and psychological adjustment in medical, dental, nursing and pharmacy students. Medical education. 1998 Sep 1;32(5):456-64.
20. September AN, McCarrey M, Baranowsky A, Parent C, Schindler D. The relation between well-being, impostor feelings, and gender role orientation among Canadian university students. The Journal of Social Psychology. 2001 Apr 1;141(2):218-32.
21. Franck E, De Raedt R, Barbez C, Rosseel Y. Psychometric properties of the Dutch Rosenberg self-esteem scale. Psychologica Belgica. 2008 Jan 1;48(1).
22. Fydrich T, Dowdall D, Chambless DL. Reliability and validity of the Beck Anxiety Inventory. Journal of Anxiety Disorders. 1992 Jan 1;6(1):55-61.
23. Kroenke K, Spitzer RL, Williams JB. The phq‐9. Journal of general internal medicine. 2001 Sep 1;16(9):606-13.
24. Dyrbye LN, Thomas MR, Shanafelt TD. Medical student distress: causes, consequences, and proposed solutions. InMayo Clinic Proceedings 2005 Dec 31 (Vol. 80, No. 12, pp. 1613-1622). Elsevier.
25. Slonim J, Kienhuis M, Di Benedetto M, Reece J. The relationships among self-care, dispositional mindfulness, and psychological distress in medical students. Medical education online. 2015 Jan 1;20(1):27924.
26. Smith CK, Peterson DF, Degenhardt BF, Johnson JC. Depression, anxiety, and perceived hassles among entering medical students. Psychology, health & medicine. 2007 Jan 1;12(1):31-9.
27. Moffat KJ, McConnachie A, Ross S, Morrison JM. First year medical student stress and coping in a problem‐based learning medical curriculum. Medical education. 2004 May 1;38(5):482-91.
28. Shankar PR, Singh KK, Singh S. Possible impact of increase in female medical student admissions in Nepal: Findings from a qualitative study among medical undergraduates. The Australasian medical journal. 2012;5(3):184.
29. Thompson T, Davis H, Davidson J. Attributional and affective responses of impostors to academic success and failure outcomes. Personality and Individual differences. 1998 Aug 31;25(2):381-96.
30. Gopalakrishnan V, Umabalan T, Affan M, Zamri AA, Kamal A, Sandheep S. Stress perceived by houseman in a hospital in northern Malaysia. The Medical journal of Malaysia. 2016 Feb;71(1):8-11.
31. Cozzarelli C, Major B. Exploring the validity of the impostor phenomenon. Journal of social and clinical psychology. 1990 Dec;9(4):401-17.
32. Supe AN. A study of stress in medical students at Seth GS Medical College. Journal of postgraduate medicine. 1998 Jan 1;44(1):1.
33. Sherina MS, Kaneson N. The prevalence of depression among medical students. Malaysian Journal of Psychiatry. 2003;11(1):12-7.
34. Zaid ZA, Chan SC, Ho JJ. Emotional disorders among medical students in a Malaysian private medical school. Singapore medical journal. 2007 Oct;48(10):895.
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