title: Measuring resident well-being: impostorism and burnout syndrome in residency.
abstract: BACKGROUND
  Assessing resident well-being is becoming increasingly important from a programmatic standpoint. Two measures that have been used to assess this are the Clance Impostor Scale (CIS) and the Maslach Burnout Inventory-Human Services Survey (MBI-HSS). However, little is known about the relationship between the two phenomena.
  
  
  OBJECTIVE
  To explore the prevalence and association between impostorism and burnout syndrome in a sample of internal medicine residents.
  
  
  METHODS
  Anonymous, cross-sectional postal survey.
  
  
  METHODS
  Forty-eight internal medicine residents (postgraduate year [PGY] 1-3) at the Schulich School of Medicine & Dentistry (62.3% response rate).
  
  
  RESULTS
  Short demographic questionnaire, CIS and MBI-HSS. Impostorism and burnout syndrome were identified in 43.8% and 12.5% of residents, respectively. With the exception of a negative correlation between CIS scores and the MBI's personal accomplishment subscale (r = -.30; 95% CI -.54 to -.02), no other significant relations were identified. Foreign-trained residents were more likely to score as impostors (odds ratio [OR] 10.7; 95% CI 1.2 to 98.2) while senior residents were more likely to experience burnout syndrome (OR 16.5 95% CI 1.6 to 168.5).
  
  
  CONCLUSIONS
  Both impostorism and burnout syndrome appear to be threats to resident well-being in our program. The lack of relationship between the two would suggest that programs and researchers wishing to address the issue of resident distress should consider using both measures. The finding that foreign-trained residents appear to be more susceptible to impostorism warrants further study.
authors.affiliation: Division of Internal Medicine, Department of Medicine, London Health Sciences Centre, London, ON, Canada.
authors.forename: Jenny
authors.initials: J
authors.lastname: Legassie
authors.forename: Elaine M
authors.initials: EM
authors.lastname: Zibrowski
authors.forename: Mark A
authors.initials: MA
authors.lastname: Goldszmidt
mesh_terms: D000328:Adult; D002055:Burnout, Professional / Q000175:diagnosis* / Q000523:psychology; D002983:Clinical Competence; D003625:Data Collection; D005260:Female; D006801:Humans; D007388:Internal Medicine / Q000193:education*; D007396:Internship and Residency; D008297:Male; D012649:Self Concept; D013315:Stress, Psychological / Q000175:diagnosis