Imposter phenomenon in physical therapists: A cross-sectional observational study

Area of Science:

• Health Professions
• Psychology

Background:

• Imposter phenomenon (IP) is a fear of being exposed as a fraud, despite achievements.
• While studied in medicine, IP in physical therapy is under-researched.
• This study investigates IP prevalence and predictors in US physical therapists.

Purpose of the Study:

• Determine the prevalence of imposter phenomenon among licensed physical therapists in the United States.
• Identify factors associated with the presence of imposter phenomenon in this population.

Main Methods:

• A cross-sectional online survey was administered to licensed physical therapists.
• The Clance Imposter Phenomenon Scale assessed IP levels.
• Multivariable logistic regression analyzed demographic, professional, and psychological factors, including emotional exhaustion and job satisfaction.

Main Results:

• The overall prevalence of frequent or intense imposter phenomenon was 51.2%.
• Factors associated with increased odds of IP included holding a bachelor's or master's degree (vs. DPT), a history of mental health diagnosis, and emotional exhaustion.
• Manager/supervisor experience was associated with reduced odds of IP.

Conclusions:

• Imposter phenomenon is highly prevalent in physical therapists.
• Mental health diagnoses, emotional exhaustion, and non-DPT degrees are linked to higher IP.
• Managerial experience may offer some protection against IP.
• Increased awareness and management strategies are crucial to address IP's impact on burnout and career progression.