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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
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Surgeon's imposter syndrome: a systematic review.

Michael El Boghdady1,2, Béatrice Ewalds-Kvist3,4

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Imposter syndrome (IS) is common in surgeons, affecting them mentally and physically. While IS can decrease with age, learning to challenge distorted thoughts is key to reducing these feelings.

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Area of Science:

  • Medical Psychology
  • Surgical Education

Background:

  • Imposter syndrome (IS) is the experience of feeling like a fraud despite evidence of success.
  • Surgeons, regardless of career stage, are susceptible to IS due to high-stakes decision-making.
  • IS can lead to significant psychological distress and professional impairment in surgeons.

Purpose of the Study:

  • To systematically review the existing literature on imposter syndrome in surgeons.
  • To identify the prevalence, contributing factors, and consequences of IS among surgical professionals.

Main Methods:

  • A systematic literature search was conducted on PubMed and ScienceDirect.
  • Studies focusing on IS in surgeons were included, adhering to PRISMA guidelines.
  • Included articles underwent quality assessment (MERSQI) and evidence grading (GRADE).

Main Results:

  • Twelve studies met the inclusion criteria, involving trainees and consultant surgeons.
  • Surgeons with IS are prone to mental and physical health challenges.
  • Female surgeons report higher rates of IS compared to male surgeons.

Conclusions:

  • Imposter syndrome is highly prevalent in the surgical community.
  • Addressing IS requires developing strategies to differentiate reality from self-doubt.
  • Interventions aimed at cognitive reframing can help mitigate feelings of inadequacy in surgeons.