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Imposter Syndrome Among Orthopaedic Surgery Residents is Extremely Common and Disproportionately Affects Female
Harsh Wadhwa1, Harmon S Khela2, Monty S Khela3
1Department of Orthopaedic Surgery, Stanford University Medical Center, Stanford, California.
JB & JS Open Access
|April 8, 2025
Summary
Imposter syndrome affects 73% of orthopaedic surgery residents, particularly women and those in non-Western programs. Addressing this can improve career satisfaction and reduce burnout.
Area of Science:
- Medical Education
- Psychology
- Surgical Training
Background:
- Imposter syndrome is a psychological pattern of self-doubt impacting success.
- It is linked to decreased job satisfaction, burnout, and productivity.
- Prevalence in orthopaedic surgery residents requires investigation.
Purpose of the Study:
- Determine the prevalence of imposter syndrome in orthopaedic surgery residents.
- Identify individual and residency characteristics predicting higher imposter syndrome rates.
Main Methods:
- Anonymous survey distributed to residents across 7 ACGME-accredited programs.
- Clance Imposter Phenomenon Scale (CIPS) used for assessment.
- Statistical analyses included t-tests, chi-squared, and multivariable regression.
Main Results:
- 73% of 100 residents reported significant or intense imposter syndrome.
- Female residents were 5.64 times more likely to experience imposter syndrome.
- Western programs showed lower prevalence; lower OITE scores correlated with higher CIPS scores.
Conclusions:
- Imposter syndrome is highly prevalent among orthopaedic surgery residents.
- Female gender, lower OITE scores, and non-Western training predict increased severity.
- Targeted interventions may mitigate burnout and enhance career progression.
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