Evidence map›Paper›PMID 41151996›Full record

SynthesisMedical education2026

Rethinking the impostor phenomenon: An umbrella review of concept, context and interventions.

Mia Gisselbaek, Mohamed Seyour, Sarah Saxena, Joana Berger-Estilita, Kori A LaDonna, Nadia Elia, Georges L Savoldelli

Abstract readSystematic Review
In one paragraph

Synthesis in Medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Mia GisselbaekDivision of Anaesthesiology, Department of Acute Care Medicine, Geneva University Hospitals, Geneva, Switzerland.ORCID 0000-0002-2296-8106
Mohamed SeyourDepartment of Anesthesiology and Perioperative Care, Hôpital Universitaire de Bruxelles (H.U.B.), Université Libre de Bruxelles, Brussels, Belgium.
Sarah SaxenaDepartment of Surgery, UMons, Research Institute for Health Sciences and Technology, University of Mons, Mons, Belgium.ORCID 0000-0002-7510-3579
Joana Berger-EstilitaInstitute for Medical Education, University of Bern, Bern, Switzerland.ORCID 0000-0002-8695-4264
Kori A LaDonnaDepartment of Innovation in Medical Education and Department of Medicine, Faculty of Medicine, University of Ottawa, Ottawa, Canada.ORCID 0000-0003-4738-0146
Nadia EliaDivision of Anaesthesiology, Department of Acute Care Medicine, Geneva University Hospitals, Geneva, Switzerland.ORCID 0000-0003-1787-9288
Georges L SavoldelliDivision of Anaesthesiology, Department of Acute Care Medicine, Geneva University Hospitals, Geneva, Switzerland.

Funding

University of Geneva
6 · The paper itself

Abstract

backgroundImpostor Phenomenon (IP) is a psychological experience characterized by persistent self-doubt and an inability to internalize achievements, leading to negative emotional and professional consequences. In health professions education (HPE), IP is of particular concern because it has been linked to learner well-being, professional development and potentially to patient safety. Despite growing interest in IP within health care and academic settings, uncertainties remain about how IP is conceptualized, the contextual factors that shape its occurrence and the effectiveness of interventions to address it. This umbrella review synthesizes existing systematic and scoping reviews to examine (1) IP's conceptualization, (2) the contextual influences associated with its occurrence and (3) the effectiveness of interventions aimed at reducing its impact.

methodsThis umbrella review is reported following the PRISMA-ScR guidelines. A comprehensive literature search was conducted in Medline, Embase, PubMed, PsycINFO, Scopus, Web of Science, CINAHL, Cochrane Library and ERIC from November 27th to December 4th, 2024. Systematic and scoping reviews on IP and related interventions were included. Methodological quality was assessed using AMSTAR-2 and the Joanna Briggs Institute (JBI) Critical Appraisal Tool.

resultsSixteen reviews (eight systematic and eight scoping) covering diverse populations and methodologies were included. The reviews revealed a lack of conceptual consistency and challenges in measuring and comparing IP, with no gold-standard assessment tool. Reported prevalence varied widely- reflecting conceptual and measurement challenges- with risk factors including perfectionism, marginalized status and hierarchical workplace cultures. Coaching, online self-study modules and mindfulness-based interventions showed potential in reducing IP intensity, but the methodological quality of intervention studies was inconsistent, with few high-quality studies.

conclusionsResults highlight the need for conceptual refinement, standardized measurement tools and rigorous intervention research on IP. Future studies should focus on deconstructing and reconceptualizing IP, as well as developing multidimensional assessment frameworks and evaluating evidence-based interventions to improve confidence and competence among individuals experiencing IP.

Indexed as

Humans

Identifiers

PMID41151996
PMCPMC13129615

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.