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Impostorism in third-year medical students: an item analysis using the Clance impostor phenomenon scale Cover

Impostorism in third-year medical students: an item analysis using the Clance impostor phenomenon scale

Open Access
|Feb 2020

Figures & Tables

Table 1

Medical student responses to individual items on the Clance Impostor Phenomenon Scalea

Item rank

Clance Impostor Phenomenon Scale Item

Total sample score

Item-total corr. (r)

Total sample

Males

Females

 1

 1

 3

 1. I have often succeeded on a test or task even though I was afraid that I would not do well before I undertook the task

3.91 ± 0.75**

0.12

 2

 3

 2

19. If I’m going to receive a promotion or gain recognition of some kind, I hesitate to tell others until it is an accomplished fact

3.91 ± 1.14***

0.41*******

 3

 2

 4

 7. I tend to remember the incidents in which I have not done my best more than those times I have done my best

3.83 ± 1.06****

0.61*******

 4

 5

 1*

17. I often compare my ability to those around me and think they may be more intelligent than I am

3.81 ± 1.13****

0.66*******

 5

 8

 5*

18. I often worry about not succeeding with a project or examination, even though others around me have considerable confidence that I will do well

3.42 ± 1.17*****

0.71*******

 6

 7

 6

16. If I receive a great deal of praise and recognition for something I’ve accomplished, I tend to discount the importance of what I’ve done

3.31 ± 1.23******

0.71*******

 7

 6

 7

12. I’m disappointed at times in my present accomplishments and think I should have accomplished much more

3.28 ± 1.18******

0.64*******

 8

 9

 8

20. I feel bad and discouraged if I’m not “the best” or at least “very special” in situations that involve achievement

3.24 ± 1.22******

0.45*******

 9

 4

11

 2. I can give the impression that I’m more competent than I really am

3.23 ± 1.09******

0.13

10

14

 9

14. I’m often afraid that I may fail at a new assignment or undertaking even though I generally do well at what I attempt

3.12 ± 1.10******

0.80*******

11

12

10

13. Sometimes I’m afraid others will discover how much knowledge or ability I really lack

3.09 ± 1.26******

0.79*******

12

11

12

 8. I rarely do a project or task as well as I’d like to do it

2.98 ± 1.00******

0.60*******

13

13

16

 5. I sometimes think I obtained my present position or gained my present success because I happened to be in the right place at the right time or knew the right people

2.90 ± 1.27

0.59*******

14

10

17

 6. I’m afraid people important to me may find out that I’m not as capable as they think I am

2.90 ± 1.24

0.77*******

15

16

13

10. It’s hard for me to accept compliments or praise about my intelligence or accomplishments

2.87 ± 1.26

0.71*******

16

17

15

15. When I’ve succeeded at something and received recognition for my accomplishments, I have doubts that I can keep repeating that success

2.81 ± 1.22

0.80*******

17

15

19

11. At times, I feel my success has been due to some kind of luck

2.79 ± 1.20

0.72*******

18

18

16

 3. I avoid evaluations if possible and have a dread of others evaluating me

2.79 ± 1.21

0.50*******

19

19

14

 4. When people praise me for something I’ve accomplished, I’m afraid I won’t be able to live up to their expectations of me in the future

2.73 ± 1.25

0.72*******

20

20

20

 9. Sometimes I feel or believe that my success in my life or in my job has been the result of some kind of error

2.26 ± 1.22

0.80*******

Data are the mean ± SD (N = 111–112).

*p < 0.01 v. males by Chi-square and Mantel-Haenszel Chi-square tests

**p < 0.05 v. Ranks 6–20 for total sample by Kruskal-Wallis one-way ANOVA on ranks followed by Dunn’s test.

***p < 0.05 v. Ranks 7–20 for total sample.

****p < 0.05 v. Ranks 10–20 for total sample.

*****p < 0.05 v. Ranks 17–20 for total sample.

******p < 0.05 v. Rank 20 for total sample.

*******p < 0.0001 by Spearman correlation.

aUsed and reproduced with permission. From [45]. Copyright 1985 by Pauline Rose Clance, Ph.D., ABPP. Do not reproduce without permission from Pauline Rose Clance, drpaulinerose@comcast.net, www.paulineroseclance.com

Fig. 1

Distributions of responses by male and female medical students to CIPS items 17 (a) and 18 (b). For item 17, comparing self to others, the mean score (± SD) for males (n = 46) was 3.35 ± 1.22; females (n = 65), 4.14 ± 0.94. For item 18, worrying about succeding despite the confidence of others, the mean score for males (n = 46) was 3.04 ± 1.25; females (n = 64), 3.69 ± 1.05. For both items, rating was higher for females (p < 0.01) by chi-square and Mantel-Haenszel chi-square tests

Fig. 2

Distributions of responses to CIPS item 3, avoiding and dreading evaluations, in students responding affirmatively for burnout (a) or depersonalization (b). The mean score (± SD) was 2.56 ± 1.13 for burnout-negative (n = 68), 3.30 ± 1.17 for burnout positive (n = 43) and 2.80 ± 1.28 for depersonalization-negative (n = 59) and 3.17 ± 1.18 for depersonalization-positive (n = 52). Students positive for burnout or depersonalization endorsed higher frequency of CIPS item 3 (p < 0.01 and p < 0.05, respectively) by chi-square and Mantel-Haenszel chi-square tests

Fig. 3

Relationship between responses to CIPS Items 1 (a) and 2 (b) and total CIPS score. Item 1 concerns unfounded fear of failure. Item 2 concerns being able to give the impression of being more competent than one actually is. For item 1, r = 0.12 by Spearman correlation. The mean score (± SD) was 3.91 ± 0.75 (n = 111). For item 2, r = 0.13. The mean score was 3.23 ± 1.09 (n = 112)

Language: English
Published on: Feb 6, 2020
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2020 Beth Levant, Jennifer A. Villwock, Ann M. Manzardo, published by Bohn Stafleu van Loghum
This work is licensed under the Creative Commons Attribution 4.0 License.