Physicians and Impostor Syndrome: Between Selflessness and Self-Mastery

Impostor syndrome, or the impostor phenomenon, is a pervasive issue among physicians, characterized by persistent self-doubt despite evidence of competence. This article explores its prevalence, psychological architecture, and contributing factors, including perfectionism, continuous evaluation, and cultural norms within medicine. The dual moral frameworks of selflessness, inspired by Simone Weil, and self-mastery, influenced by Ayn Rand, create tension within physicians’ professional identities. This paradox — balancing humility with excellence — exacerbates impostor feelings, particularly in environments valuing perfection. Physician leaders can mitigate its impact by fostering psychological safety, normalizing self-doubt, and promoting mentorship. Ultimately, medicine demands an integration of presence and self-awareness, allowing physicians to reconcile their roles as both compassionate caregivers and confident experts.