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The Hidden Struggle: How the Learning Environment Influences Impostor Phenomenon in Medical Students Soedjianto, Susanna Gabriella; Soeselo, Daniel Ardian; Anastasia, Gisella; Juliawati, V Dwi Jani; Puspadewi, Natalia
Jurnal Pendidikan Kedokteran Indonesia: The Indonesian Journal of Medical Education Vol 14, No 4 (2025): December
Publisher : Universitas Gadjah Mada

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jpki.105046

Abstract

Background: High achievers frequently suffer from the impostor phenomenon, which is typified by emotions of intellectual fraudulence and self-doubt when success is attributed to external factors, such as luck or timing, rather than actual abilities. The competitive learning environment in medicine typically demands high academic standards, which makes medical students vulnerable to this phenomenon. Aims: This study aimed to investigate the correlation between pre-clinical medical students’ experiences of the impostor phenomenon and their perceptions of the learning environment.Methods: This cross-sectional study was conducted among second- and third-year pre-clinical students from the School of Medicine and Health Sciences, Atma Jaya Catholic University of Indonesia. Total sampling was applied to students achieving grades above the cutoff. The Clance Impostor Phenomenon Scale (CIPS) and Dundee Ready Educational Environment Measure (DREEM) were used to collect data. We obtained data from 255 preclinical medical students.Results: We obtained data from 255 preclinical medical students. On average, students thought their learning environment was quite good, with an average score of 131.42 out of 200, and they frequently experienced the impostor phenomenon, which had a prevalence of 67.1%. This study also discovered that there was a significant moderate negative correlation between perception of the learning environment and the occurrence of the impostor phenomenon (r = -0.410, p < .001), as shown by the higher CIPS scores of students who felt that their learning environment was poor.Conclusion: This study emphasized that a supportive learning environment plays an important role in lowering impostor feelings among medical students. Strengthening aspects such as mentorship, constructive feedback, and peer support may help reduce psychological burden and improve students’ academic experience.
Tragedi di Balik Pembekapan: Ruptur Anterior Inferior Cerebellar Artery Sebagai Penyebab Kematian Mendadak Akibat Asfiksia Liauw, Djai Yen; Sutanto, Eugenia Gerin; Natalie, Agatha Clarice; Anastasia Stella Carmelita; Leifon, Dave Edgar; Fungestu, Eyskens; Kaban, Felix Try Raka; Jusuf, Hans Jasper; Maria Victoria Isabella; Soedjianto, Susanna Gabriella; Tjiu, Wilsen
Jurnal Kedokteran Meditek Vol 32 No 2 (2026): MARET
Publisher : Fakultas Kedokteran Universitas Kristen Krida Wacana

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36452/jkdoktmeditek.v32i2.3813

Abstract

Introduction: Mechanical asphyxia due to smothering is difficult to diagnose forensically because it often leaves no distinctive signs. Unlike strangulation or hanging, smothering using soft materials generally leaves no external traces, making the mechanism of death difficult to identify. Furthermore, epidemiological data on cerebral vascular rupture due to asphyxia are still limited. This case report aims to add to the forensic literature on variations in asphyxial deaths and strengthen the diagnosis of the cause of sudden death. Case Illustration: A 46-year-old woman was found in a supine position. External examination revealed bruising on the bridge of the nose, philtrum, lower lip, left shoulder blade, inner left upper arm, outer right thigh, and abrasions on the upper lip and left side of the neck caused by blunt force. Internal examination revealed two blood seepage sites in the neck muscles, an enlarged heart, dilated cerebral and cerebellar vessels, and haemorrhage in the posterior brainstem. Discussion: Autopsy findings indicated rupture of the anterior inferior cerebellar artery (AICA), suspected to be triggered by asphyxia. Asphyxia does not always cause death through direct hypoxia, but also through increased intracranial pressure that triggers cerebral blood vessel rupture. This mechanism can be caused by airway obstruction or cerebral venous occlusion. Conclusion: AICA rupture due to asphyxia is a rare phenomenon. Mechanical asphyxia due to smothering requires attention because it can cause hypoxia, decreased consciousness, and even death. This report serves as an important forensic reference in the diagnosis of sudden death due to asphyxia.