P095 Exhaustion and isolation: burnout and imposter phenomenon among dermatology trainees

Abstract

Dermatology training is highly competitive, yet UK-specific data on trainee wellbeing are sparse. Burnout reflects emotional exhaustion and reduced professional fulfilment due to chronic stress. Imposter phenomenon is persistent self-doubt despite objective competence. This study was the first to investigate the prevalence and drivers of burnout and imposter phenomenon (IP) among UK dermatology registrars. The survey was employed via a questionnaire, distributed to UK dermatology trainees in May 2025. Burnout was assessed using the emotional exhaustion scale of the Maslach Burnout Inventory, and IP was measured using validated scales. Qualitative free-text responses focused on drivers for burnout and IP, as well as protective factors, and underwent inductive thematic analysis. Responses were received from 84 trainees (74% female). Significant burnout (emotional exhaustion score > 13) was identified in 44% of participants. Trainees with burnout had significantly higher IP scores than those without (mean 26 vs. 22, P = 0.005). Burnout was strongly associated with work–life integration difficulties (P < 0.001) and thoughts of leaving the specialty (49% vs. 17%, P = 0.001). No significant demographic differences (age, sex, ethnicity) were found between burnout groups. Qualitative analysis revealed five themes: unattainable targets (administrative workload and Specialty Certificate Examination pressure), disrupted transitions, feelings of abandonment (lack of supervision), competing priorities and professional identity violation. These novel UK findings indicate that burnout and IP are prevalent and closely related. Burnout rates were comparable with those from international studies. Drivers are structural rather than demographic and are rooted in administrative burden, high-stakes assessment and access to support structures. Systemic interventions including protected self-development time and increased examination sittings may prove effective in supporting the registrar workforce. These baseline data provide a critical foundation for future policy and research into UK trainee wellbeing.