Comparison of perceived stress levels and imposter syndrome in medical imaging students on the traditional degree versus apprenticeship degree programmes at a UK university

INTRODUCTION: Research has shown elevated perceived stress (PS) and Imposter Phenomenon (IP) levels among healthcare students; however, apprenticeships remain understudied. This study aimed to compare the levels of PS and IP between Medical Imaging students on traditional (BSc UG) and apprenticeship (BSc DA and MSc DA) courses at one university in the United Kingdom. METHODS: The study used an online survey applying the Perceived Stress Scale (PSS-10) and the Clance Imposter Phenomenon Scale (CIPS). Statistical analysis and thematic analysis were undertaken. RESULTS: PSS-10 (n = 49 responses)- BSc DA students had a lower level of PS (mean = 18, p < 0.05) than BSc UG and MSc DA students (mean = 24). Most respondents reported moderate or high levels of stress. Thematic analysis highlighted stressors included university and personal factors and overlap between the two areas. CIPS (n = 45 responses)- The highest levels of IP were in BSc UG students (mean = 71) and the lowest in the BSc apprentices (mean = 63), however, p > 0.05. Over 60 % of all students had clinically significant IP levels. Thematic analysis found feelings of 'not belonging' and 'self-perception' enhanced feelings of IP, and self-belief was protective. CONCLUSION: Most students continue to have high levels of PS and IP regardless of course. Qualitative responses for both found similar contributing factors for all courses; however, 'not belonging' only contributed to IP for BSc UG students and protective factors for PS and IP were only mentioned by apprentices. IMPLICATIONS FOR PRACTICE: Due to high levels of PS and IP, educational interventions may aid implementation of coping measures to support students. Further research on PS and IP in the first year of practice would allow a greater understanding of the impact of different educational models.