SUMMARY
The article discusses the development, professional manifestations, and potential consequences of narcissistic traits among physicians. Available evidence indicates that narcissism should not be regarded exclusively as a negative characteristic. Moderate self-confidence, decisiveness, initiative, and leadership tendencies may have an adaptive role in certain clinical and organizational settings. However, grandiosity, a sense of superiority, intolerance of criticism, an excessive need for admiration, reduced empathy, and disregard for the opinions of others may adversely affect teamwork, physician–patient relationships, and professional behavior. The expression of narcissistic traits may be influenced by the professional environment, high levels of responsibility, competition, hierarchical training systems, and opportunities for self-presentation through social media. The presence of individual narcissistic traits does not in itself constitute a diagnosis of narcissistic personality disorder. The aim in medical settings should therefore not be to restrict healthy professional self-confidence but to prevent maladaptive behavior. Ethical conduct, empathy, constructive feedback, teamwork, psychological safety, and accountable professional practice are important measures for reducing its potentially adverse consequences.
Keywords: narcissism, physicians, personality traits, professional behavior, patient safety, management

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