Background: Because good interpersonal skills are essential for successful careers in primary care, we investigated senior medical students' (SMS) perceptions of the impression they leave with patients.
Methods: To assess the key elements that define the impression we make on others, we developed measures for self monitoring/social desirability, sensitivity, and Machiavellianism. These scales were used to predict SMS' attitudes toward various patient problems and their residency choices.
Results: Lower sensitivity scores and higher Machiavellianism scores predicted negative attitudes toward patients with psychologic problems. Positive attitudes toward elderly patients were predicted by higher self-monitoring/social desirability scores and lower Machiavellianism scores. Overall, women scored higher than men on self-monitoring/social desirability and sensitivity and lower on Machiavellianism.
Conclusions: Among SMS, impression management's dimensions are readily measured and the students with the best scores tend to choose primary care careers.
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