Background. Because good interpersonal skills are essential for successful
careers in primary care, we investigated senior medical students' (SMS) per
ceptions of the impression they leave with patients.
Methods. To assess the key elements that define the impression we make on o
thers, we developed measures for self monitoring/social desirability, sensi
tivity, and Machiavellianism. These scales were used to predict SMS' attitu
des toward various patient problems and their residency choices.
Results. Lower sensitivity scores and higher Machiavellianism scores predic
ted 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, wome
n scored higher than men on self-monitoring/social desirability and sensiti
vity and lower on Machiavellianism.
Conclusions. Among SMS, impression management's dimensions are readily meas
ured and the students with the best scores tend to choose primary care care
ers.