Merrill J M, Lorimor R J, Thornby J I, Vallbona C
Department of Family and Community Medicine, Baylor College of Medicine, Houston, Tex 77030, USA.
South Med J. 1998 Mar;91(3):256-60. doi: 10.1097/00007611-199803000-00008.
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.
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.
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.
Among SMS, impression management's dimensions are readily measured and the students with the best scores tend to choose primary care careers.
由于良好的人际沟通技巧对于初级保健领域的成功职业生涯至关重要，我们调查了高年级医学生（SMS）对他们给患者留下的印象的看法。
为了评估构成我们给他人留下印象的关键要素，我们开发了自我监控/社会期望、敏感性和权谋主义的测量方法。这些量表用于预测SMS对各种患者问题的态度及其住院医师选择。
较低的敏感性得分和较高的权谋主义得分预示着对有心理问题患者的消极态度。较高的自我监控/社会期望得分和较低的权谋主义得分预示着对老年患者的积极态度。总体而言，女性在自我监控/社会期望和敏感性方面得分高于男性，在权谋主义方面得分低于男性。
在SMS中，印象管理的维度易于测量，得分最高的学生倾向于选择初级保健职业。
