“You Never Get a Second Chance”: First Impressions of Physicians Depend on Their Body Posture and Gender

A first impression matters, in particular when encounters are brief as in most doctor-patient interactions. In this study, we investigate how physicians’ body postures impact patients’ first impressions of them and extend previous research by exploring posture effects on the perception of all roles of a physician – not just single aspects such as scholarly expertise or empathy. In an online survey, 167 participants ranked photographs of 4 physicians (2 female, 2 male) in 4 postures (2 open, 2 closed). The results show that male physicians were rated more positively when assuming open rather than closed postures with respect to all professional physician roles. Female physicians in open postures were rated similarly positive for items related to medical competence, but they tended to be rated less favorably with respect to social skills (such as the ability to communicate with and relate to the patient). These findings extend what is known about the effects of physicians’ body postures on the first impressions patients form to judge physicians’ medical versus social competencies. We discuss practical implications and the need for more research on interaction effects of body postures and physician gender on first impressions

Modelling human choices: MADeM and decision‑making

Research supported by FAPESP 2015/50122-0 and DFG-GRTK 1740/2. RP and AR are also part of the Research, Innovation and Dissemination Center for Neuromathematics FAPESP grant (2013/07699-0). RP is supported by a FAPESP scholarship (2013/25667-8). ACR is partially supported by a CNPq fellowship (grant 306251/2014-0)

Data_of_study_You never get a second chance First impressions of physicians depend on their body postures

In this study, we focus on the impact of posture on patients’ first impressions of a physician. In contrast to previous studies, we not only focus on physicians’ leadership skills, but just as much on their interpersonal and communicative skills. In an online survey, we obtained ratings of 167 participants assessing 4 sets of photographs. Each included pictures of 4 physicians (2 females) in two open or closed positions. We measured the physician’s skills, introducing items focussing on leadership, physician’s typical professional roles (derived from the CanMEDS framework), and the Shared Decision Making (SDM) process. The results show that male physicians were rated more positively in open postures. Female physicians received similar ratings, but only for leadership and medical expertise. Communicative and interpersonal skills received less favourable evaluations concerning open than closed postures. Our findings show that body postures shape the first impressions of a physician. In addition, these effects differ based on physician gender, which may be related to gender stereotypes and warrants further research

Spatially Resolved Genome-wide Transcriptional Profiling Identifies BMP Signaling as Essential Regulator of Zebrafish Cardiomyocyte Regeneration

In contrast to mammals, zebrafish regenerate heart injuries via proliferation of cardiomyocytes located near the wound border. To identify regulators of cardiomyocyte proliferation, we used spatially resolved RNA sequencing (tomo-seq) and generated a high-resolution genome-wide atlas of gene expression in the regenerating zebrafish heart. Interestingly, we identified two wound border zones with distinct expression profiles, including the re-expression of embryonic cardiac genes and targets of bone morphogenetic protein (BMP) signaling. Endogenous BMP signaling has been reported to be detrimental to mammalian cardiac repair. In contrast, we find that genetic or chemical inhibition of BMP signaling in zebrafish reduces cardiomyocyte dedifferentiation and proliferation, ultimately compromising myocardial regeneration, while bmp2b overexpression is sufficient to enhance it. Our results provide a resource for further studies on the molecular regulation of cardiac regeneration and reveal intriguing differential cellular responses of cardiomyocytes to a conserved signaling pathway in regenerative versus non-regenerative hearts