Background: Imposter phenomenon (IP) is an internal experience of intellectual phoniness that those who feel fraudulence and worthlessness have in spite of outstanding academic or professional accomplishment. It is desirable for Medical students and interns to have high self-esteem and low impostor characteristics in order to become successful medical practitioners. This study was carried out among the medical interns of a tertiary care medical college, to determine the prevalence of Impostor Phenomenon and its association with self-esteem.Methods: The present cross-sectional study was conducted among 150 medical interns. Clance’s impostor phenomenon scale and Rosenberg self-esteem scale were used to assess Impostor characteristics and self-esteem respectively. Data was collected using online survey method.Results: The majority (44.7%) of study participants had moderate IP characteristics, followed by 41.3% with high IP characteristics. Hours of sleep was found to be significantly associated with IP characteristics (p value<0.001). Self-esteem was found to be significantly and inversely correlated with age (r=-0.222), and positively correlated with hours of sleep (r=0.225). Impostor phenomenon and self-esteem were found to be moderately and inversely correlated (r=-0.519).Conclusions: A large number of medical interns were found to have high impostor phenomenon characteristics and low self-esteem. Impostor characteristics were found to be significantly associated with sleep, suggesting a relationship between feelings of fraudulence and skewed sleep patterns. A significant negative correlation between self-esteem and impostor phenomenon suggests that individuals with stronger IP characteristics had lower self-esteem, and vice versa. Low impostor phenomenon characteristics and high self-esteem are favourable for efficient medical practice. Measures to increase level of confidence and self-esteem among medical students and interns should be implemented.

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Introduction: Patients reporting with skin ailments to primary healthcare settings are often referred to specialty centres either due to uncertainty in diagnosing skin conditions by the healthcare professionals or because of incomplete treatment offered to the patients at this level of healthcare. Objectives: 1.To assess the quality of life among adults reporting with skin diseases to a Primary healthcare setting. 2.To identify the types of skin diseases that required referral to specialty clinics. Material and Methods: A cross-sectional study was conducted at an Urban Health Centre in Goa between July 2018 and September 2018 among 150 consenting patients aged 18 years and above reporting with skin ailments. Data were collected by administering a pre-tested semi-structured questionnaire and the Quality of Life was assessed using the Dermatology Life Quality Index. Data was summarised using frequencies and percentages for demographic characteristics, The DLQI was scored as per the method recommended by the developers. Chi-Square test was used to determine the association among study variables. A P<0.05 was considered statistically significant. Results: Mean DLQI score in this study was 6.67 ± 4.147 indicating a small to moderate effect of skin diseases on patient's QoL. Mean DLQI score of Symptoms/Feelings domain was 2.94 ± 1.475 out of a maximum score of six, followed by domains like Daily activities (1.12 ± 1.197) and Work/School (1.06 ± 1.148) respectively. Conclusion: A small to moderate impact on QoL was observed among patients with skin conditions. This study suggests a need for special training in the management of common skin diseases for healthcare professionals at primary healthcare settings, at the same time adding the necessary medications used for the treatment of these common skin conditions to the inventory of essential drugs maintained at this level of healthcare.