Primary care is the pedestal base that should guarantee rapid and efficient access to high-quality care while optimising the experience of the patient and minimising cost [1]. Nevertheless, stagnation or a career shift from primary care to medical specialities has been observed over the last decades [2]. This is predominant in countries such as Switzerland where healthcare organisations rely mainly on specialty care services [3]: fewer than 20% of graduate doctors intend to go into primary care [4,5], whereas 50-60% are needed to cover population needs [6]. Simultaneously, the image of primary care among students suffers [7,8]. Students consider the role of primary care physicians to be versatile and challenging, but too hasty, lonely and uncertain, dealing with non-medical problems and with working conditions difficult to control [9,10]. In 2010, students about to start a medical curriculum in Geneva had to take a preregistration test designed to measure their ability to think and reason abstractly, and to learn from past experiences and apply this learning to specific situations. At the end of the test, they were asked about their career choice and image of primary care. The objective of the present study was to compare the image of primary care among the same students three years later, at the end of the preclinical years, and investigate potential links with gender or intention to work as primary care physician.