Investıgatıon of Effect of EM Internship on Vocational Anxıety and Depression on 6th Grade Students of Medical Faculty

Introduction
The sixth grade of medical school is a true preparatory stage for the physicians. This puts the physician candidates in stress before EM internship and can lead them to anxiety and depression. The present study is the first study to investigate depression, anxiety and stress levels of sixth-grade medical students before and after emergency medicine internship.
Material and Method
This is a prospective study conducted on sixth-grade medical students. Anxiety, depression, and stress scores were assessed both on the first day and the last day of emergency medicine internship, via testing with Beck Depression and Beck Anxiety scales and Depression Anxiety Stress Scale-42 (DASS-42). 131 sixth grade medical students who met the inclusion criteria were enrolled in the study.
Results
Mean Beck Depression scores were 10.15±6.11on the first day of internship, and 6.37±4.79 on the last day of internship. The difference was statistically significant(p<0.05).
Mean Beck Anxiety scores were 9.02±7.25 on the first day of internship, and 4.69±4.85 on the last day of internship. The difference in Beck Anxiety score was statistically significant(p<0.05).
Mean DASS-42 scores were 23.91±14.35 on the first day, and 15.31±12.13 on the last day. The difference was statistically significant(p<0.05).
Conclusion
Sixth-grade medical students get high scores on stress, anxiety, and depression scales before emergency medicine internship, which is due to various reasons. However, as many causative factors disappear at the end of the internship, and as they experience the benefits of the emergency medicine internship, these scores drop on the last day of the internship.