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Objective: Our aim in this study is to analyze the compliance rates with current guidelines by raising awareness among pediatricians, otolaryngologists, general practitioners and family physicians about the diagnosis and treatment of acute bacterial rhinosinusitis. Methods: A survey containing 18 questions was sent to physicians working in the Marmara Region of Turkey. The responses and variables, including age, gender, duration of professional experience, specialty area, and the number of cases diagnosed in one month, were evaluated concerning the current guidelines from the American Society of Infectious Diseases Results: Totally 500 physicians were enrolled into this study. The majority of the physicians participating in the study [91,4% (n=458)] did not know how to differentiate acute rhinosinusitis from viral upper respiratory tract infection clinically. The number of physicians prescribing the correct antibiotic but at the wrong dosage was 186 (37.2%). It was observed that general physicians made more mistakes in determining the diagnosis with the correct criteria than the other specialties (p=0.03). Conclusion: There appears to be a problem of clinical inertia in the diagnosis and treatment of pediatric acute bacterial rhinosinusitis at the emergency department in Turkey, possibly due to unfamiliarity with the condition, patient overload, worries about performance fees, and failure to update medical knowledge concerning current guidelines. Increased emphasis on continuing professional education and various supportive measures for primary care physicians may help to resolve this.

Bu çalışma tıp ve hemşirelik fakültesi son sınıf öğrencilerinin mesleklerine ilişkin mevcut ve ileriye yönelik görüşlerini saptamak amacıyla planlanmıştır. Araştırma, nitel araştırma yöntemlerinden olgubilim (fenomenolojik) araştırma desenine uygun olarak yapılmıştır. Araştırmanın çalışma grubunu, ülkemizin Ege Bölgesi’ndeki bir üniversitenin tıp ve hemşirelik fakültesi son sınıf öğrencileri içerisinden çalışmaya gönüllü 10 öğrenciden oluşmuştur. Veri toplama aracı olarak araştırmacılar tarafından hazırlanan yarı yapılandırılmış görüşme formu kullanılmıştır. Görüşmeden elde edilen veriler “mesleki yaşantıdan beklentiler” ve “mesleğin gelecek on yıldaki durumu” olmak üzere iki tema altında toplanmıştır. “Mesleki yaşantılarından beklentiler” ana temasının alt temaları olarak “profesyonellik”, “maddi beklentiler”, “manevi beklentiler” olmak üzere üç alt tema oluşturulmuştur. Mesleğin gelecek on yıldaki durumu ana temasının altında ise “değer görme”, “otonomi”, “sağlıkta şiddet”, “hasta hakları”, “hasta özerkliği”, “tıp hukuku” olmak üzere altı alt tema oluşturulmuştur. Çalışmaya katılan Hemşirelik Fakültesi 4. sınıf ve Tıp Fakültesi 6. sınıf öğrencilerinin mesleğe adım atmaya yaklaştıkları bir dönemde mesleği profesyonel anlamda sürdürme konusunda kaygılı oldukları saptanmıştır. Bu doğrultuda öğrencilerin mesleğe hazır bulunuşluğu, gelecek kaygısı ve profesyonel iş yaşantısı gibi konuların vurgulanması danışman öğretim üyelerinin, sağlık hizmetleri yöneticilerinin ve politika belirleyicilerin iç görüsü bakımından konunun farklı boyutlarıyla ele alındığı çalışmalar bilimsel literatüre kazandırılmalıdır.

Background: The coronavirus disease emerged in 2019, spread in Turkey as all over the world rapidly. In this process, young people began to experience some mental problems due to the fear of contagion, as well as some changes in their lifestyles. Aims: In this study it is aimed to investigate anxiety and depression levels of medical school students and the factors associated with these mental problems. Method: The forms were sent over the internet to the officials responsible for medical education at universities in various regions of Turkey. A total of 2,778 medical faculty students were included in the study. Students were asked to fill out the sociodemographic data form, the Patient Health Questionnaire – 9 (PHQ-9), and the Generalized Anxiety Disorder-7 (GAD-7) Test. Results: Students’ 67.3% were female and 31.7% were male. About 90.2% of the students in the PHQ-9 scale had depressive symptoms in the major depressive disorder (MDD) dimension, and 44.5% in the GAD-7 scale had moderate/severe anxiety symptoms. Gender, being a preclinical student, history of psychiatric treatment in the past, currently receiving psychiatric treatment, death of someone due to pandemic, economic and health situation, perception of mental health were found associated with MDD and Moderate/Severe Anxiety symptoms. Students with Anxiety and MDD reported significantly more anxiety about contamination and negative beliefs about precautions’ sufficiency. Conclusions: It was determined that medical school students in our country showed anxiety and depression at a remarkable level during the pandemic. Examining the underlying causes of these high rates will be beneficial in terms of taking precautions during the long-term pandemic. In literature, there are a limited number of studies on this subject in our country, we believe that our study will be useful in future studies to determine the underlying causes of mental illnesses and what can be done to help students.