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\begin{document}

\title{Being a medical student in the shadow of the COVID-19 Pandemic:
Psychological reactions of Turkish medical students, and their views on
distance education and working on the front line}



\author[1]{Esra Çınar Tanrıverdi}%
\author[2]{Suat Sincan}%
\author[1]{Zulal Ozkurt}%
\author[3]{Mine  Sahingoz}%
\author[1]{Kamber Kasali}%
\author[4]{Mehmet Emin Layik}%
\affil[1]{Ataturk University}%
\affil[2]{Atatürk Üniversitesi}%
\affil[3]{Necmettin Erbakan University}%
\affil[4]{Yüzüncü Yıl Üniversitesi Tıp Fakültesi}%


\vspace{-1em}



  
  \date{May 27, 2024}


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\selectlanguage{english}
\begin{abstract}
Background: The COVID-19 pandemic had significant effects on medical
students. Objectives: This study aimed to investigate the psychological
impact of the COVID-19 pandemic on preclinical medical students and
determine their views about distance education and working on the
frontline. Methods: A cross-sectional study was conducted on 722
preclinical medical students. Data were collected with an online
questionnaire between 20 and 27 December 2020. A data collection form
including questions about sociodemographic characteristics, opinions
about distance education and frontline working, the Impact of Event
Scale-Revised (IES-R), and the Insomnia Severity Index (ISI) scales was
used for data retrieval. Results: The students' mean age was 20.7\selectlanguage{ngerman}±1.6
years, and 393 (54.4\%) were female. Of the students, 699 (96.8\%) were
concerned about their education, 181 (25.1\%) had post-traumatic stress
disorder, and 171 (23.6\%) had insomnia. Post-traumatic stress was
higher in women compared to men (\selectlanguage{greek}χ\selectlanguage{english}2 =3.916, p=0.048), in those who had
acquaintances with COVID-19 compared to those who had not (\selectlanguage{greek}χ\selectlanguage{english}2 =12.798,
p\textless{}0.001), those who had a fear of COVID-19 contamination to
their relatives compared to those who did not have such a fear (\selectlanguage{greek}χ\selectlanguage{english}2
=34.463, p\textless{}0.001), those who followed COVID-19-related news on
social media compared to those who did not follow such information (\selectlanguage{greek}χ\selectlanguage{english}2
=8.250, p=0.004), and those who had a high level of anxiety about the
interruption of their education compared to those who had less anxiety
(\selectlanguage{greek}χ\selectlanguage{english}2 =42.147, p\textless{}0.001). PTSD was significantly higher in those
who had negative opinions towards distance education (\selectlanguage{greek}χ\selectlanguage{english}2 =17.340,
p\textless{}0.007), and those with internet connection and quota
problems (p\textless{}0.001 and p=0.007 respectively). Conclusion: While
students are experiencing the psychological effects of the pandemic,
they also worry about the interruption of their education. Educators who
prepare students for the upcoming pandemics should also be aware of the
psychological effects and implement remedial interventions for their
mental health%
\end{abstract}%



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