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At the last follow-up (T3) however, the participants were physicians in postgraduate internship training.
Of course, a postgraduate internship does not always translate into a full-time, permanent job.
Data from HADS recorded during postgraduate internship were analyzed in this study.
This exam is administered during the postgraduate internship, and it is required to gain a license to practice medicine.
Several reports indicate that the time period during postgraduate internship is especially associated with increasing symptoms of depression [ 8- 10].
During postgraduate internship, Cooper's Job Stress Questionnaire (CJSQ) was used to measure perceived job stress, while mental health and stress reactions were reassessed using HADS and SCL-25.
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There have been relatively few comprehensive studies which have been longitudinal encompassing the national continuum of medical school education, early postgraduate experience (internship or pre-registration), and vocational training.
It is not just the undergraduate study period, which brings about these changes; it may continue later in internship, postgraduate study, and in physicians' practical life, and it may reach burnout level.
Another strength is the long follow-up period, spanning from the third undergraduate year to the first postgraduate year during internship, allowing for detection of time changes in the different mental health measures.
While the teaching of EBM has most frequently been located in residency, internship, postgraduate and continuing education programmes, information management and decision making skills, core constituents of evidence-based medicine, are also key competencies for medical students in their formative years [ 2].
Jacqueline Steinmetz is postgraduate mentoring and internships coordinator at Westminster Business School.
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