The prevalence of Type 2 Diabetes (DM), one of the most common non-communicable diseases in the world, is increasing day by day because of reasons such as unhealthy nutrition, obesity, physical inactivity, and an increase in life expectancy at birth. 1,2 According to 2017 data of the International Diabetes Federation (IDF), 425 million people have DM and this figure is expected to increase to 629 million in 2045 worldwide. Besides, a significant proportion of DM patients live in underdeveloped and developing countries. 3 How to cite this article: Nas MA, Cayir Y, Bilen A. The ımpact of teach-back educational method on diabetes knowledge level and clinical parameters in type 2 diabetes patients undergoing ınsulin therapy.

Objective: It was aimed to determine the vaccine rejection rates and affecting factors in the Training Family Health Centers (TFHC) affiliated with a department of family medicine. Methods: This study was designed as a mixed research and conducted in two TFHC of Department of Family Medicine of Atatürk University. In 2018, parents who did not receive at least one of the vaccines required under the Ministry of Health's Extended Immunity Program were included. Semi-structured interview technique was used on the telephone as the data collection method. Content analysis was applied statistically. An in-depth interview was done with 6 volunteering parents. Results: The mean age was 30±1.2 years for both parents. All parents (n=6) who refused vaccination were university graduates. 66.7% of the parents (n=4) had high monthly income. According to the medical records of 749 children between 0-16 ages who were supposed to be vaccinated in 2018, it was observed that in nine children (1.2%), at least one vaccine was missing. Four children were not vaccinated due to distrust to the vaccine. Three of the parents refused vaccination due to complications developed after previous vaccinations. Conclusions: Vaccine rejection rates were found low in our TFHCs and socioeconomic levels of them were high. The most important factors affecting vaccine rejection were the lack of confidence in the vaccine content and insufficient information about vaccines.

Medical professionalism is a basic competency in medical education. This study aimed to adapt the Professionalism Assessment Scale, which is used to evaluate the professionalism attitudes of medical students, into Turkish and to assess its validity and reliability. First, the scale’s translation-back-translation was performed and piloted on 30 students. Then, the final scale was applied to medical students to ensure the scale’s validity. The Penn State University College of Medicine Professionalism Questionnaire was used for external validation to assess criterion validity. Confirmatory factor analysis was performed for structure validity. Test-retest, item correlations, split-half analysis, and Cronbach’s alpha coefficient were evaluated to determine the scale’s reliability. SPSS 25.0 and AMOS 24.0 package programs were used for statistical analysis. The statistical significance level was accepted as P<0.05. The mean age of the participants was 21±2 years, and 50.5% (n = 166) were female. Three hundred thirty-five students were invited, and 329 participated in the study. The response rate was 98%. The mean total Professionalism Assessment Scale score was 96.36±12.04. The three-factor structure of the scale, “empathy and humanism,” “professional relationship and development,” and “responsibility,” was confirmed. The Cronbach’s alpha coefficient of the scale was 0.94, and both the Spearman-Brown and Guttman split-half coefficients were 0.89. The three-factor structure of the scale, consisting of 22 items, explained 59.1% of the total variance. The intraclass correlation coefficient between test-retest measurements was 0.81. Confirmatory factor analysis showed a model suitable for the original version of the scale (χ2/sd = 2.814, RMSEA = 0.074). The Turkish version of the Professionalism Assessment Scale is a valid and reliable tool to determine the professionalism attitudes of medical students in Turkey.

Purpose: This study aimed to determine medical students' tendency to ON and investigate the role of obsessive-compulsive symptoms and gender on these attitudes. Methods: This descriptive study was conducted with 822 medical students. The data were collected via an online survey. The sociodemographic information form, ORTO-11 scale and Maudsley Obsessive Compulsive Symptom (MOCS) Inventory were used as data collection forms. Results: The average age of the students was 20.57±2,071 (18-32), and 50.7% (n=417) were female. Orthorexia tendency was detected 19%. A significant relationship was found between the ORTO-11 and MOCS scores of the students in the opposite direction (P=0.000). There was no significant difference between ORTO-11 and MOCS scores according to gender and years of training. Participants who did not eat at night, did not consume packaged food, looked at the expiration date and content of the food, and had regular meals had significantly lower ORTO-11 scores. There was no significant relationship between the mean body mass index of the students and their ORTO-11 and MOCS scores (P>0.05 for all). Conclusion: The study results show that the tendency to ON is high in medical students. ON is more common in students with obsessive-compulsive symptoms, and interventions to correct obsessive-compulsive symptoms should also be planned in the fight against ON. Level of evidence: Level V, cross-sectional, descriptive study

Amaç: Bu çalışma ile Atatürk Üniversitesi Tıp Fakültesinden Covid-19 pandemisi sürecinde mezun olan hekimlerin temel hekimlik uygulamaları ile ilgili öz yeterlilik algılarını belirlenmesi amaçlanmıştır. Yöntem: Tanımlayıcı tipteki bu çalışma 01-22.07.2021 tarihlerinde Atatürk Üniversitesi Tıp Fakültesinde gerçekleştirilmiştir. Araştırmaya 2020-2021 akademik yılı haziran ayında mezun olan 380 hekimden ankete cevap veren 151 hekim katılmıştır. Katılımcılardan araştırmacılar tarafından hazırlanan anket formunu çevirimiçi olarak yanıtlamaları istenmiştir. Ankette sosyodemografik verilere ek olarak, Covid-19 pandemisinin eğitimlerine etkisi ile ilgili görüşleri, kariyer planları ve UÇEP 2020’de yer alan 38 temel hekimlik uygulamasına dair öz yeterlilik algıları sorulmuştur. Bulgular: Katılımcıların %58,3’ü (n=88) kadın, yaş ortalaması 24,68±1,14 yıldır. Hekimlerin %19,9’u yurtdışında, %6’ı pratisyen hekim olarak çalışmak istediğini belirtmiştir. Hekimlerin %32,5’u Covid-19 döneminde eğitimlerinin eksik kaldığını düşündüğünü belrtmiştir. Katılımcıların kendilerini en çok yetkin gördüğü alanlar idrar sondası takabilme (%96), glukometre ile kan şekeri ölçümü yapabilme ve değerlendirebilme (%96), oksijen ve nebul‐inhaler tedavisi uygulayabilme (%94), yüzeyel sütür atabilme ve alabilme (%92,1), kan basıncı ölçümü yapabilmedir (%92,1). Hekimlerin %43,7’i epizyotomi açılabilme ve dikebilme, %33,8’i normal spontan doğum yaptırabilme, %20,5’i doğum sonrası anne bakımını yapabilme, %20,5’i kene çıkartabilme uygulamalarını yapamayacağını belirtmiştir. Katılımcıların %10’undan azı epizyotomi açabilme ve dikebilmeyi, doğum sonrası anne bakımını yapabilmeyi, adli rapor hazırlayabilmeyi, ölüm belgesi düzenleyebilmeyi, gebe muayenesini, jinekolojik muayeneyi, adli muayeneyi rahatlıkla yaptırabileceğini ifade etmiştir. Katılımcılardan normal spontan doğum becerisini rahatlıkla yapabileceğini belirten olmamıştır. Sonuç: Çalışmamız sonuçlarına göre yeni mezun hekimlerin mezuniyet öncesi dönemde öğrenilen temel hekimlik uygulamalarına ilişkin öz yeterlilik inaçları düşük seviyededir. Tıp Fakültemiz müfredatının öğrencilerin öz yeterlilik algılarını geliştirecek şekilde değerlendirilip düzenlenmesi, mezuniyet sonrası için de planlamalar yapılması gerekmektedir.