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Poor sleep quality, sleep deprivation, and excessive daytime sleepiness are common in medical students, especially during clinical clerkship [1-3]. Sleep disturbances may partly reflect the fact that the normal circadian rhythm clashes with early clinical schedules. Circadian preference is associated with specific personality patterns in young adults [4-7]. The morning-type preference has been reported to be associated with higher conscientiousness and agreeableness and lower openness to experience, extraversion, and neuroticism [6]. In terms of the latter, morningness tends to be associated with low-level neuroticism [4,8], although some studies have reported a negative or no relationship between morningness and neuroticism [7,9]. Eveningness is associated with depression [10-12], eating disorders [13], anxiety Association between Changes in Chronotype during Clerkship and Defense Style among Medical Students