title: Incidence of and sequels to medical problems discovered in medical students during study-related activities.
abstract: OBJECTIVE
  Students often act as subjects during practical and clinical skills training sessions. This routine seems to be quite acceptable for them but may present side-effects. Disorders, sometimes of a serious nature, have been discovered in medical students during clinical skills training. Because the incidence of and sequels to medical problems discovered in medical students during study-related activities are unknown, we carried out an explorative study.
  
  
  METHODS
  An anonymous questionnaire was administered to 1132 students (85%) in our medical school.
  
  
  RESULTS
  A total of 740 students (65% response rate) returned the questionnaire. Of them 124 (16.8% of respondents) reported 139 incidents. The estimated incidence was 1.5% per year. In 63 cases (45%) the diagnosis of a consulted doctor was known. Pathology (e.g. a ventricular septal defect) was revealed in 30 students (21%), a normal physiological variation (e.g. a functional cardiac murmur) in 22 (16%) and no abnormality was found in 11 (8%). Most of the incidents (65%) occurred during clinical skills training. The incidents were experienced negatively by 35% of the students.
  
  
  CONCLUSIONS
  Based on these findings, we estimate the incidence of medical problems discovered in medical students during study-related activities to be 1.5%. This and the moral and legal implications emphasise that every medical school should realise the possibility of consequences. In our opinion, this realisation should result, minimally, in the development of a protocol for students and faculty that outlines procedures for handling such incidents. Information should also be provided explaining these possible side-effects of medical education.
authors.affiliation: Institute for Medical Education, Department for Educational Development and Quality Assurance, Faculty of Medical Sciences, University of Groningen, the Netherlands. j.pols@med.rug.nl
authors.forename: J
authors.initials: J
authors.lastname: Pols
authors.forename: P M
authors.initials: PM
authors.lastname: Boendermaker
authors.forename: H
authors.initials: H
authors.lastname: Muntinghe
mesh_terms: D000223:Adaptation, Psychological; D001291:Attitude of Health Personnel; D004504:Education, Medical, Undergraduate / Q000379:methods* / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D033162:Incidental Findings; D008297:Male; D008487:Medical History Taking; D016544:Patient Simulation; D010808:Physical Examination / Q000523:psychology; D013337:Students, Medical / Q000523:psychology; D011795:Surveys and Questionnaires