Sorry You Are Not Fit to be a Doctor”: Do We Need to Penalise Unwell Medical Trainees ?

Unwell medical students and trainees may pose significant medical risks to the patients and ethical challenge for colleagues, clinical supervisors and governing institutions. Medical students who suffer from medical or psychological illnesses, which directly affect their function, may deem hazardous for the safety of the patients. Fitness to practice is crucial element in decision-making, to prevent potential fatal consequences of students’ action. We presented a case of a determined medical student who was diagnosed with epilepsy, complicated with unresolved post-traumatic stress symptoms from his dark teenager years. He struggled academically during his training as a doctor. There are many ethical questions regarding his fitness to practice at this stage and the need for supportive measures following the completion of his medical training. Maintaining his individual confidentiality and rights are discussed here, tailoring to the potential benefits and harms. Managing ethically challenged and sick medical students involve compassion, non-stigmatised and sound moral judgement in order to resolve future shortcomings according to Malaysian context.