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The literature regarding their decisions to seek help or disclose health conditions is limited. The study\u2019s purpose was to explore the factors that determine disclosure and help-seeking decision processes by medical students who have health conditions with or without disability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We recruited by purposive sampling and conducted in-depth semi-structured interviews with 11 male and female medical students from a UK medical school, who had physical or mental health disorders. Thematic analysis was used to identify themes. A mix of inductive and deductive techniques was used while using an organising framework proposed by Llewellyn-Thomas (1995).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The impact of individuals\u2019 features, such as personality traits on medical students\u2019 disclosure and help-seeking decisions were identified. Different aspects of the condition, such as its type and severity were found to influence these decisions. Participants made an evaluation of the potential receiver of a disclosure, consisting of factors such as the receiver\u2019s characteristics and attitudes. The culture of the medical environment, such as role models, had a major impact on their decisions. Finally, systemic factors, such as the lack of clarity of policies influenced students\u2019 decisions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Medical students\u2019 disclosure and help-seeking decision processes are influenced by risk-benefit evaluations and factors in interlinked spheres of their lives. They tend to avoid or postpone disclosure and seeking help, especially when the university is involved, due to a perceived risk to their future. Future research should examine the role of personality traits and the medical culture. Medical schools should encourage earlier help-seeking and disclosure behaviours by clarifying procedures and building trust via online and confidential platforms; interpersonal channels and normalisation processes within the medical education and the profession as a whole.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12909-021-03032-9","type":"journal-article","created":{"date-parts":[[2021,12,5]],"date-time":"2021-12-05T08:02:14Z","timestamp":1638691334000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":33,"title":["\u201cA lot of medical students, their biggest fear is failing at being seen to be a functional human\u201d: disclosure and help-seeking decisions by medical students with health problems"],"prefix":"10.1186","volume":"21","author":[{"given":"Bar","family":"Shahaf-Oren","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ira","family":"Madan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Claire","family":"Henderson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2021,12,5]]},"reference":[{"key":"3032_CR1","doi-asserted-by":"publisher","first-page":"354","DOI":"10.1097\/00001888-200604000-00009","volume":"81","author":"L Dyrbye","year":"2006","unstructured":"Dyrbye L, Thomas M, Shanafelt T. 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