Can a Medical Student Be Expelled for Fabricating ICU Mechanical Ventilator Arterial Blood Gas Parameters?

A university will summarily expel a clinical medical undergraduate (MBBS or MBChB), cancel all anaesthesia and intensive care clinical credits, and report the student to the Medical and Dental Council of Nigeria (MDCN) for permanent debarment for fabricating Intensive Care Unit (ICU) mechanical ventilator setting logs, falsifying arterial blood gas (ABG) analysis parameters (such as pH, $PaO_2$, $PaCO_2$, and bicarbonate levels), or faking consultant intensivist verification signatures. In accredited medical schools, clinical ICU rotations require students to monitor critically ill, mechanically ventilated patients under direct specialist supervision; manufacturing arterial blood gas values or simulating ventilator tidal volumes compromises acute clinical care, violates patient safety, and constitutes criminal forgery and gross professional malpractice.

Teaching hospital critical care audit boards and clinical coordinators conduct real-time verification of all submitted ICU patient monitoring logs.

1. The consultant intensivist or anaesthesia coordinator reviews submitted ICU clinical case portfolios and detects mathematically impossible arterial blood gas correlations that contradict recorded ventilator parameters.
2. The coordinator cross-references cited patient hospital numbers and ICU admission dates against the central Intensive Care Unit Admission Register and point-of-care blood gas analyzer electronic memory.
3. The audit reveals that no blood gas samples were run under the student’s recorded patient dockets, or that cited patients were extubated or deceased at the recorded timestamps.
4. The supervising intensive care consultant whose signature appears on the case file inspects the document and submits a formal written disclaimer attesting to signature forgery.
5. The College of Health Sciences issues an immediate suspension from all hospital wards and compiles a formal Clinical Fraud Docket.
6. The Provost transmits the investigation dossier to the University Central Student Disciplinary Committee (SDC).
7. The student appears before the disciplinary panel to defend their clinical submissions in accordance with constitutional fair hearing.
8. The University Senate ratifies an order of summary expulsion, and the MDCN Secretariat is formally notified to bar the individual from medical education nationwide.

Acquiring uncompromising clinical precision in critical care monitoring is vital for physician candidates who will manage life-support systems and acute respiratory failure in clinical practice.

• Official College of Medicine Anaesthesia and Intensive Care Clinical Logbook.
• Certified copies of the teaching hospital ICU daily patient census and electronic blood gas analyzer memory logs.
• Forensic signature verification report and written disclaimers from supervising consultant intensivists.
• Original clinical case sheets and raw patient monitoring flowcharts impounded during the audit.

Medical students must respect the sanctity of human life and report actual clinical findings truthfully rather than fabricating patient monitoring records.

Under MDCN regulations and university examination codes, forging clinical ICU records is classified as gross professional misconduct and criminal fraud, carrying mandatory expulsion and total debarment from the medical profession nationwide.

Maintaining uncompromising clinical truthfulness ensures that graduating physicians possess the technical competence required to safeguard critical patient lives in intensive care practice.