Objective - to analyse the results of the Survival Centre screening programme with respect to declared illness or disability, related to subsequent course modification.

Design - Analysis of retrospective results held on screening forms.

Setting - Robert Gordon's Institute of Technology Survival Centre, Occupational Health Unit.

Subjects - 1,698 survival course trainees.

Main outcome measures - Declaration of illness or disability and resulting course modification.

Results - The sensitivity of the screening questionnaire appears to be set at the correct level with 10% of the enrolling trainees requiring medical interview but 90% of those warranting no modification to their survival course.

The prevalance of back problems was high resulting in 56% of those trainees requiring a modified course.

Conclusions - Survival course screening is an effective measure of morbidity and provides a relevant base for course modification to protect the health of the trainee.

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