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Medical Certificate Anomalies: Analysis of Central Medical Inspection Missions and Medico-Legal Implications in Tunisia

Fourati Hazem et al. · Zenodo (CERN)

Zenodo (CERN) · Papers · License: CC BY 4.0

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Medical Certificate Anomalies: Analysis of Central Medical Inspection Missions and Medico-Legal Implications in Tunisia | Zenodo Skip to main Communities My dashboard Log in Sign up Zenodo is currently experiencing slowness and intermittent outages due to heavy automated traffic from bots and AI crawlers. We are aware of the problem, and our team is focused on stabilizing the service. Thank you for your patience. Published May 4, 2026 | Version v1 Journal article Open Medical Certificate Anomalies: Analysis of Central Medical Inspection Missions and Medico-Legal Implications in Tunisia Authors/Creators Fourati Hazem 1 Hanen Moussi 2 Maha Shimi 1 Elkhal Mohamed Cherif 3 Show affiliations 1.

Department of Forensic Medicine, Military Hospital of Tunis, Tunis, Tunisia ,Faculty of Medicine of Tunis, University Tunis El Manar, Tunis, Tunisia 2.

Faculty of Medicine of Monastir, University of Monastir, Monastir, Tunisia 3.

Department of Forensic Medicine, Military Hospital of Tunis, Tunis, Tunisia Description Introduction: The medical certificate is a medico-legal document that fully engages the professional responsibility of the physician. Errors in its issuance, whether due to lack of knowledge of certification rules or acts of collusion, can have disciplinary, civil, and criminal consequences. The aim of this study was to analyze anomalies in medical certificates identified during the missions of the Central Medical Inspection and to evaluate their medico-legal implications. Methods: This was a retrospective descriptive study based on reports from medical inspection missions conducted in the Tunis region between January 1 and December 31, 2023. All reports concerning medical certificates issued by physicians that contained anomalies were included. Certificates falsified by non-physicians were excluded. Data collected included the source and reason for the complaint, type of certificate, physician’s practice sector, observed anomalies, and inspection conclusions. Results: A total of 149 inspection missions were analyzed, involving 160 medical certificates. Among these, 55 certificates issued by physicians contained anomalies. Complaints mainly concerned suspected collusive certificates (38 cases) or falsifications (17 cases). Certificates of sick leave accounted for the majority of affected documents (42 cases). Identified anomalies included formal defects (lack of physician or patient identification, missing signature or stamp), inconsistencies in clinical content, and administrative irregularities, particularly lack of traceability in some public institutions. Following the inspections, 38 certificates were classified as collusive, while 17 anomalies were attributed to lack of knowledge of certification rules. Conclusion: Anomalies in medical certificates remain frequent and expose physicians to significant medico-legal risk. Strengthening training and awareness regarding proper certificate issuance is essential to improve the quality of these documents. Files 2755-Article Text-7403-1-10-20260505.pdf Files (392.2 kB) Name Size Download all 2755-Article Text-7403-1-10-20260505.pdf md5:356d617d174cfdfb61dfcdf724336cc6 392.2 kB Preview Download 26 Views 14 Downloads Show more details All versions This version Views Total views 26 26 Downloads Total downloads 14 14 Data volume Total data volume 5.5 MB 5.5 MB More info on how stats are collected.... Versions External resources Indexed in OpenAIRE Communities Keywords and subjects Keywords medical certificate, medical inspection, medico-legal responsibility, medical ethics Details DOI DOI Badge DOI 10.5281/zenodo.20035078 Markdown [![DOI](https://zenodo.org/badge/DOI/10.5281/zenodo.20035078.svg)](https://doi.org/10.5281/zenodo.20035078) reStructuredText .. image:: https://zenodo.org/badge/DOI/10.5281/zenodo.20035078.svg :target: https://doi.org/10.5281/zenodo.20035078 HTML <a href="https://doi.org/10.5281/zenodo.20035078"><img src="https://zenodo.org/badge/DOI/10.5281/zenodo.20035078.svg" alt="DOI"></a> Image URL https://zenodo.org/badge/DOI/10.5281/zenodo.20035078.svg Target URL https://doi.org/10.5281/zenodo.20035078 Resource type Journal article Publisher International Journal of Medical Science and Clinical Research Studies Published in International Journal of Medical Science and Clinical Research Studies, 06(05), 852-856, ISSN: 2767-8342, 2026. Languages English Rights License Creative Commons Attribution 4.0 International The Creative Commons Attribution license allows re-distribution and re-use of a licensed work on the condition that the creator is appropriately credited. Read more Citation Export Technical metadata Created May 5, 2026 Modified May 5, 2026 Jump up About About Policies Infrastructure Principles Projects Roadmap Contact Blog Blog Support Help FAQ Developers REST API OAI-PMH Contribute GitHub Donate Funded by Powered by CERN Data Centre & InvenioRDM Status Privacy policy Cookie policy Terms of Use This site uses cookies. Find out more on how we use cookies Accept all cookies Accept only essential cookies

Medical Certificate Anomalies: Analysis of Central Medical Inspection Missions and Medico-Legal Implications in Tunisia

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