▁it ▁has ▁become ▁known ▁as ▁" med ical ▁student ▁synd rome ". ▁ ▁H od ges ▁( 2 0 0 4 ), ▁review ing ▁the ▁literature , ▁said ▁that ▁" the ▁first ▁descri ptions ▁of ▁medical ▁students ' ▁disease ▁appeared ▁in ▁the ▁ 1 9 6 0 s ." ▁He ▁may ▁have ▁been ▁referring ▁to ▁the ▁phrase , ▁for ▁the ▁phenomen on ▁itself ▁was ▁noted ▁much ▁earlier . ▁George ▁Lincoln ▁Wal ton ▁( 1 9 0 8 ) ▁reported ▁that ▁ ▁Medical ▁instruct ors ▁are ▁contin ually ▁consult ed ▁by ▁students ▁who ▁fear ▁that ▁they ▁have ▁the ▁dise ases ▁they ▁are ▁studying . ▁The ▁knowledge ▁that ▁p neum onia ▁produces ▁pain ▁in ▁a ▁certain ▁spot ▁leads ▁to ▁a ▁concentration ▁of ▁attention ▁upon ▁that ▁region ▁which ▁causes ▁any ▁sens ation ▁there ▁to ▁give ▁alarm . ▁The ▁mere ▁knowledge ▁of ▁the ▁location ▁of ▁the ▁append ix ▁transform s ▁the ▁most ▁har ml ess ▁sens ations ▁in ▁that ▁region ▁into ▁sympt oms ▁of ▁serious ▁men ace . ▁ ▁H od ges ▁also ▁said ▁that ▁it ▁was ▁suggested ▁in ▁the ▁ 1 9 6 0 s ▁that : ▁This ▁phenomen on ▁caused ▁a ▁significant ▁amount ▁of ▁stress ▁for ▁students ▁and ▁was ▁present ▁in ▁approximately ▁ 7 0 ▁to ▁ 8 0 ▁percent ▁of ▁students ... ▁papers ▁written ▁in ▁the ▁ 1 9 8 0 s ▁and ▁ 1 9 9 0 s ▁concept ual ised ▁the ▁condition ▁as ▁an ▁ill ness ▁in ▁the ▁psych iat ric ▁spectrum ▁of ▁hy po ch ond rias is .... ▁Marcus ▁found