Published in Medical Teacher, this study examines psychological morbidity in Hong Kong medical students and identifies concerns, coping mechanisms and help they seek. The results find medical students sustain a higher level of psychological morbidity compared to other tertiary education students. Concerns identified are examinations, stress, career, adjusting to the medical curriculum and commitment and coping skills adopted are largely adaptive. Maladaptive coping skills were highly correlated with depression, anxiety and stress scores. Students wanted support services tailored to their needs and provided by those who have undergone medical training themselves. The findings were used to guide the development of “Programme for Effective Transition and Student Support (PETSS)” at the University of Hong Kong.