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Annual Physical Examination Entering medical students are required to complete a School of Medicine Health History Form prior to their first day of enrollment.
Immunization History and Proof of ImmunityHepatitis B All medical students are required to have been immunized against Hepatitis B and provide a quantitative titer value.
Hepatitis B immunization consists of a series of three vaccines that should be completed prior to or as soon as possible after matriciation to ensure safety at the time of patient contact. Students who do not wish to be immunized for Hepatitis B must submit a signed declination to the Student Affairs Office and to Student Health Service.
RubellaRubella immunity via history of disease or documented vaccine; AND quantitative titer value.
Rubeola
Rubeola immunization is required for all students. Students must provide physician documentation of a history of the disease or receipt of two doses of the vaccine; AND quantitative titer value.
Mumps
Students must provide physician documentation of a history of the disease or a receipt of the vaccine; AND quantitative titer value.
VaricellaStudents with or without a histor of varicella disease or immunization must submit a quantitative titer for varicella antibody.
Polio, Tetanus, DiphtheriaDocumented proof of immunization against polio, diphtheria and tetanus is required of all students. Tetanus immunization
must be within ten years.
A booster will be required in the case of a negative titer for any of the above. The booster whould be followed by another
titer reading within the appropriate amount of time. A second negative titer will not require another booster.
Tuberculin Testing
The School of Medicine requires annual tuberculin (intradermal) testing for actively enrolled students. All students, including those who have received BCG vaccine, must have a documented tuberculin test unless a previously positive reaction can be documented, or unless completion of adequate preventive therapy or adequate therapy for active disease can be documented. Student Health Service can place, read and document test results. Plans for the evaluation and management of medical students with positive tests or of those whose tests become positive during medical school can be made in conjunction with the Student Health Service. Students who are not in compliance will be barred from participation in clinical activities regardless of the clinical site. Should a sutdent develop symptoms suggestive of tuberculosis, a chest x-ray will be required before the student is allowed to resume clinical activities.
Micro-Particulate Respirators
Because of the increasing prevalence of tuberculosis and the appearance of multiple drug resistant strains, some of the hospitals and sites where students train require that students be fitted for a micro-particulate respirator (HEPA). At this time, these masks are not required at all clinical sites.
Clinical Site Health Requirements
Some of our clinical affiliates may have additional health requirements exceeding those of the University and School of Medicine. Students will be informed of these policies and, where possible, the SOM will expedite the process for student compliance. It is, however, the student's responsibility to maintain compliance with additional health requirements. The clinical affiliate requirements must be met before a student can begin any clinical rotations or electives at that site. At present, Nassau University Medical Center (NUMC) has the following requirements:
This information is to be submitted to NUMC 4 weeks prior to the start date of the rotation. For more information please call the
NUMC Academic Affairs Office at 516-572-5399. NUMC's info can be found at: http://www.nuhealth.net/education/ume.
Fourth Year Electives When applying for away electives, please be aware that, typically, a site's health requirements must be met as part of the
application process. However, if your health status is up to date at the time of the application, the site may accept your current status (with documentation) for the application. Keep in mind that you will be required to provide updated information prior to the elective start date.
Immunization Health Compliance Monitoring
Compliance with the SOM health policy is monitored on CBase. The date of a student's most recent physical assessment will be entered on CBase upon submission of a completed physical assessment form to the Student Affairs Office. Students will be notified by e-mail one month prior to the expiration date of the most recent assessment. The Office of Undergraduate Medical Education and all clinical affiliates will have access to this CBase information and can monitor compliance prior to the beginning of each clinical rotation or sub-internship.
Exposure to Infectious and Environmental Hazards Contact with patients is an integral part of the medical education at Stony Brook School of Medicine. Contact with patients
may entail exposure to hazards, including exposure to patients with contagious diseases that can be transmitted to students and other healthcare providers by way of airborne droplets or needle-puncture wounds involving infected body fluids. Examples of these diseases include tuberculosis, hepatitis B, hepatitis C and AIDS. Although the risk of contracting serious illness from these hazards is very small, the medical school seeks to reduce incidents of students' exposure to infectious diseases and environmental hazards. Mandatory educational sessions on universal precautions for bloodborne pathogens are provided within the first week of Phase 1 for entering students and prior to the start of the primary clinical clerkships in Phase 2. Information about safety and response to exposure to infectious agents or hazardous substances is presented during new student orientation programming, and prior to the start of the primary clinical clerkships. Information is also provided during course orientations for those specific courses in which students may be exposed to infectious agents and/or toxic substances. An orientation PowerPoint presentation is available on online and may be accessed by any student via their student ID number. Students receive training in proper blood-drawing techniques and patient-isolation policies prior to the intense clinical exposure in Phases 2 and 3. In addition, physicians are available to advise students and answer any questions through Student Health Services. The school reserves the right to restrict student contact by a patient believed to pose a risk to the health of the student.
Bloodborne Pathogen Exposure The following are instructions for what students should do should they experience a needlestick or bloodborne pathogen
exposure from a splash or sharps at Stony Brook Hospital, Winthrop University Hospital, Nassau University Medical Center, the Northport Veterans Administration Medical Center or any other clinical rotation site while you are a medical student at Stony Brook University School of Medicine.
The CDC web page http://www.cdc.gov/niosh/topics/bbp/emergnedl.html has information on bloodborne pathogen exposures and
healthcare workers. Please familiarize yourself with this information and the risks to you as a healthcare provider. Another useful website is http://nccc.ucsf.edu which provides expert consultation including a hotline to obtain information from anywhere: 1-888-448-4911 (see website for hours of operation).
What is the risk of infection after an occupational exposure?
(Source: http://www.cdc.gov/oralhealth/infectioncontrol/faq/bloodborne_exposures.html). Hepatitis B Virus (HBV) Healthcare workers who have received the hepatitis B vaccine and have developed immunity to the virus are at virtually no risk for infection. For an unvaccinated person, the risk from a single needlestick or cut exposure to HBV-infected blood ranges from 6%-30% and depends on the hepatitis B e antigen (HBeAg) status of the source individual. Individuals who are both hepatitis B surface antigen (HBsAg) positive and HBeAg positive have more virus in their blood and are more likely to transmit HBV.
Hepatitis C Virus (HCV)
Based on limited studies, the estimated risk for infection after a needlestick or cut exposure to HCV-infected blood is approxiately 1.8%. The risk following a blood splash is unknown but is believed to be very small; however, HCV infection from such an exposure has been reported.
Human Immunodeficiency Virus (HIV)
If the student is treated in the Emergency Department, they may only be given a one or two day supply of post-exposure medication.
The student is then referred to Stony Brook Occupational Health at 631-444-6250, or their personal physician, for follow-up counseling and testing, and to obtain additional medication if needed.
After a student has reported the bloodborne exposure and received initial management from the Emergency Department, they should
inform the Office of Undergraduate Medical Education. In the event of non-bloodborne exposure, the student shoudl see their primary care practitioner on an acute visit basis.
HIV TestingHIV testing is not required. The HIV Testing Policy for healthcare workers, including students, is provided in a manner that protects
patient rights and is consistent with other relevant medical center policies. No student will be tested without his/her consent. Some highlights follow:
HIV Testing of Health Care Workers Who Are Medical Students: Healthcare providers who are students of Stony Brook University School of Medicine who need to be tested will be referred to Occupational
Medicine or Student Health Service. Testing is anonymous and confidential.
Test Results To provide confidentiality, written test results will be post-mailed in an envelope marked "confidential") or given in person to the ordering
healthcare provider. Results will not be given verbally, by phone or by fax.
The physician who ordered the test or his/her representative will inform the tested individual of the test result face-to-face, whether positive
or negative, and provide post-test counseling. If the tested individual is to be discharged from the medical center before test results are available, this individual must be given a follow-up appointment with his/her primary physician or designee in the appropriate outpatient setting for receipt of this information.
HIV Testing of a Source PatientWritten, informed consent must be obtained before a licensed physician, nurse practitioner, nurse midwife, or physician's assistant may order an
HIV-related test
Health Insurance PolicyAll Stony Brook University students are required to have health insurance coverage. Students who do not have private insurance coverage
through a parent, employer, spouse, domestic partner or through their own individual plan are required to be enrolled in the university’s Student Health Insurance Plan (SHIP).
Student Health Center The Student Health Center at Stony Brook University is the on-campus source for meeting all students’ primary health care needs. The staff
of physicians, physician assistants, nurse practitioners, nurses, social workers, health educators, laboratory technologists, and technical and administrative staff are dedicated to the mission of providing students with quality medical care, and the services necessary to optimize preventive health and wellness. For fee services, insurance is billed first and students are responsible to cover the cost of any co-pay or uninsured services. Complete information on the Student Health Center can be found at:http://studentaffairs.stonybrook.edu/shs/index.shtml |
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