Immunization Requirements

Policy

Each Boonshoft School of Medicine (BSOM) student must submit a verifiable, up-to-date immunization record prior to June 30th of each academic year.

Background: By virtue of working in a clinical setting, medical students are at increased risk of acquiring infectious diseases and/or spreading infectious diseases to patients and other health care workers. Many of these infections are preventable by immunization or standard infection control measures. For these reasons, mandatory procedures and immunizations must be met by all students before they may participate in any clinical program or activity, including ones during Foundations phase. This requirement is in accordance with LCME element 12.7 listed below:

"A medical school follows accepted guidelines in determining immunization requirements for its medical students."

All immunization documentation mandated by the BSOM must be submitted through Castlebranch, Inc. Failure to submit required documentation by June 30th will result in removal of student from all academic activities (pre-clinical coursework and clinical rotations) until required health records and/or immunization records are submitted and verified through Castlebranch.

Submission information for incoming students is available here.

Please note our immunization requirements are outlined in Castlebranch. Recommendations for immunization of health care personnel from the Centers for Disease Control are the basis for the BSoM requirements. The AAMC Standardized Immunization Form is a required form for documenting information, but does not outline our immunization requirements. Additionally, individual lab reports are required for upload to Castlebranch. Each student’s record is reviewed by Castlebranch and further action may be needed for follow-up testing or information.

Prevention

Maintaining good physical health is critical as a medical care provider. To help assure educational success, the School has designed specific and firm health guidelines. Students have the complete support of faculty and staff in managing good health and accessing any medical resources you may need.

One of the most effective defenses against infectious disease is understanding the causes and modes of transmission. This leads to behavioral changes that reduce the spread of infection. The School will continually emphasize prevention regarding HIV and other communicable diseases where appropriate.

Student Health Services works to help students avoid medical problems that are preventable, correct medical problems that can be treated, and assist in managing medical problems that are not correctable. Several requirements and procedures help Student Health Services meet these goals.

Required Immunizations

Tuberculosis

Although tuberculosis generally is prevented by proper infection control, transmission in health care settings can occur. Upon entering medical school, students are required to have a negative Two- Step PPD (second PPD is administered between 1-3 weeks after the initial negative PPD) or a negative Interferon-gamma release assay (IGRA). Either of these must be within six months of arriving at BSOM. Students must receive an annual screening for tuberculosis including one of the following:

  • PPD (Mantoux) skin test or Interferon-gamma release assay (IGRA) if previous skin tests have been negative, or
  • Evidence of chest x-ray if PPD skin test is positive, or
  • Evidence of chest x-ray if a student has received BCG and PPD is positive or evidence of chest x-ray if student has had appropriate prophylaxis treatment.

Varicella (Chickenpox)

Students are required to have a quantitative varicella titer. If serologic result shows no immunity, vaccination followed by a repeat titer 6-8 weeks later.

Rubella (German measles)

Students are required to have a quantitative rubella titer. If serologic result shows no immunity, vaccination followed by a repeat titer 6-8 weeks later.

Rubeola (Measles)

Students are required to have a quantitative rubeola titer. If serologic result shows no immunity, vaccination followed by a repeat titer 6-8 weeks later.

Mumps

Students are required to have a quantitative mumps titer. If serologic result shows no immunity, vaccination followed by a repeat titer 6-8 weeks later.

Hepatitis B Vaccine

Students are required to have a full vaccination series and a quantitative Hepatitis B surface antibody titer demonstrating immunity. If documentation of the vaccination series is not available, a positive surface antibody titer AND a negative surface antigen is acceptable. If immunity is not demonstrated, a repeat 3-dose Hepatitis B vaccination series is required followed by a repeat titer 6-8 weeks later.

Tetanus, Diphtheria, Pertussis

The Tetanus-Diphtheria-Pertussis (Tdap) booster is required and must be received within 5 years of matriculating to BSOM.

Influenza

Influenza vaccination is required annually and is received no later than October 31st of each year of medical school.

Pregnant Students

All pregnant students should consult their obstetrician before receiving any required vaccinations.

Medical Contraindication for Immunizations

If a medical contraindication exists for any required immunization, the student must provide documentation from a healthcare provider with details of the contraindication. During clinical rotations, special requirements may be required by the site.

Approved by Executive Committee 6/13/2019

Last edited on 06/25/2019.