Student health policies of U.S. medical schools.
Diekema-DJ; Albanese-MA; Densen-P; Doebbeling-BN
Acad Med 1996 Oct; 71(10):1090-1092
A survey was conducted of the student health policies of United States medical schools. A questionnaire was sent to the student affairs deans at 126 medical schools in May, 1994. The questionnaire inquired about policies regarding vaccination for hepatitis-B virus (HBV), blood and body fluid exposures, universal precautions training, and health and disability insurance for students. Questionnaires were completed by 108 of the schools; 99 (92%) required either HBV vaccination, evidence of immunity, or a signed waiver refusing vaccination. Most (87%) required health insurance, and 94% offered a plan, but only 69 schools (64%) offered disability insurance. The schools frequently held students responsible for the costs of HBV vaccination (68%), postexposure serologic testing (20%), and treatment of training related medical problems (40%). Two schools did not require formal universal precautions training. The authors conclude that, while most medical schools comply with current recommendations for preventing training related exposures to bloodborne pathogens, illness, and injury, students face a substantial financial responsibility for these services. The authors recommend that medical schools review their student health policies to protect students adequately.
NIOSH-Grant; Grants-other; Medical-surveys; Health-protection; Health-programs; Infectious-diseases; Viral-diseases; Body-fluids; Vaccines; Infection-control; AIDS-virus; Bloodborne-pathogens; Universal-precautions; Health-care-personnel; Immune-system-disorders
Dr. Doebbeling, Department of Internal Medicine, C-31 General Hospital, University of Iowa College of Medicine, 200 Hawkins Drive, Iowa City, IA 52242
Academic Medicine: Journal of the Association of American Medical Colleges
University of Iowa, Iowa City, Iowa