Statewide Health Services for Medical Students

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IUSM-PO-EDU-SAF-0006

Full Policy Contents

Scope
Policy Statement
Reason for Policy
Procedures
Definitions
Sanctions

ADDITIONAL DETAILS
Additional Contacts
Forms
Related Information
History

Effective: Immediately
Last Updated: 12/12/2016

Responsible University Office:
Medical Student Education

Responsible University Administrator
Associate dean for statewide system advancement

Policy Contact:
Associate dean for statewide system advancement

RESPONSIBLE Associate dean for statewide system advancement
ACCOUNTABLE Associate dean for statewide system advancement
SUPPORT Associate dean for statewide system advancement
CONSULT University General Counsel
Curriculum Council Steering Committee
IUPUI Campus Health
INFORM Medical Student Education Leadership
Educational Policy Subcommittee
IUSM Communications

LCME Standards

12.4 Student Access To Health Care Services


Scope

This policy refers to health services available to each medical student across the Indiana University School of Medicine statewide nine-campus system.


Policy Statement

All IUSM medical studens will have comparable access to:

  1. Health and disability insurance.
  2. Primary care services.
  3. Specialty and emergency services.
  4. Protection from conflict of interest in evaluations by physicians from whom the student has received care.
  5. Mental health services.
  6. Health promotion and wellness services.
  7. Centralized records for immunizations, TB screening/surveillance, fit testing, and exposure testing/care.

 All IUSM students will be excused from educational time commitments as is reasonable and appropriate for access to care.

 All IUSM students are required to use student health insurance coverage (unless a waiver is obtained for comparable outside coverage) for care services unless IUSM has negotiated or arranged a particular service for no cost or a reduced cost.


Reason for Policy

The health and well-being of IUSM students is a top priority and essential to student success. While we encourage self-care, health promotion and prevention, medical students are not exempt from having physical and/or mental illness.


Approval

Approved by the Curriculum Council Steering Committee 2/21/2017.


Procedures

Disability insurance

All medical students are covered, at no additional cost, by a group disability insurance plan. IUSM bears the cost. Students are informed by email about the disability insurance at the beginning of the school year; information also is on the Medical Student Education website. Students who take a leave of absence for medical reasons are made aware of the option to file a disability claim if they will be out for more than 90 days.

Policies and benefit details are posted in the IUSM Student Handbook.

Primary care and emergency services

Contact information and procedures for primary and urgent/emergent care needs are disseminated at each campus to students and available electronically for student access in the IUSM Student Handbook.

Specialty services

Standard specialty care services are available in proximity to each IUSM campus with access arranged through primary or emergency services.

Mental health services

A licensed psychologist is available to assist medical students in person or by phone or tele-video appointment. A student may make an appointment by calling 317-274-8214.

Absence from educational responsibilities to receive care

Students are responsible for informing their instructors and/or supervising personnel that they will be absent to seek care.  A student must present documentation of an illness from his/her care provider to his/her instructor and/or supervisor if the student is seeking additional time away. Student concerns that are not addressed by this policy should be directed to a regional campus director or the assistant dean for student affairs in the Medical Student Education.

Faculty conflict of interest

A student who receives care from a faculty member will not be scheduled on rotation or be supervised by that faculty after that care occurs. Since the school is not aware of such relationships, both the student and the faculty member have a responsibility to report a need for reassignment. If an occasion occurs during which a student interacts with a faculty member from whom the student received care, the student cannot be evaluated by that physician. The responsibility for opting out of that evaluation can be initiated by the faculty and/or the learner.

See the Non-Involvement of Health Care Providers Policy.

Central repository

The IUPUI Campus Health Center is the central repository for medical students’ medical records that are collected and maintained pursuant to this policy. Students must deliver or fax required documentation of their immunizations to healthsv@iupui.edu.                      

Immunizations

IUSM students are required to get certain immunizations and vaccines. Some must be completed by matriculation; others must be completed annually. These requirements are based on Centers for Disease Control recommendations and requirements of the major IUSM-affiliated teaching hospitals. IUPUI Campus Health tracks compliance with these immunizations and provide Medical Student Education with compliance reports each semester.

Students must deliver or fax required proof of their immunizations to healthsv@iupui.edu.         

Universal precautions or contagious disease surveillance

At the beginning of each academic year, all IUSM students are required to complete a self-paced online training module about universal precautions. Students receive a certificate of completion, which is recorded and retained as proof of completion. Laminated cards are distributed to all students that contain information about universal standard precautions, including the use of personal protective equipment, steps to take in case of exposure, and follow-up care at a local health care provider. A second card is distributed that contains emergency phone numbers and the HIV post-exposure protocol.

Each campus has procedures appropriate for its specific clinical teaching situations. The procedures for exposure care are designed to provide assessment and care that are comparable to the services supplied to an employee or physician at the clinical location. Students must be aware of the recommendations outlined in the relevant teaching hospital’s policies. Certain specific situations may require a mandatory visit or telephone consultation with a local physician’s office.

Such situations include:

  • Needlesticks or other contaminated injuries.
  • Exposure to active cases of tuberculosis.
  • Mucous membrane exposure to bloodborne pathogens.
  • Exposure to enteral varicella.
  • Active enteral infection with salmonella or shigella.
  • Other airborne exposures (e.g. pertussis, meningitis).

A nurse or physician is available 24 hours a day on pager 312-OUCH (312-6824) to provide consultation regarding needle sticks and other contaminated injuries. All medical students who sustain a needle stick or other contaminated injury should page the OUCH pager immediately. Medical students exposed to or exhibiting signs and symptoms of contagious diseases, including but not limited to varicella and viral conjunctivitis, should seek a medical evaluation as soon as possible.

The student or his/her designee must provide medical records related to an exposure to healthsv@iupui.edu.

All campuses will provide local contact information, immediate care, and 24/7 evaluation of source patient for HIV and hepatitis. The result of HIV testing generally is available within two hours; the result from hepatitis testing takes one to two business days. All campuses will ensure medical students have local access to management of exposures.

See Universal Precautions Policy.


Additional Contacts

Subject Contact Phone Email
Assistant dean for medical student education Antwione Haywood (317) 278-2891 haywooda@iu.edu
Deputy General Counsel Joseph Scodro, J.D. 317-274-5277 jscodro@iu.edu
Learning Technology, Medical Student Education Andy Foster N/A fosteran@iu.edu

Related Information

http://mse.medicine.iu.edu/student-affairs/mentoring-advising/counseling-wellness/

http://mse.medicine.iu.edu/student-affairs/handbook/immunizations.html

http://mse.medicine.iu.edu/student-affairs/handbook/universal-precautions.html

http://mse.medicine.iu.edu/student-affairs/student-records/health-insurance.html


History

Approved by the IUSM Student Policy Committee 1/18/2017.

Approved by the Curriculum Council Steering Committee 2/21/2017.

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