Medical Services

Documentation and submission of a nonreactive tuberculin skin test, negative IGRA blood test, QuantiFERON Gold TB blood test, OR T-spot blood test is required by July 1 for first year learners.

• Second, Third, and Fourth-year learners are required to have an annual TB test by any of the above methods. Documentation is required annually.
• Any learners with a history of BCG vaccine must have a T-spot or QuantiFERON Gold blood TB test annually and submit documentation.
• A learner who has a positive TB test but then has a negative Chest X-ray should be directed to the Assoc. Dean of Clinical Affairs, or their designee, for counseling and setting of parameters for follow up that is appropriate to the learner’s situation.
• A learner who only had a Chest X-ray but no TB test should be directed to the Assoc. Dean of Clinical Affairs, or their designee, for counseling and setting of parameters for follow up that is appropriate to the learner’s situation.
• Any learners with a reactive tuberculin skin test must have a Tspot or QuantiFERON Gold TB blood test.
  • If POSITIVE – Documentation of a Chest x-ray with NEGATIVE results and a physical examination indicating that the learner is free of active tuberculosis within six (6) months of the first day of class is required.
  • Learners with a POSITIVE TB test and a NEGATIVE chest x-ray will be evaluated for latent TB and required to comply with taking recommended medication under Direct Observational Therapy according to CDC guidelines. If at any time while in the program, should the latent TB convert to active TB, the learner will be placed on an immediate leave of absence.
  • Learners with a POSITIVE TB test and a NEGATIVE Chest x-ray will be evaluated for latentTB and required to comply with taking recommended medication under Direct Observational Therapy according to CDC guidelines. If at any time while in the program, should the latent TB convert to active TB, the learner will be placed on an immediate leave of absence.

This is an annual requirement during the flu season (September – March). It is required that learners get the flu vaccine each year while in the program no earlier than September 1 . Declinations are not acceptable.

UIWSOM requires learners to submit a completed and signed medical health history and physical examination form onthe approved UIWSOM form prior to matriculation by July 1 AND on a yearly basis. If there are any changes or updates to the medical history during the learner’s program of study, documentation must be submitted to Sentry MD. The information contained in the medical history and physical exam form will be used only by the UIWSOM for purposes of determining if a health threat/risk is posed for learners and/or patients during clinical experiences or clerkships. This confidential information will remain part of the secured learner file in Sentry MD.

First-year learners, if younger than the age of 22 years at matriculation, are required to have a record of the meningococcal vaccine.The learner must have been immunized within the past five (5) years prior to starting at the UIWSOM.

All learners are required to receive a complete series of the Hepatitis B vaccine. Either a standard Hepatitis B series (3 injections) or the expedited Hepatitis A and B (TWINRIX) combo series (4 injections), and antibody titer results showing immunity are required.

• If the Hepatitis B surface antibody titer is negative or nonreactive, the entire series must be repeated as well as antibody titer results.
• Learners who are non-responders should be considered susceptible to HBV and must be counseled by the Medical Director of UIWSOM Health Services. To be considered a non-responder, learner must upload documentation of two complete series and two negative or non-reactive titers to Sentry MD.

One dose of adult Tdap is required. If theTdap is more than ten (10) years old, a Td booster is required. Learners should receive decennial Td boosters, beginning ten (10) years after receiving Tdap.

Two vaccines of each component or the combo (MMR) following the first birthday AND lab report of positive antibody titer for all three (3) components is required.

• If the titer result is low or negative, learners will need two (2) doses of the MMR vaccine four (4) weeks apart.
• In cases of pregnancy or suspected pregnancy, DO NOT get the MMR vaccine, for low or negative titers. Medical documentation in writing of such instances is required to be submitted to Sentry MD and written notification given to the Office of Admissions and Student Affairs.

One of the following is required:

• Two (2) vaccines following the first birthday AND a positive titer result.

• Documented history of chickenpox AND a positive titer result.
  • If titer result is negative or equivocal, the learner will be required to submit evidence of a booster vaccine AND a repeat titer result.
  • Repeat titer results must be administered three (3) months after the booster vaccine.
  • Learners who are non-responders should be considered susceptible to Varicella and must be counseled by the Medical Director of UIWSOM Health Services. To be considered a non-responder, learner must upload documentation of two vaccines, a booster, and two negative or equivocal titers or documented history of chickenpox, a booster, and two negative or equivocal titers to Sentry MD.

Documentation of at least three (3) vaccinations of IPV/OPV - OR polio titer results.

• If polio titer results are equivocal or low, a booster vaccine of IPV is required.

The COVID-19 vaccine is strongly encouraged prior to matriculation. Medical students will participate in an EMT certification program and other clinical experiences that will require the vaccination.