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Annual Physical Examination
Exposure to Infectious and Environmental Hazards
Blood-Borne Pathogens Exposure
HIV Testing
Health Insurance Policy
Monitoring and Documentation of Requirements
Disease Surveillance and Immunization Requirements
Immunizations
Student Health Center
All SOM students are required to submit a completed Health History Form prior to their first day of enrollment. This form includes a physical exam, health history and record of immunizations. It must be completed by the student and a health care practitioner, and must be signed and dated by both.
Each subsequent year of enrollment, all SOM students are required to have an annual physical assessment, which includes a physical exam, PPD update and proof of current health insurance. Physical assessment forms are available in the Student Affairs Office, and should be submitted there upon completion.
Compliance with this policy is monitored on C-Base. The date of a student’s most recent physical assessment will be entered on C-Base upon submission of a completed assessment form to the Student Affairs Office. Students will be notified by e-mail one month prior to the expiration date of that assessment. The Academic Affairs Offices at all clinical affiliates will have access to this C-Base information and can monitor compliance prior to the beginning of each rotation or sub-internship.
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Exposure to Infectious and Environmental Hazards Policy
Contact with patients is an integral part of the medical education at SUNY Stony Brook. Contact with patients may entail exposure to hazards, including exposure to patients with contagious diseases that can be transmitted to students and other health-care 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, Stony Brook Medical School seeks to reduce incidents of students' exposure to infectious diseases and environmental hazards. For example, students are required to obtain the hepatitis B vaccine prior to enrollment into medical school and receive a skin test for tuberculosis intermittently throughout medical school. Mandatory educational sessions on universal precautions for blood-borne pathogens are provided within the first week of the first year for entering students, in the second year as part of our Medicine in Contemporary Society Course and for students as they enter the core clinical clerkship year of studies. Information about safety and response to exposure to infectious agents or hazardous substances is presented during the orientation programming for entering students, in the second year as part of the curriculum inn MCS 2 and at entry into the third year of the curriculum. 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 number. Students receive training in proper blood-drawing techniques and patient-isolation policies prior to the intense clinical exposure in the third and fourth years of medical school. 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.
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(Refer to the special policy on Exposure to Blood Borne Pathogens)
Students who have been exposed to a blood borne pathogen must complete an incident report and follow the instructions at the associated web site. If
exposed while training at University Medical Center during the week, go to Occupational Medicine for evaluation and counseling. If the incident occurs
on weekends or after hours report to the Emergency Department. If the exposure occurs anytime at our major affiliates, students should report to the
Emergency Department of that hospital. There may be some differences in the procedures after exposures to blood borne pathogens at clinical training
site out of the Stony Brook system and students rotating at away sites should find out the proper procedures when beginning a rotation. All affiliates
are required to provide emergency care.
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HIV Testing
HIV testing is not required. The HIV Testing Policy for health care 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:
Health care providers who are students of the University who need to be tested will be referred to Occupational Medicine or the Student Health Service. Testing is anonymous and confidential.
Test Results
To provide confidentiality, written test results will be mailed (in an envelope marked "confidential") or given in person to the ordering health care 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 out patient setting for receipt of this
information.
HIV Testing of a Source Patient
Written, informed consent must be obtained before a licensed physician, nurse practitioner, nurse midwife, or physician's assistant may order an HIV-related test
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Health Insurance Policy
All Stony Brook Medical School students who are enrolled in full-time degree or certificate programs are required to obtain health insurance for inpatient
and outpatient care. Medical students need the protection of a comprehensive health insurance policy in order to maintain their own health during their
training. It is particularly important for medical students to have this protection because the University cannot be responsible for any expenses or
losses associated with care and treatment after exposure to infections or environmental hazards encountered during the course of medical training. The
Student Health Insurance Committee annually endorses a specific insurance plan. Currently that plan is Empire Blue Cross/Blue Shield. Information about
the plan can be found through Prestige Health Insurance Plan Web Site. All medical students, except
those currently covered under the health insurance policy of a parent or spouse, must enroll all four years with a plan from a list available in the
Office of Student Affairs. However, students should be aware that not all Stony Brook University Medical Center and its associated PCs are covered by
the student health fee.
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The Division of Occupational and Environmental Medicine (DOEM) can perform immunizations needed to meet the schools requirements. The offices of The Division of Occupational and Environmental Medicine (DOEM) are located on Nesconset Highway (Rt. 347) one light west of Nicholls Road, in Stony Brook Medical Park, Building 9 (use entrance on right side of building).
For inquiries or appointments call (631) 444-2167 or fax (631) 689-6211
Their Mailing Address:
Center for Occupational and Environmental Medicine
2500 Rt. 347 Suite 9
Stony Brook NY 11790
Students needing immunizations or Tuberculin tests may make an appointment to do so. Tuberculin tests must be read in 48-72 hours. Because of the restricted time needed to read the test results, students should consider holidays falling on Mondays and Fridays when making appointments.
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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 intradermal 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 Services or DOEM 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 Division of Occupational and Environmental Medicine. Students who are not in compliance will be
barred from participation in clinical activities regardless of the clinical site. Should a student develop symptoms suggestive of tuberculosis, a chest
radiograph 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 the student be fitted for a micro particulate respirator (HEPA). At this time, these masks are not required at all clinical sites.
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Immunizations
Hepatitis B
All medical students are required to have been immunized against Hepatitis B. Hepatitis B immunization consists of a series of three injections that should be completed prior to or as soon as possible after matriculation to insure safety at the time of patient contact. Students who are not in compliance will be barred from participation in clinical activities.
Rubella
Rubella immunity via history or documented vaccine or serologic titer is required before a student will be allowed to participate in clinical activities.
Rubeola
Rubeola immunization is required for all students born after 1957. Students must provide physician documentation of 1) the natural disease, 2) receipt of two (2) doses of vaccine, or 3) serologic evidence of immunity is required before a student will be allowed to participate in clinical activities.
Mumps
Mumps immunization is required. A physician documented history of immunization; disease or documented evidence for immunity must be met is required before a student will be allowed to participate in clinical activities.
Polio, Tetanus, Diphtheria
Students should be current in immunization against polio, tetanus and diphtheria is required before a student will be allowed to participate in clinical activities.
Varicella
Students with a history of varicella should have a it documented. Students without a history of varicella must have a titer for varicella antibody determined. Students with a negative titer are recommended to undergo varicella immunization.
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The Student Health Service at the State University of Stony Brook is your on-campus source for meeting your primary health care needs. Our staff of physicians, physician assistants, nurse practitioners, nurses, social workers, health educators, laboratory technologists, and technical and administrative staff are dedicated to our mission of providing students with quality medical care, and the services necessary to optimize preventative health and wellness. http://studentaffairs.stonybrook.edu/shs/healthrequirements Student insurance is billed and students are responsible to cover the cost of any co-pay or uninsured services.
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