MUSC GME Resident Handbook

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Graduate Medical Education  2008-2009

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Resident Handbook Introduction

Letter of Committment/
Accreditation Status Disclaimer

Administration & Governance - Graduate Medical Education Programs

Policies & Procedures

Salaries & Benefits

MUSC Policies

Appendix 1

Appendix 2

Appendix 3

VACCINES

STATEMENT OF POLICY

Residents are required to have a physical exam with Medical University Employee Health Services. All immunization records are required the day of the exam. If residents do not bring previous immunization records, he/she will receive all necessary vaccines on arrival. Physical exams will be limited to examination of those organ systems whose impairment will substantially impact the ability of the resident to perform the essential duties of the job.

Measles      A. Born before 1957:
                        1. Documented measles or MMR given after 1967

                     B. Born in or after 1967,
                        1. Two documented live measles given after 1967, OR
                        2. Two documented MMR vaccines, OR
                        3. Documented positive titer
                        4. If none of the above, vaccination WILL be required.

Rubella        1. One Documented Rubella, OR
                     2. One documented MMR vaccine, OR
                     3. Documented positive titer.

Varicella      1. Reports past history of Chicken Pox or positive titer.
                      2. If negative history or unknown, perform titer.
                      3. If non-immune, vaccinate with two doses.

Tetanus       1. Reports Tetanus booster within the past ten years
                      2. If not, vaccinate Document refusals

Hepatitis B Recommended for employees with expected blood/body fluid contact.

                     1. Documentation of dates vaccine given
                     2. Sign declination if refusing vaccine or have had the vaccine in
                     the past and do not have documentation.
                     3. If unknown, titer. If titer negative, vaccinate.

TB                 1. Documented PPD skintesting within the last three months
                     2. New employees over 40 years may have 2 STEP PPD testing
                     initiated.
                     3. Persons with a positive or newly positive PPD must:
                     A. Show documentation of a past positive
                     B. Provide Carolina Center for Occupational Health with a
                     clear CXR report at or following the time of the PPD conversion.
                     C. Document a TB sign and symptom sheet

Vision          1. Color Discrimination testing for all clinical personnel
                     performing reading for urine dip, glucose, hemocult, etc.