Documentation of Immunizations, Immunity, and Physical Health
Matriculating students are required to set up an account with an LMU-DCOM contracted vendor who monitors, approves, and manages all required health forms and substantiating documentation. Applicants accepted for admission are required to submit medical history, physical examination, TB testing, and proof of immunity forms that have been completed, reviewed, and signed by a licensed health care provider (DO, MD, PA-C, NP) prior to matriculation. Students without the required immunizations and proof of immunity will not be permitted to actively participate in patient care activities until the requirements have been completed and authorized by a healthcare provider. Medical students must have basic health insurance coverage. The clinical sites where the students will be completing the third- and fourth-year rotations require all staff and students to have health insurance. Students who do not have up-to-date health insurance will not be allowed to participate in any activity that involves patient contact. This may result in the student not being able to fulfill the requirements of certain courses and activities, which could have a detrimental effect on the student’s progress.
*Yearly Requirements*: Students are required to submit proof of health insurance, complete a urine drug screen and influenza vaccine yearly in their CastleBranch© account.
LMU-DCOM, in conjunction with requirements of hospitals accredited by a CMS deemed accrediting body requires the following immunizations and proof of immunity, for which substantiating documentation must be provided, as described below. Documents that must be completed prior to matriculation include:
• LMU-DCOM Pre-matriculation Medical History completed and signed by the student and reviewed/signed by a licensed healthcare provider.
• LMU-DCOM Pre-matriculation Physical Exam Form, completed and signed by a licensed healthcare provider.
• Substantiating documentation (copies of laboratory results, immunization records, chart records of immunizations, etc.) must be submitted for the required immunizations.
• Records Release Form signed by the student authorizing LMU-DCOM to release health related information to affiliated training sites where the student will be rotating.
It is expected that all documentation be provided by the matriculating student to the LMU-DCOM Admissions Office, along with other required admissions documents by May 15th of the matriculating year, unless extenuating circumstances exist. The expense of immunizations is understood by LMU- DCOM, and necessity for booster vaccinations has been considered with the expectation that all files will be complete no later than the end of the first semester following matriculation. Any student not making a good faith effort to complete their immunization record by this time will not be permitted to register for second semester.
During the Spring semester of the first, second, and third years, students will be expected to provide a urine drug screen as a requirement for beginning clinical rotations. Any student not providing evidence of a urine drug screen and all other Castlebranch® requirements by April 15th will not be authorized to begin OMSIII/IV rotations until completed.
Required prior to matriculation:
- Proof of Tdap within last 10 years, over 10 years will require a booster
- Proof of Hepatitis B vaccine
- Proof of measles, mumps, and rubella vaccines OR Proof of immunity against measles, mumps, and rubella via qualitative or quantitative titers
- Proof of varicella vaccine OR Proof of immunity against varicella via qualitative or quantitative titers
Urine drug screen (14 panel testing) negative except for prescribed substances (Yearly Requirement)
Required prior to starting OMS-III rotations:
- Proof of immunity against measles, mumps, and rubella, if not provided at matriculation
- MMR 2 doses or Measles (2 doses), Mumps (2 doses) and Rubella (1 dose)
- Qualitative or quantitative antibody titers for MMR
- If any of the three components show insufficient immunity, a booster and recheck of titer six weeks later will be required
- Proof of immunity against varicella, if not provided at matriculation
- Varicella (Chicken Pox) 2 doses
- Qualitative or quantitative antibody titers for varicella
- History of infection is not considered proof of immunity
- If antibody titer is negative, booster vaccination and recheck of titer six weeks later is required
- Proof of immunity against hepatitis B, if not provided at matriculation
- Proof of completion of three injection series (takes seven months to complete) AND Qualitative or quantitative antibody titers showing immunity to Hepatitis B, ideally drawn 6-12 weeks after completion of three injection series
- If antibody titers are negative 6-12 weeks following completion of Hepatitis B series, a second series of three injections needs to be completed, with antibody titers drawn 6-12 weeks following completion • If antibody titers are negative following second series of three injections (per protocol), and proof of completion of two full series of vaccinations is provided, student will be considered a “non- responder” to Hepatitis B immunization
- Negative screening for tuberculosis within six months of starting rotations
- If prior history of tuberculosis, BCG vaccination, or positive PPD, must provide negative chest x-ray and/or QuantiFERON-TB Gold test within six months of starting rotations
- Urine drug screen (14 panel testing) negative except for prescribed medication
Note: Though proof of Hepatitis B immunity is not required until the start of rotations, if you have completed the Hepatitis B vaccination series, it is advisable to provide proof of immunity prior to matriculation.
Most rotation sites will require proof of COVID and/or other vaccinations. Students will upload vaccination documentation to E*Value. Students who are unable to comply with a training site’s vaccination requirement(s), due to declining the vaccine or inability to obtain a valid exemption accepted by the training site, may not be able to complete clinical rotations.