Immunizations and Other Health Information


Policy 670.10


Policy Statement


All medical students are expected to maintain a compliant immunization status from matriculation through graduation by having completed all tests and immunizations required by the institution and recommended by the Centers for Disease Control (CDC).

Policy Elaboration


Students at the Larner College of Medicine use the Association of American Medical College’s (AAMC) Standardized Immunization Form to document their related records. This form is founded on the CDC’s vaccination recommendations for healthcare workers and informed by extensive research with medical colleges who host visiting students.

The completed form all supporting documentation should be directed to University of Vermont Student Health Services (UVM SHS) at the Center for Health and Wellbeing, 425 Pearl St., Burlington, VT 05401 or via the University of Vermont's File Transfer Service to  UVM SHS. UVM SHS will clinically review submitted records and determine the compliance status for medical students. SHS maintains all health-related records on the mywellbeing.uvm.edu platform. They also note the compliance status for incoming students via the OASIS platform.

Students are responsible for the cost of any necessary testing or immunizations, not covered by their health insurance. Documentation of the students’ immunizations, antibody status and tuberculosis testing status will be provided to the appropriate offices at affiliated hospitals at which clinical education is conducted. Some UVM clinical training sites may require additional immunizations and rotation assignments are not adjusted based on immunization status.

Entering Medical Students

Students will not be permitted to start classes at the Larner College of Medicine without providing evidence of compliant immunization records. For the safety of patients and students alike, this policy is strictly enforced. Entering medical students are required to demonstrate evidence of having completed the following tests and immunizations by August 1 of their matriculation year:

  • COVID-19: All University of Vermont (UVM) students are required to be fully vaccinated for COVID-19. Please review the UVM Forward Student Vaccine Information webpage for related guidance.
  • MMR (Measles, Mumps, Rubella): Two doses of MMR vaccine or two doses of Measles, two doses of Mumps and one dose of Rubella; or serologic proof of immunity for Measles, Mumps and/or Rubella.
  • Tetanus-diphtheria-pertussis: One dose of adult Tdap, regardless of date of last Td. If last Tdap is more than 10 years old, provide date of last Td and Tdap.
  • Tuberculosis Screening: Results of last two step TSTs (PPDs) or one IGRA blood test are required regardless of prior BCG status within three months of the August 1 deadline for incoming students. If you have a history of a positive TST (PPD)>=10mm or IGRA please supply information regarding any evaluation and/or treatment. Please review the Tuberculosis Skin Testing policy for more information.
  • Varicella (Chicken Pox): Two doses of vaccine or positive serology.
  • Influenza Vaccine: One dose annually each fall.
  • Hepatitis B Vaccination: Three doses vaccination followed by a quantitative Hepatitis B Surface Antibody (titer) preferably drawn 4-8 weeks after third dose. If negative, complete a second Hepatitis B series (3 dose requirement) followed by a repeat titer. If Hepatitis B Surface Antibody is negative after a secondary series, additional testing including Hepatitis B Surface Antigen should be performed. Please review the CDC Recommendations for more information. Documentation of Chronic Active Hepatitis B is for rotation assignments and counseling purposes only.
Hepatitis B Exception

Students will be allowed to enter clinical settings prior to completion of their six-month hepatitis B series only if documentation has been provided demonstrating that they are in the process of completing the requirements and have arranged a plan with the Center for Health and Wellbeing to fulfill the requirements as soon as possible. Failure to meet deadlines and obligations as outlined in an approved exception plan is viewed as a violation of professional expectations and will result in an ‘out of compliance’ immunization status and may necessitate removal from the curriculum. Students who are repeatedly notified that they are ‘out of compliance’ will be referred to the Fitness Committee for professionalism concerns.

Active Medical Students (Post-Matriculation)

After matriculation all medical students are expected to maintain a compliant immunization status. This includes documenting evidence of having completed the following tests and immunizations:

  • COVID-19: All University of Vermont (UVM) students are required to be fully vaccinated for COVID-19. Please review the UVM Forward Student Vaccine Information webpage for related guidance.
  • Influenza Vaccine: One dose annually each fall. The University of Vermont will provide a flu shot clinic at an appropriate time. Students not immunized at the clinic should seek flu vaccine from their primary health care clinicians, local healthcare network or other community resources.
  • N95 Mask Fitting: All students will be scheduled, prior to clinical assignments, for training and fit-testing with N95 respirators to be used when caring for patients known or thought to be infected with an illness requiring airborne precautions.
  • Tuberculosis Screening: When providing documentation for clinical away rotations, please note that skin test or IGRA results should not expire during proposed elective rotation dates or they must be updated with the receiving institution. TB screening is typically required within three months prior to the rotation. Please review the Tuberculosis Skin Testing policy for more information.

UVM SHS recommends that students keep a copy of their completed AAMC Standardized Immunization Form and associated paperwork for their personal records. These may be needed for Doctoring in Vermont placements and/or for away rotations. NOTE: If a student is planning international travel for credit, they should be seen in a travel clinic to discuss their travel plans and associated health risks.

Applicability of the Policy


All Medical Students

Related Larner College of Medicine Policies


Related University of Vermont Policies


Related Liaison Committee on Medical Education (LCME) Standard(s)


12.7 Immunization Requirements and Monitoring

History


  • 5/20/2014 Policy Adopted/Affirmed [Medical Curriculum Committee]
  • 7/1/2014 Policy Revised [Medical Curriculum Committee]
  • 10/8/2015 Policy Revised [Medical Curriculum Committee]
  • 5/24/2016 Policy Revised [Medical Curriculum Committee]
  • 6/20/2017 Policy Revised [Medical Curriculum Committee]
  • 12/18/2018 Policy Revised [Medical Curriculum Committee]
  • 6/18/2019 Policy Revised [Medical Curriculum Committee]
  • 12/17/2019 Hyperlinks updated (UVM migration) [Medical Curriculum Committee]
  • 04/26/2022 Policy Revised [Medical Curriculum Committee]

Policy Oversight


Associate/Assistant Dean for Students (Director of Student Well-being)

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