Medical schools and immunization policies: missed opportunities for disease prevention.
Identifieur interne : 000C49 ( Main/Exploration ); précédent : 000C48; suivant : 000C50Medical schools and immunization policies: missed opportunities for disease prevention.
Auteurs : G A Poland [États-Unis] ; K L NicholSource :
- Annals of internal medicine [ 0003-4819 ] ; 1990.
Descripteurs français
- KwdFr :
- MESH :
- normes : Écoles de médecine.
- prévention et contrôle : Épidémies de maladies.
- épidémiologie : Canada, Maladies transmissibles, États-Unis.
- Contrôle des maladies transmissibles, Humains, Immunisation, Politique de santé.
- Wicri :
- geographic : Canada, États-Unis.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Canada, United States.
- epidemiology : Communicable Diseases.
- prevention & control : Disease Outbreaks.
- standards : Schools, Medical.
- Communicable Disease Control, Health Policy, Humans, Immunization.
Abstract
OBJECTIVE
To describe current immunization requirements and policies in North American medical schools both at matriculation and before students begin clinical clerkships.
DESIGN
Survey of all allopathic medical schools in the United States and Canada.
PARTICIPANTS
One hundred and fifteen medical schools.
MEASUREMENTS AND MAIN RESULTS
Twenty-eight percent of medical schools had no immunization requirements for matriculating medical students. Thirty-one percent of the schools had no rubella immunity requirement, 40% had no measles immunity requirement, and 44% had no polio immunity requirement for matriculating students. For students beginning clinical clerkships, 18%, 35%, and 40% of schools did not require rubella, measles, and polio immunity, respectively. Only 19% and 4% of schools required hepatitis B and influenza immunizations, respectively, at any time during training. Between 20% and 30% of schools accepted student self-report as evidence of rubella and measles immunity.
CONCLUSIONS
Despite expert guidelines, current medical school immunization policies for matriculating medical students are inadequate. Methods to assess, monitor compliance with, and facilitate student immunization are needed. Medical schools should review their immunization policies to comply with published guidelines.
DOI: 10.7326/0003-4819-113-8-628
PubMed: 2400169
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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of internal medicine</title><idno type="ISSN">0003-4819</idno><imprint><date when="1990" type="published">1990</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Canada (epidemiology)</term><term>Communicable Disease Control (MeSH)</term><term>Communicable Diseases (epidemiology)</term><term>Disease Outbreaks (prevention & control)</term><term>Health Policy (MeSH)</term><term>Humans (MeSH)</term><term>Immunization (MeSH)</term><term>Schools, Medical (standards)</term><term>United States (epidemiology)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Canada (épidémiologie)</term><term>Contrôle des maladies transmissibles (MeSH)</term><term>Humains (MeSH)</term><term>Immunisation (MeSH)</term><term>Maladies transmissibles (épidémiologie)</term><term>Politique de santé (MeSH)</term><term>Écoles de médecine (normes)</term><term>Épidémies de maladies (prévention et contrôle)</term><term>États-Unis (épidémiologie)</term></keywords><keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Canada</term><term>United States</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Communicable Diseases</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Écoles de médecine</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Disease Outbreaks</term></keywords><keywords scheme="MESH" qualifier="prévention et contrôle" xml:lang="fr"><term>Épidémies de maladies</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Schools, Medical</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Canada</term><term>Maladies transmissibles</term><term>États-Unis</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Communicable Disease Control</term><term>Health Policy</term><term>Humans</term><term>Immunization</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Contrôle des maladies transmissibles</term><term>Humains</term><term>Immunisation</term><term>Politique de santé</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Canada</term><term>États-Unis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To describe current immunization requirements and policies in North American medical schools both at matriculation and before students begin clinical clerkships.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>Survey of all allopathic medical schools in the United States and Canada.</p></div><div type="abstract" xml:lang="en"><p><b>PARTICIPANTS</b></p><p>One hundred and fifteen medical schools.</p></div><div type="abstract" xml:lang="en"><p><b>MEASUREMENTS AND MAIN RESULTS</b></p><p>Twenty-eight percent of medical schools had no immunization requirements for matriculating medical students. Thirty-one percent of the schools had no rubella immunity requirement, 40% had no measles immunity requirement, and 44% had no polio immunity requirement for matriculating students. For students beginning clinical clerkships, 18%, 35%, and 40% of schools did not require rubella, measles, and polio immunity, respectively. Only 19% and 4% of schools required hepatitis B and influenza immunizations, respectively, at any time during training. Between 20% and 30% of schools accepted student self-report as evidence of rubella and measles immunity.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Despite expert guidelines, current medical school immunization policies for matriculating medical students are inadequate. Methods to assess, monitor compliance with, and facilitate student immunization are needed. Medical schools should review their immunization policies to comply with published guidelines.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">2400169</PMID><DateCompleted><Year>1990</Year><Month>10</Month><Day>18</Day></DateCompleted><DateRevised><Year>2019</Year><Month>06</Month><Day>19</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">0003-4819</ISSN><JournalIssue CitedMedium="Print"><Volume>113</Volume><Issue>8</Issue><PubDate><Year>1990</Year><Month>Oct</Month><Day>15</Day></PubDate></JournalIssue><Title>Annals of internal medicine</Title><ISOAbbreviation>Ann. Intern. Med.</ISOAbbreviation></Journal><ArticleTitle>Medical schools and immunization policies: missed opportunities for disease prevention.</ArticleTitle><Pagination><MedlinePgn>628-31</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To describe current immunization requirements and policies in North American medical schools both at matriculation and before students begin clinical clerkships.</AbstractText><AbstractText Label="DESIGN" NlmCategory="METHODS">Survey of all allopathic medical schools in the United States and Canada.</AbstractText><AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">One hundred and fifteen medical schools.</AbstractText><AbstractText Label="MEASUREMENTS AND MAIN RESULTS" NlmCategory="RESULTS">Twenty-eight percent of medical schools had no immunization requirements for matriculating medical students. Thirty-one percent of the schools had no rubella immunity requirement, 40% had no measles immunity requirement, and 44% had no polio immunity requirement for matriculating students. For students beginning clinical clerkships, 18%, 35%, and 40% of schools did not require rubella, measles, and polio immunity, respectively. Only 19% and 4% of schools required hepatitis B and influenza immunizations, respectively, at any time during training. Between 20% and 30% of schools accepted student self-report as evidence of rubella and measles immunity.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Despite expert guidelines, current medical school immunization policies for matriculating medical students are inadequate. Methods to assess, monitor compliance with, and facilitate student immunization are needed. 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