Compliance with the following physical and immunization standards is required prior
to your initial enrollment as a medical student.
I. PHYSICAL EXAMINATION
You must obtain a physical examination dated after your acceptance to medical school. The current physical examination form must be used and forwarded to the Office of Student Affairs. However, If you have had a physical examination within the last six months, you may have your Physician's office complete the current physical examination form. Please note that a statement from your physician stating that he/she examined you and found you to be in good health is not sufficient. Click here for the current physical examination form.
II. PROOF OF IMMUNITY FOR SPECIFIED INFECTIOUS DISEASES
A: Measles (Rubeola), Mumps, Rubella (German measles), Polio, Varicella (chicken pox)
To prove immunity, you must have the following information:
1) documentation of adequate immunization as described in table
Measles Mumps and Rubella
two doses of combined live MMR vaccine or alternately two doses of live Measles virus vaccine, one dose of live Rubella vaccine, and one dose of live Mumps virus vaccine
two doses of live Varicella vaccine or a blood serum titer test with results of the test with a numerical value that indicates immunity
2) laboratory evidence of immunity: date of the titer, results of the test with a numerical value for the presence of antibodies that indicates immunity, and name/location of the laboratory
3) documentation of physician-diagnosed measles
If you cannot prove immunity through the above means, immunization with MMR, Polio vaccine, and/or Varicella vaccine must occur.
B. Hepatitis B
To prove immunity, you MUST have documentation that you have completed the Hepatitis B vaccine series, which
consists of 3 inoculations taken over a 4 6 month period.
a blood serum titer test (quantitative Hepatitis B surface antibody) that demonstrates adequate antibody levels. Documentation of antibody testing must include:
* the date of the titer
* results of the test: this MUST include a numerical value for the presence of antibodies that indicates immunity, and name/location of the laboratory
Students failing to achieve immunity following completion of the vaccine series, will be undergo a second series of vaccinations and follow-up blood serum testing.
III. OTHER REQUIREMENTS
- Diphtheria-Pertussis-Tetanus (DPT)
You must provide documentation that you completed the initial (i.e., childhood) series of vaccinations. This series consists of three doses of combined vaccine and should have been received in childhood. Students unable to provide such documentation will be required to complete the adult Tetanus-Diphtheria vaccination series.
- Tetanus-Diphtheria-Pertussis (Tdap)
You must provide documentation that you have received at least one Adult booster vaccine within the past 5 years (after 6/1/07).
- Tuberculosis (TB)
You must obtain a test for TB (by the Mantoux method) dated after your acceptance to medical school and forward documentation of the test results to the Office of Student Affairs. The results must include the date, the results and the location of the facility where the results were read.
If the results of your TB test are positive, or if you have a history of being PPD-positive, you will be required to obtain a chest x-ray and forward a report of the findings including the status of any INH therapy.
I V. SUGGESTED VACCINATIONS
- Meningococcal vaccine is required for students residing in a dormitory on ETSU campus. Refusal
of the vaccine must be documented by signing the attached waiver form.
- Annual Influenza vaccine is required of all QCOM students.
ALL DOCUMENTATION MUST BE UPLOADED TO:
myRecordTracker at https://www.myrecordtracker.com/