Medical Student Handbook

Table of Contents Handbook Homepage POLICIES & GUIDELINES - Privacy & Access to Academic Records - Disabilities Technical Standards Policy - Assistance for Individual w/Disabilities - ADA Ombudsperson - Mistreatment of Medical Students - Sexual Harassment - Assessment Data - Religious Observance - The U.S. Medical Licensing Examination - Alcohol Use On School of Medicine Property - Impairment Due to Substance Abuse - Self Disclosure in the Course of Learning - Confidentiality - Teaching Exercises with Student Subjects - Video Equipment Use - Regulatory, Health and Other Requirements --- Infection Control --- In-Service Education Competency Exam --- Certification in Use of Clinical Information System --- Medical Student CPR Certification --- University Health Requirements MD Student Responsibility, Conduct, & Academic Policies ACADEMIC ISSUES - Verification of Eligibility for Matriculation - Verification of Academic Credentials - Completion of Required Experiences - Remedial Work - Completion of Academic Deficiencies - Grading Policy up to Class of 2002 - Double Helix Grading Policy - Student Assessment Guide --- Comprehensive Assessments - MD with Distinction - AOA and Dean's Letter Rankings - In-Depth Experience - Plagiarism - Absences from Classes & Academic Responsibilities - Policy on Time Away From Clerkships - Class Attendance - Leaves of Absence - Year-Out Fellowships - Drop/Add Deadline Policy SUPPORT SERVICES - Academic Support Services - University Health Service - Counseling and Mental Health Services - Chaplain's Office - Division of Medical Informatics - Women in Science, Dentistry & Medicine (WISDM) - Assistance for Pregnant Medical Students - Miner Library ADVISING & STUDENT ENRICHMENT PROGRAMS - Advisory Dean Program - Student Enrichment Programs - Student-Sponsored Symposium CONSUMER & LEGAL ASSISTANCE - Integrity Hotline - University Housing - Executing Legal Documents - Consumer and Legal Assistance OFFICES FOR MEDICAL EDUCATION - Medical Education - Student Services Center - Advisory Deans - Student Affairs Office - Registrar's Office - Financial Aid Office - Bursar's Office - Office for Ethnic & Multicultural Affairs - Admissions Office - Medical Alumni Affairs - Student Enrichment Programs - Graduate Studies - Offices for Educational Research - Curricular Affairs Office - Facilities for Students - Student Computing DOUBLE HELIX CURRICULUM MEDICAL EDUCATION OBJECTIVES

• WASH hands before and after all contact with patients. Consider all blood, visibly bloody secretions and fluids and genital secretions from ALL PATIENTS to be infectious.
• GLOVES are required for all anticipated contact with human blood, body fluids, or mucous membranes.
• CHANGE GLOVES and wash your hands after each procedure and before contact with another patient.
• WEAR MASK OR GOGGLES when blood or body fluids may splash into your face.
• WEAR WATERPROOF GOWN when blood or body fluids may soak through a cloth gown.
• YOU ARE RESPONSIBLE for properly disposing of any sharps or infectious materials you have used.

For Tuberculosis: N95 respirator masks are required for potential tuberculosis exposures.

DEFINITION

Definition of blood and body fluids (for bloodborne pathogens):

• Human blood and blood products
• Semen and vaginal secretions
• Cerebrospinal fluid (CSF), synovial fluid, peritoneal fluid, pericardial fluid, amniotic fluid
• Saliva in dental procedures (assume blood contamination)
• Any body fluid visibly contaminated with blood
• Any unfixed human tissue or organ
• HIV-containing cell, tissue, or organ cultures or solutions, and blood, organs, or other tissues from experimental animals infected with HIV or hepatitis B virus (HBV)

Notice that other body excretions such as saliva, urine, stool, vomitus, and respiratory secretions are not included on this list (unless visibly contaminated with blood). However, many of these excretions present other infectious hazards.

UNIVERSAL PRECAUTIONS APPLY TO ALL EXPOSURES TO BLOOD, BODY FLUIDS, TISSUES AND SECRETIONS.

PROCEDURE FOR BLOOD/BODY FLUID EXPOSURE:

1. WASH OR IRRIGATE IMMEDIATELY IF EXPOSED TO BLOOD OR BODY FLUIDS
   • Intact skin: wash with soap and water.
   • Non-intact skin, needlestick or cut: wash with soap and water, then 3% hydrogen peroxide or iodophor (BETADINE®).
   • Mouth: rinse well with 3% hydrogen peroxide (if available), then water.
   • Eyes: rinse with sterile water, saline or tap water.
2. REPORT IMMEDIATELY
   Call UHS Occupational Health Exposure Hotline at 275-1164 ASAP including nights/weekends/holidays

   Leave the following information on phonemail when prompted:

   • Your name & social security number
   • Phone number
   • Student status
   • Hospital where exposure occurred & name of source patient
   • Date of exposure
   • Type of exposure (ex: needlestick, scalpel cut, splash in eyes, etc.)

   Weekdays: The UHS Occupational Health Nurses (Bonnie Smith/Maureen Mehlenbacher) will give you further instructions for follow-up care. The OH Nurse is available Monday-Friday, 8:00 AM to 5:00 PM.

   Nights/weekends/holidays: Phonemail will give you further instructions. A UHS on-call physician is available for consultation and coordination of ongoing treatment as needed.

3. EXPOSURE AT SMH
   See instructions in #2
4. EXPOSURE AT AFFILIATED SITES

   If initial treatment & counseling is done at an affiliated site, students must notify the UHS exposure hotline (275-1164) ASAP to coordinate proper follow-up and to make sure the bills will be paid.

   Students should also discuss any exposure with the hospital's employee health office, instructor and the infection control office in the institution where the incident occurred.

   The Genesee Hospital
   Employee Health: 922-6071
   After hours: contact nurse supervisor

   Highland Hospital
   Employee Health: 341-8017
   After hours: contact nurse supervisor

   Monroe Community Hospital
   Employee Health: 760-6208
   After hours: contact nurse supervisor

   Park Ridge Hospital
   Employee Health: 723-7000 x4082
   After hours: contact nurse supervisor

   Rochester General Hospital
   Employee Health: 338-4026
   After hours: contact nurse supervisor

   St. Mary's Hospital
   Employee Health: 464-2081
   After hours: contact nurse supervisor

   OTHER INFECTIOUS DISEASES

   If you think you have been exposed to any of the following diseases, please contact the UHS Occupational Health Nurse for follow-up investigation:

   Chickenpox/zoster
   Meningococcal disease
   Pertussis
   Scabies
   Tuberculosis
   

   If you are ill, there are certain conditions that may limit your contact with patients. If you think you have any of the following conditions, please contact the UHS Occupational Health Exposure Hotline at 275-1164 about the advisability of working with patients:

   Chickenpox or shingles
   Conjunctivitis
   Diarrheal illness
   Measles
   Skin infections
   Upper respiratory illness with fever

   New-OHG8-MEDr
   revised 4/96
   reviewed 9/97
   revised 4/98
   revised 10/99