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Section 5: Student Affairs and Resources

Section 5: Student Affairs and Resources



Introduction to Student Affairs Office

Student Affairs Staff

Assisting with Compliance

Immunizations and Testing

Health Insurance

Disability Insurance

Respirator Fit Testing and Universal Precautions Training

Criminal Background Checks

             US Students

             Canadian Students

Student Affairs Services

Financial Aid Counseling

Career Counseling

Academic Assistance

             Years 1 and 2

             Other Resources/CMU Resources

                         Success Coaches

                         Writing Center

                         Psychology Training and Consultation Center

                         Counseling

                         University Health Services

                         Disability Services

Faculty Advisor Program

Mentor Program

Wellness Program

Student Organizations and Government

USMLE Information and Prep

Residency Application Assistance

Health Resources and Infection Exposure Protocol

                 CMU Healthcare and Counseling Resources

                              Medical Services on Campus

                              Counseling Services on Campus

                              Exposure to Infections and Environmental Hazards

                  Blood Borne Pathogens

Introduction to Student Affairs Office

The Office of Student Affairs welcomes you! We are committed to supporting our students through medical school with a variety of services including career counseling, financial aid counseling, academic assistance, referrals to health and counseling services, advisement of student organizations, USMLE prep, residency application assistance, and student well-being programming.  The office also assists with student compliance of required health records prior to the start of classes as well as any injuries or exposures incurred during clinical training.

 

We are conveniently located on the first floor, so please stop in and get to know us and what we have to offer. 

Student Affairs Staff

Interim Associate Dean of Student Affairs

Joel H. Lanphear, PhD

Assistant Dean of Student Affairs

Sarah Yonder, M.D.

Director of Student Affairs

Charmica Abinojar     
          

Senior Associate Director of Financial Aid

Chris Brown

Administrative Assistant

To be determined

Admissions

Chris Austin, Director

Jennifer Paulke, Assistant Director

Melissa Bussear, Executive Administrative Assistant

Assisting with Compliance

Our office oversees compliance of all matriculated CMED students. The following requirements must be met to be in good standing: documentation of required immunizations and health insurance coverage, yearly TB testing, universal precautions training, respirator fit testing, and criminal background checks. Some of the trainings/testing will take place during the first semester.

Immunizations and Testing

Protection against infection is critical to protect students and the patients they care for. All medical students must provide evidence of adequate immunization prior to beginning classes. Proof of immunity includes written documentation of immunizations (dates of vaccines) or positive antibody titers. Incoming students will receive forms to fill out and return to the University Health Services for review. UHS will contact students who are not up-to-date and notify the Office of Student Affairs prior to orientation. The vaccines can be administered at University Health Services, the students' primary care providers, or local health departments. Please remember that the hepatitis B series is given over 6 months. Health care workers, including medical students may only begin clinical experiences after 2 doses have been administered. Utilizing guidelines from the CDC, Immunization Action Coalition, and other expert recommendations, the following are required:

 

Tetanus/diptheria and Tdap: All students need to have documentation of the childhood series and need to have a Tdap booster in the past 10 years, not a standard Td booster.

 

MMR (Measles, Mumps, and Rubella): Students must provide proof of either: two doses of live attenuated measles, mumps, rubella vaccine or if no combined vaccines, then 2 doses of live measles and mumps , at least 28 days apart after the age of 12 months and at least one dose of live rubella vaccine OR proof of positive immune titers.

 

Meningococcal: Students age 21 years and under must provide proof of immunization against meningococcal meningitis (Menactra, Menveo, or Menomune) since turning 16 years of age even if a vaccine dose was given at an earlier age.

 

Varicella: All students must provide proof of Varicella immunity either by provider-documented proof of disease, proof of having received the two-shot series, or a positive immune titer.

 

Hepatitis B: All students must provide proof of having received the 3-shot Hepatitis B series, or proof of immunity.

 

Students completing their vaccine series must obtain a Hepatitis B titer (Hepatitis B surface antibody) 1 to 2 months after their third vaccine to determine if additional doses are necessary.

 

Titer testing is not routinely recommended for previously vaccinated health care workers/students who were not tested 1–2 months after their original vaccine series. These workers/trainees should be tested for the antibody when they have an exposure to blood or body fluids. If found to be antibody negative, they should be treated as if susceptible.

 

Students with a negative Hepatitis B surface antibody titer after the initial 3-dose series, tested 1 to 2 months after the third dose will require Hepatitis B surface antigen testing to rule out acute or chronic Hepatitis B infection.

 

Those with a positive Hepatitis B surface antigen will have appropriate counseling and a recommendation to seek medical evaluation will be made.

 

Polio: All students must provide proof of immunization given for polio. Childhood immunization series meets requirement.

 

Influenza: All students are required to have the vaccine annually. This will be arranged through University Health Services along with TB testing.

 

Tuberculosis Test: Students will receive the 2 step TB test as this is the preferred initial test for adults who will be tested on a regular basis such as health care trainees/workers. This will be coordinated through UHS. The 1 step TB test will be performed annually after this. A history of BCG vaccine does not exempt you from completing the 2 step test.

 

Students will fall into one of these categories:

        If you have no history of a 2-step TST(TB skin test), you will need to complete two TST's 

        If you have had a 2-step TST in the past, please provide this documentation of your 2-step TST – only one TST is required to be completed annually after a 2 step

        If you have had a previous TST within the current year, please provide this documentation - only one TST is required to be completed in the same year (this will be the second step)

 

A negative Quantiferon TB Gold Test is also acceptable instead of negative TB tests.

                                 

If a student has had a positive skin test prior to matriculation, a documented treatment plan and a negative chest x-ray are required. A negative or non-reactive skin test or chest x-ray reports done outside the United States will not be accepted.

 

Students with a history of a reactive Tuberculin skin test or blood test must provide a current chest x-ray (taken since their last positive TB test but within three months prior to enrollment or visiting), indicating that the person is free of active tuberculosis.

 

Any students with a positive TB screening test or positive TB test in the past will be referred to University Health Services for further instruction and follow up.

 

Students without immunization documentation, and/or negative titers are considered non-immunized and will be required to have the following vaccines:

        Hepatitis B vaccines: 3 doses within 6 months

        MMR: 2 doses

        Varicella: 2 doses

        TD/Tdap: 3 doses:  1 of these being Tdap, other 2 doses TD

        Polio (if born outside US): 3 doses

        Influenza: annually         

Health Insurance

Health insurance will be required for all medical students and a school plan is available.  It covers student health care needs provided at University Health Services and elsewhere as stipulated per plan. Students will be responsible for payment of the insurance premiums and these premiums will be added to your tuition bill unless proof of comparable coverage is furnished. CMED is partnering with Collegiate Risk Management to provide a comprehensive insurance plan for our students.  Please go to www.collegiaterisk.com and under "Enter School Name" type in "CMU" to see the details of the plan. The specific covered benefits and exclusions are found there.

 

As part of insurance coverage, all medical students are required to have needlestick coverage and disability insurance, regardless if students buy the school or have a comparable plan. Premiums for these coverages will automatically be added to a student's tuition bill. See below for more information about disability coverage. More information about both coverages can be found on the Collegiate Risk Management site as noted above.

 

Students may also satisfy the health insurance requirement by documentation of a valid medical insurance plan already in effect. Students can check if their current plan meets the requirements and, if so, sign a waiver on the Collegiate Risk Management website under the CMU plan. Evidence of current coverage which meets the requirements must be supplied. Acceptable evidence of coverage includes a letter from the current insurance company on their letterhead stating a student is covered or proof of eligibility benefits from the employer of the individual who lists the student as a dependent. This should also be on the employer's letterhead. For both, the effective dates of the plan should be included. If a student opts to waive out of the plan, after signing the online waiver as noted above, documentation of comparable coverage should be mailed to the following address:

 

Central Michigan University

College of Medicine - Office of Student Affairs

Attention: Director of Student Affairs

1401 CMED 

Mt. Pleasant, MI 48859

 

We recommend that your current policy deductible is no higher than $1000.00.

 

We recommend that students check into their current plan to see it meets the following requirements:

1.      Covers the student over this period: July 28, 2013-July 27, 2014

2.      Provides coverage of medical expenses at a minimum of 80% of the preferred allowance, up to a maximum of at least $500,000.00

3.      Covers pre-existing conditions

4.      Covers some inpatient and outpatient mental health visits. Provides prescription drug coverage with a policy year maximum of $1,500 or more

5.      Provides coverage while student is on approved rotation in another state

 

For any questions about the plan or waiver option, please contact Collegiate Risk Management customer service at 1-800-922-3420.

Disability Insurance

CMED will implement a group disability insurance program (hereafter referred to as "disability insurance") for medical students, also through Collegiate Risk Management.

 

Any student on a leave of absence remains covered by this plan providing the annual premium is paid. As long as a position is reserved for the student at the medical school and they do not have to reapply to return to classes, they can continue on the plan. However, if a student separates from the medical school, the coverage would be terminated.

Respirator Fit Testing and Universal Precautions Training

These will be arranged and scheduled by the Offices of Medical Education and Student Affairs.

Criminal Background Checks

US Students

The Association of American Medical Colleges (AAMC) strongly recommends that all US medical schools require and procure a national background check on applicants upon their conditional acceptance to medical school. The rationale for performing criminal background checks on accepted medical school applicants is based on a number of issues, including the need to enhance the safety and well-being of patients and, in so doing, to bolster the public's continuing trust in the medical profession, and to ascertain the ability of accepted applicants to eventually become licensed physicians. Criminal Background Checks are required by CMED for all students.

 

CMED participates in the AAMC-facilitated Criminal Background Check service, Certiphi. This service is conducted in recognition of the desire of medical schools to procure appropriate national criminal history reports and to prevent applicants from paying additional fees at each medical school to which they are accepted. For more details regarding the criminal background check process, please visit:

 

https://www.aamc.org/students/applying/amcas/faqs/63230/faq_background.html

Canadian Students

Canadian criminal record searches are generally performed by the student who will be required to obtain an official Police Clearance or Police Certificate from their local law enforcement agency. Canadian students are asked to secure this certificate and submit to CMED.

 

Policy:

1.      All CMED matriculating and returning students must have a criminal background check.

2.      All enrolled students advancing from Year 1, Year 2, or Year 3 of medical training will be required to complete and submit an attestation form certifying that there has been no change in their criminal record. Students who report a conviction will follow the review process as outlined for matriculating students and will not be allowed to begin classes until approval is granted by the Criminal Background Review Committee (CBRC), a subcommittee of the SPCC.

3.      Any student whose background check contains a conviction will be referred to the CBRC. This committee will review the conviction report and allow the student an opportunity to address any information they feel to be erroneous and clarify the report.

4.      If the CBRC finds the severity of the conviction impacts the student's opportunity to matriculate or their "good standing" enrollment status, current students will be referred to the SPCC. They will determine if the case should be referred to CMED's Executive Committee for review, with a recommendation for dismissal. Pre-matriculated applicants will be forwarded to the Office of Admissions with a recommendation not to admit.

 

Process:

1.      As required by CMED, students who are offered a spot in the incoming class will be required to participate in a criminal background check via Certiphi Screening Incorporated. Certiphi will create a Central Michigan University profile that will screen for convictions and conviction-equivalent adjudications/felonies. When the background check is completed, Certiphi will release the information to the student for review. The student will have 10 days to review the background check information prior to the report being released to CMED.

2.      The College of Medicine SPCC will convene a subcommittee of the SPCC to review student criminal records obtained from Certiphi or a student's self-reporting. The chair of the SPCC will chair the CBRC to include the Assistant Dean of Student Affairs, the Associate Dean of Medical Education, and a member of the SPCC committee appointed by the chair.

3.      If upon completion of the background check a conviction is found, the report will be reviewed by the subcommittee. In the case of current student who reports a conviction on their attestation sheet the subcommittee will order a new criminal background check for review. The subcommittee review of a self-report conviction or one found on a formal background check will include the nature and severity of the conviction(s), number of convictions, age of the student at time of conviction(s), the amount of time that has elapsed since the conviction(s), relevance of the conviction to the medical profession standards, any rehabilitation completed relevant to the conviction(s), and any known information about the student including their submitted written explanation.

4.      Students with convictions listed on their report will meet with the CBRC. The student will have an opportunity to provide written documentation to respond to the report. Students will have 5 business days following notification from the medical school of the criminal record to provide any information about the circumstances surrounding the conviction.

5.      If the CBRC finds the conviction to meet an unacceptable level of severity, the student will be referred to the CMED Admissions Committee with a recommendation to rescind the offer of admittance or for dismissal. Pre-matriculated applicants will be forwarded to the Office of Admissions with a recommendation not to admit. Current students will be referred to the SPCC. They will determine if the case should be referred to the Executive Committee for review, with a recommendation for dismissal.

6.      To maintain confidentiality, a student's conviction report and any supporting documentation will be retained and stored in a secure manner. The file will be kept in the Office of Student Affairs, separate from student academic files. Upon graduation, and without further convictions, withdrawal, or dismissal, the file containing the conviction information will be destroyed. Formal actions taken by the Executive Committee based on recommendations from the CBRC may be included in the student's file.

Student Affairs Services

Financial Aid Counseling

Christopher Brown is the Senior Associate Director of Financial Aid. His office and contact information on campus is CMED 1401B, Phone (989) 774-1495, Fax (989) 774-7881, and email: brown2ca@cmich.edu

 

The financial aid website is: https://www.cmich.edu/colleges/cmed/students/Pages/Financial%20Aid.aspx

 

Please refer to Finances in Section Four of this handbook for more information.

Career Counseling

CMED is utilizing the Careers in Medicine, CiM, program offered through AAMC. The program guides students from Year 1 through 4 and offers exercises to assist students with self-exploration to find the path in medicine that suits them. The Office of Student Affairs will notify students of these workshops and events, including brown bag lunch career sessions during Year 1. CiM activities will begin during orientation. Students will have their own log in for the AAMC CiM site as well. Please follow link for more information on CiM: www.aamc.org/cim.

Academic Assistance

Years 1 and 2

We want our students to be successful at CMED. Asking for assistance is part of this equation and, given the nature of our curriculum, the faculty and Office of Student Affairs feel there are definite opportunities to enable students to succeed. Medical school can be challenging for any student, and we are here to help. Medical school is like a marathon, so proper training, organization, and discipline are important from day one.

 

Some of the characteristics of our curriculum that will reinforce learning include: Team-Based Learning (TBL), Problem-Based Learning (PBL), facilitated small group sessions, and quizzes and exams with timely feedback. Our clinically integrated program, including the Initial Clinical Experience (ICE), complement student learning as well.

 

Students are encouraged to be proactive and take advantage of interactions with faculty to assist with their learning inside and outside of class time.  Individual faculty will have office hours posted for when they will be available by appointment. Review sessions may be available upon request. For additional information, please refer to Other Resources/CMU Resources section below.

Students experiencing academic difficulty (at risk for not achieving the passing standard for a course) will be encouraged to meet with the course director(s) first. They will assist with advice and referrals if needed, including to other faculty or CMED/CMU resources. A list of course directors is available to all students and the directors will have posted office hours.

 

A core group of foundational science and clinical faculty will be engaged with students in both large- and small-group teaching environments. CMED faculty include course directors, the small-group leaders, the longitudinal-course directors, and the faculty involved in teaching clinical skills. The course directors may ask some of these individuals to assist with individual student academic support.

 

Some academic performance concerns or issues may require more assistance than the course directors or other faculty can offer. In these cases, the student will meet with staff in the Office of Student Affairs, and may also meet with the Assistant Dean of Student Affairs if issues persist. The Office of Student Affairs will attempt to determine the primary reason(s) for the academic difficulty and then develop an individualized plan for academic assistance (and remediation if necessary) to address the needs of the student. Students may be referred for testing to assess for learning disabilities or further instruction in techniques such as note-taking, study skills, memory assistance, or other skills. The Office of Student Affairs will work closely with the course directors and the Office of Medical Education in these matters.

 

The Office of Student Affairs will have resources available for further support with study skills, time management, and assistance with test anxiety, as well as other issues.  Students are encouraged to seek assistance from course directors, faculty, and Student Affairs staff.

Other Resources/CMU Resources

Success Coaches

Services include: time management, study skills, test anxiety, prioritizing workload, assisting with transition.

 


https://www.cmich.edu/ess/ResLife/Pages/success-coaching.aspx

Writing Center

See Section Seven for more details.

 


https://www.cmich.edu/colleges/chsbs/Centers/WritingCenter


Psychology Training and Consultation Center

Offering outpatient mental health services for a fee, as well as assessments for learning disorders.

 

https://www.cmich.edu/colleges/CHP/clinics_centers/carls_center/programs/Pages/Psychology.aspx   (or call 989-774-3904)


Counseling

Offering free short term, counseling for personal issues, and assistance with academic success by reducing stress and focused anxiety (e.g., test, math, speech), and learning study and time management skills. See Section Five for more details.

https://www.cmich.edu/ess/studentaffairs/CounselingCenter/Pages/default.aspx

​​


University Health Services

Offering health care to students on campus. Psychiatry services available as well. See Section Five for more details.

 

https://www.cmich.edu/UniversityHealthServices/Pages/default.aspx


Disability Services

See Section Seven for more details.


https://www.cmich.edu/ess/studentaffairs/SDS/Pages/default.aspx

Faculty Advisor Program

The advising process engages faculty and students to assist students in setting and reaching their goals in medical school.  Beginning in the first semester, advisors will be available to assist with school transition, and provide guidance as students progress in their training.

 

The advising program strives to build faculty/student connections, assist with identifying student needs early in the curriculum, connect them to proper resources, and reflect CMED values and mission in the advising relationship.

 

Faculty advisors will be assigned to a group of students. These advisors are distinct from their Foundations Course PBL small-group facilitator. Students will meet with their advisor twice each semester in Year 1 and in Year 2 as well. Early in the semester, each advisor will inform students of an advising schedule, any contact information, and/or office hours and how students may meet at additional times. The goal of meetings is to "check in" with students and help them learn more about themselves in the process.

 

Students will be assigned individual advisors in Years 3 and 4. Their focus will be to guide their advisees through residency selection.

Mentor Program

A mentor "bank" will be available for students made up of faculty from East and West campus and the surrounding communities. Each mentor profile will include their title, role at CMED, specialty area of practice, other professional interests, and contact information. A link to the bank will be set up on the CMED website under Office of Student Affairs.

Wellness Program

It is important to learn and practice techniques that emphasize self-care. As a future physician, students will continually be caring for others, but can only do so if they take care of themselves: mind, body, and spirit. The Wellness Program offers events, classes, and resources including a website with a focus on wellbeing tips and helpful links. A required wellness curriculum along with optional wellness activities is in place for students. The introduction will occur during orientation.

Student Organizations and Government

Participation in student organizations is a good to way to get involved with your colleagues at CMED as well as involvement on a state and national level. The Office of Student Affairs will assist with oversight of these developing chapters. Orientation will provide an introduction to establishing student organizations.

 

Student Government is an organization that represents the CMED student body. The organization is under the auspices of the Assistant Dean of Student Affairs. Student organizations are under the supervision of the Director of Student Affairs.

USMLE Information and Prep

The USMLE or Unites States Medical Licensing Exam is a 3 step exam required for medical licensure in the U.S. At CMED, students will have early and varied opportunities to practice for this exam including, but not limited to, USMLE type exam questions within course assessments, sitting for the Comprehensive Basic Science Test three times within the first two years, experience with standardized patient encounters, and end of clerkship Objective Structured Clinical Exams (OSCEs).

 

The following is an outline for the USMLE Step exams:

        Step 1 is taken near the end of Year 2 of medical school. It is a multiple choice exam which assesses if students can apply the scientific concepts from the first 2 years to medical practice.

        Step 2 is taken in Year 4 of medical school. It is divided into two exams: Step 2 CK (Clinical Knowledge) and Step 2 CS (Clinical Skills). Step 2 CK is a multiple choice exam which assesses if students can apply knowledge they have acquired from their clinical work to medical practice. Step 2 CS is an assessment of students' clinical skills via patient scenarios with standardized patients. Students are assessed on their clinical, communication, and interpersonal skills.

        Step 3 is taken during at the end of the first year of residency.

 

For more information about the USMLE and all of its components, please refer to the following link:

http://www.usmle.org/

Residency Application Assistance

The Office of Student Affairs is here to assist students on the road to residency. Utilizing Careers in Medicine and other resources, including their clinical experiences and advisors, students will eventually decide on a specialty that fits their interests and skills. Careers in Medicine offers detailed specialty information including length of post graduate training required, typical hours worked/week, amount of call expected and other information.

 

Further along the way, information will be provided on the application process through the Electronic Residency Application Service (ERAS) and the National Residency Matching Program (NRMP). Information sessions will be held during Year 3 to prep students. The application process begins during the fourth year of medical school.

Health Resources and Infection Exposure Protocol

CMU Healthcare and Counseling Resources

Medical Services on Campus

Students at CMU are eligible to receive on-campus services from the University Health Services Medical Clinic. The clinic is located on the second floor of Foust Hall, which is directly across the street from the CMED building. The physicians at the clinic are board-certified family practice specialists. They work in teams with physician assistants who are also fully qualified, licensed, and certified to provide primary care services.  It is highly advised to identify yourself as a CMED student so scheduling is done with providers who are not responsible for student evaluations. All students will be required to carry health insurance, which will provide students access to health services. University Health Services will bill the student's health insurance provider for services. A psychiatrist is also on staff and referrals may be made through the UHS clinicians.

 

UHS has an in-house lab that takes orders from UHS providers and outside providers. The clinic also has a full-service pharmacy which fills both UHS and outside prescriptions.

 

The University Health Services include:

        Care for acute and chronic illness and injuries

        Physical exams

        Laboratory testing

        Gynecological exams

        Birth control

        Sexually transmitted infection testing

        Allergy injection administration

        Travel health clinic and immunization clinic

        TB Testing

 

Students who have health issues that fall outside of the scope of University Health Services will be referred to a local specialist. These clinicians will have no involvement with student evaluation or other aspects of the student's medical school experience. Students are free to seek care from other area physicians as needed.


Hours/Location

Students are advised to call for a future or same day appointment: 989-774-5693. UHS is open Monday-Friday 8:00am – 5:00pm and is located at Foust Hall 200. The only time UHS is closed is CMU winter break.

 

UHS website: 

https://www.cmich.edu/UniversityHealthServices/Pages/default.aspx

 

After hours care is available at McClaren Central Michigan ER, 1221 South Drive, Mt. Pleasant,: (989)-772-6700. There are also several urgent care clinics are also located in Mount Pleasant. Students are advised to call 911 for an emergent health concern.

Counseling Services on Campus

The CMU Counseling Center provides confidential services for undergraduate and graduate students for personal counseling. Students may be seen for personal issues such as an urgent situation or crisis, anxiety, depression, homesickness, loneliness, identity concerns, alcohol/drug abuse, eating concerns, school transitions, stress management, relationship concerns, couples concerns, family stress, grief/loss, relapse prevention, sexual orientation, strengthening coping skills, and person growth and development.

 

The center also offers way to improve academic success by reducing stress and focused anxiety, and learning study and time management skills. Additionally, the center offers support for primary and secondary survivors of sexual and domestic violence, stalking, and harassment.

 

Other services offered by the center include:

        Referral assistance for students, parents, faculty and staff

        Referral to appropriate off-campus agencies and other CMU services and resources

        Consultation with students, parents, faculty and staff

        Groups and workshops

        Mental health screening

        Outreach programs (may be available upon request)

        After hours emergency on-call during fall & spring semesters

 

Information about the CMU Counseling Center services website: http://www.counsel.cmich.edu.


Hours/Location

The Counseling Center is located in 106 Foust Hall, directly across the street from the CMED building.

 

The center is open Monday through Friday from 8am-noon and 1-5pm and appointments can be made for immediate assistance during those times by calling (989) 774-3381. Students may self-refer or be referred through a health care provider or through the Office of Student Affairs.  There are no fees charged for individual or group counseling. A modest fee is charged to cover our expenses for some testing.


After hours/Emergencies

If there is concern about immediate or imminent violence by the student to his/herself or others, a call may be placed to 911. For counseling emergency or urgent situations that occur during regular office hours, the Counseling Center may be contacted at 989-774-3381.

 

During the fall and spring semesters when classes are in session, counselors are available to assist university personnel and CMU students for regular and after hours serious mental health related conditions and emergencies. Counselors may be contacted through the CMU police at (989) 774-3081, if on campus by dialing 911, or for students living on campus by contacting an apartment manager. Counseling Center after hours emergency on-call services are limited to assisting university personnel in their work with CMU students and assisting currently enrolled CMU students.

 

The CMU Counseling Center also posts other resources that are available in the community for various emergencies:

        Listening Ear Crisis & Referral Helpline (open 24 hrs./day) (989)772-2918

        Sexual Aggression Peer Advocates: (989) 774-CALL (2255)

        Women's Aid Crisis Helpline (open 24 hrs./day) (989) 772-9168

     

   McClaren Central Michigan Hospital Emergency Room, 1221 South Drive, Mt. Pleasant (open 24 hrs/day) (989) 772-6700

        Community Mental Health of Central Michigan on-call mental health professionals may be reached at (989) 772-5938.

        The National Suicide Prevention Lifeline is a national, 24-hour, and toll-free suicide prevention service available to all those seeking help in suicidal crisis. Individuals seeking help can dial 1-800-273-TALK (8255). They will be routed to the closest possible provider of mental health and suicide prevention services. The NSPL website is www.suicidepreventionlifeline.org/about/default.aspx

 

The Office of Student Affairs will ensure that CMU counseling center providers do not have involvement with a student's education or evaluation. Administrative staff in the Counseling Center that schedule appointments will also be trained to ask students if they are CMED students, and match them with a provider not involved with medical student education or evaluation. Any provider who is also on the faculty at CMED will receive information instructing them to refer any CMED students to another provider.

Exposure to Infections and Environmental Hazards

Students will receive education and training regarding methods of prevention of exposure to infectious and environmental hazards throughout their coursework, beginning during Essentials of Clinical Skills. Training will occur before the start of any clinical experiences. Instruction will include use of adequate barrier protection (gloves, safety glasses, mask, gown, etc.), sharps precautions, and hand washing/hygiene, as well as other relevant health care worker standards put forth by OSHA. Respirator fit testing will be coordinated for the students as well. This personal protective device is to guard against inhalation of hazardous and infectious respiratory agents.

 

Students will demonstrate understanding of the pathophysiology of infectious diseases that can be transmitted in a clinical care setting (for example, hepatitis B, hepatitis C, tuberculosis (TB), varicella, influenza, and HIV) and learn methods to decrease their transmission.

Blood Borne Pathogens:

Students will demonstrate understanding of the risk of exposure to blood borne pathogens (BBPs) in the course of their clinical and research duties.

 

BBPs include especially, but are not limited to, the human immunodeficiency virus (HIV), Hepatitis B virus (HBV) and Hepatitis C virus (HVC). Exposure is generally defined as a percutaneous injury (e.g., a needlestick or cut/laceration with a sharp object), contact of mucous membrane or non-intact skin with blood, tissue, or body fluids contaminated with visible blood. The following BBP exposure protocol reviews the procedures in case of exposure.

 

BBP exposure protocol:

1.      Immediately after a needle stick or cut/laceration, clean the exposed area with soap and water while gently forcing it to bleed. Rinse well with water and repeat. If bodily fluids splash into eyes, mouth, nose, or open cut, flush the affected area with water several times for several minutes.

2.      Notify the preceptor and Clerkship Director's office. Make note of the patient's name and location for reporting and investigation purposes.

3.      Proceed immediately to the designated location for evaluation and treatment of the exposure (students will receive and are required to carry a reference card with this information at clinical sites). Evaluation and treatment must take priority and occur within 2 hours of incident/exposure. 

 

Designated locations are as follows:

A.    In Mt. Pleasant (west campus), evaluation and treatment services will be provided at the University Health Services (989) 774-5693, during normal working hours, 8:00am – 5:00pm. After hours/holidays/weekends, affected students should report to the emergency room at McClaren Central Michigan Hospital, (989) 772-6700.

B.     Affected students at Covenant Medical Center (east campus) or their affiliated clinics/departments report to Covenant Occupational Health, 600 Irving from 8:00am-4:30pm, (989) 583-6130. After hours/holidays/weekends, affected students should report to the emergency room at Covenant Healthcare.

C.    Affected students at St. Mary's of Michigan Hospital (east campus) or their affiliated clinics/departments report to the Associate Health Dept., (989) 907-8244. After hours/holidays/weekends, affected students should contact pager (989) 929-4020 and go to the emergency room at St. Mary's of Michigan, unless otherwise instructed.

 

4.      As additional hospitals and clinics become formal training sites for CMED, affected students will receive details about these services as part of an orientation packet specific to assigned hospitals/clinics. Affected students should report to the designated ER of the assigned site after hours/holidays/weekends, unless otherwise instructed.
At the above designated sites, affected students will receive exposure assessment (including baseline serologic studies (for example, HBsAg, HBsAb, Anti-Hep C and, with consent, HIV Ab), source testing, and initial treatment (if required). Risk assessment using institutional protocols based on national guidelines for health care workers will be utilized. If indicated, anti-retroviral post-exposure prophylaxis and Hepatitis B immune globulin should be administered as soon as possible.

5.      Students will fill out an exposure/incident report at the site where they are evaluated and treated.

 

If students have been injured in some way during clinical activities without exposure, they must also be assessed, have follow through for care if indicated, fill out an incident report, and report the event to the Associate Dean of Student Affairs.

 

Post Exposure Follow up:

1.      Following an exposure, affected students will contact the Office of Student Affairs within 24 hours at (989) 774-7882.  A CMU Accidental Personal Injury Report will need to be completed by the Director of Student Affairs, or another Student Affairs representative, and is filed in the office for tracking. A copy is sent to CMU Risk Management as well.  A completed incident report where care was initiated is confirmed at this time by the Office of Student Affairs. 

2.      The office will track all such incidents experienced by CMED students at affiliate teaching institutions or at other nonaffiliated teaching sites (such as during off-site electives).

3.      It is expected that affected students will cooperate with the evaluation, treatment and follow up recommendations made at the time of their exposure assessment. It is the affected student's responsibility to follow up as directed by the occupational health office, ER, or clinic where care was initiated, in terms of future testing and/or treatment.

 

Procedures and finances for care and treatment after exposure:

All CMED students are required to have health insurance, and the health insurance policy that will be offered by CMU will include coverage for needlestick injuries. Expenses incurred for testing, counseling, and post-exposure prophylaxis will be billed to the student's health insurance carrier.

 

Effects of Infectious/Environmental Disease or Disability on Educational Activities

Students with certain communicable diseases should not engage in patient contact until such conditions have been adequately treated as documented by a physician. These include:

1.      varicella, measles, rubella, mumps, herpes zoster (shingles), acute hepatitis, diphtheria, and tuberculosis;

2.      oral herpes with draining lesions;

3.      group A streptococcal disease (i.e., strep throat) until 24 hours of treatment received, meningococcal infections; and

4.      draining or infected skin lesions.

 

Furthermore, if an ill student is unsure if they should participate in patient care, he/she should contact their appropriate supervising faculty or Office of Student Affairs. 

 

Students who contract a blood-borne infection while in school, after seeking appropriate care, need to report their status to the Assistant Dean of Student Affairs. The Dean will assess the need to modify the student's participation, if required, and make appropriate modifications.

 

The CMED Dean's Office and Office of Student Affairs, in conjunction with the CMU student disability services, will support students infected with a blood-borne pathogen in the completion of their MD requirements, subject to considerations that are appropriate to individual cases.

 

It is the responsibility of CMED students to know their hepatitis C and HIV status, if they have risk factors, and report accordingly to the office of student affairs to consider modification of their participation to reduce risk transmission to others. Lab testing is available at UHS for blood borne infections. Any students who feel their blood borne pathogen status could, should, or might limit or effect their program participation should contact the CMU student disability services so reasonable accommodations may be considered and recommended.

 

CMED reserves the right to limit student participation in educational activities when it deems there is a significant exposure/transmission risk. Each case will be decided on an individual basis.

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