Medical College of Wisconsin Affiliated Hospitals, Inc.
IMMUNIZATION AND TB TESTING
As health care providers, the housestaff are at risk of contracting and/or transmitting various infectious diseases. The Federal and State Governments require a series of tests to prove that the healthcare providers are either immune or protected from certain communicable diseases. The following MCWAH requirements are offered free of charge to the housestaff if previously not immunized.
1. Hepatitis B – The housestaff are required to either receive the vaccine (three doses at 0, 1 and 6 months) or sign a declination refusing the vaccine (due to personal preference or previous vaccination). They should provide proof of previous vaccinations or their Hepatitis B antibody titer.
2. Rubella and Rubeola – The housestaff are required to provide proof of either two MMR vaccinations or positive antibody titers.
3. Varicella - The housestaff are required to provide proof of immunity to varicella (chicken pox). This can be accomplished by written declaration of previous infection, two documented varicella vaccinations or a positive varicella antibody titer.
4. Mycobacterium Tuberculosis– The housestaff are required to provide proof that they are free of active mycobacterium tuberculosis infection on an annual basis. This can be accomplished by either undergoing an annual Mantoux TB skin test or, for those that test TB skin test positive, completing an annual TB Symptom Survey and having a one-time chest x-ray upon entry into a MCWAH GME program. This is a mandatory condition of employment. Housestaff should contact MCW Occupational Health to arrange for testing, document transfer or obtaining a chest x-ray.
5. Respirator Fit Testing – The Occupational Safety and Health Administration (OSHA) requires that all health care providers who may have potential exposure to an airborne disease be medically cleared and then fitted for a N-95 mask. All housestaff must complete a Respirator Medical Clearance form and be fit tested. Fit testing can be done either during a compliance clinic or by visiting MCW Occupational Health Services Clinic located in the Froedtert East Clinic (1st floor, Suite 1996).
MCW Occupational Health Services can be reached by calling (414) 805-6699.
This policy was approved by the MCWAH Graduate Medical Education Council on July 18, 2005.