| 6.1 |
Health Assessment |
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A. |
Every resident and fellow must have an initial health evaluation performed through University Health Services within the first 10 days of Residency. Evaluations are conducted during resident orientation sessions for the convenience of the residents, but may be scheduled and completed at any time within the 10 day limit. Health evaluations may be scheduled 30 days prior to their start date. (Please note: No resident will be paid without clearance from University Health Services.) |
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B. |
The content of the initial health evaluation is prescribed by the Director, University Health Service. As of March, 2010 this includes: |
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Titer tests for immunity to measles, mumps, rubella, and varicella, and subsequent vaccination if any of these are susceptible |
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Tuberculosis screen and Chest X-Ray when indicated |
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Titers for Hepatitis B Antigen, Core Antibody, and Surface Antibody, and vaccination where indicated |
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Tetanus, Diphtheria, Pertusis (Tdap) Vaccine as needed |
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Color vision testing |
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Drug Screen |
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C. |
Respirator training and fit testing must be completed by all residents and fellows prior to patient contact. The UIMCC’s Learning Management System online module must be completed first. Fit testing is done after the health evaluation. Please see 6.5.D below. |
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D. |
Affiliated hospitals can restrict the clinical activities of any resident who has not completed the health assessment. |
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| 6.2 |
Personal Illness |
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A. |
Each Program Director will establish procedures for residents calling in ill. The Office of the Program Director will maintain records of resident sick and vacation days. |
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| 6.3 |
Standard Precautions |
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A. |
All affiliated hospitals follow rules established to comply with OSHA regulations regarding employee exposure to blood borne pathogens. Each program is responsible for documenting that each resident and fellow has completed a yearly program in OSHA blood borne pathogen precautions. |
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B. |
New residents and fellows will be offered the OSHA program during University of Illinois Hospital orientation. The Medical Center Learning office will provide Program Directors with certification for all residents and fellows who complete the required program. The clinical department that sponsors a program will be responsible for providing the OSHA course to any resident or fellow who misses the session offered during orientation. |
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| 6.4 |
Occupational Injuries, Illness, and Exposures |
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A. |
Each Program Director must ensure that any resident who is injured, becomes ill, or is exposed to a toxic or infectious agent as a consequence of performing assigned duties get prompt medical attention at University Health Service during normal working hours. At other times, they should report to the University of Illinois Hospital Emergency Department. Residents at other affiliated hospitals should seek emergency treatment through that hospital's Emergency Department or Employee Health Office. In such cases, the resident must report to University Health Service on the next normal working day for follow-up. |
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B. |
University regulations require the resident's supervisor to complete an Occupational Injury Or Illness form. The resident should bring the completed form to the University Health Services. |
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Affiliation agreements between the COM and hospitals that provide training sites for residents should include a clause that specifies that the hospital will provide on-site treatment for resident occupational injury. The agreement will also identify the party responsible for paying any charges generated by such treatment. |
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| 6.5 |
Inoculations, Referrals, and Surveillance |
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A. |
University Health Service can provide Hepatitis B and influenza vaccinations free of charge to all staff whose duties include patient contact. |
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B. |
University Health Service can also provide confidential referrals for personal health needs, including psychiatric counseling. |
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C. |
Annual or semi annual TB screening is required for all residents. This is coordinated through UHS and the residency coordinator. Resident Agreements for PGY2 through PGY7 residents will not be completed until resident is compliant with annual and/or semi annual TB screening. |
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D. |
Annual respirator training and fit testing is a UIC and Federal requirement which must be completed annually to wear the N95 Respirator. The initial fit testing will be offered after the New Resident Health Evaluation has been completed. The training is offered online through the UIMCC Learning Management System and must be done prior to fit testing. |
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| 6.6 |
Examinations Upon the Request of the Program Director |
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A. |
To ensure the safety of patients and staff, the University reserves the right to request any resident to undergo a medical examination, which may include physical, psychiatric, and/or laboratory procedures. The resident must comply with such a request within the time limit set by the Program Director. |
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B. |
Expenses relating to examinations only (not treatments) that the resident incurs that are not covered by health insurance will be reimbursed through the Office of Graduate Medical Education. Claims for reimbursement must include: |
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Original proof of payment (bills marked "paid", or canceled checks) |
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A letter from the resident's Program Director that shows that the examination was done at the Program Director's request |
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If the examination is to be done outside of the University of Illinois Medical Center at Chicago, the Program Director must obtain prior approval from the Senior Associate Dean for Medical Education to insure reimbursement through this mechanism. |