Policy of the Graduate Medical Education Committee
Section: Resident Support/Conditions for Appointment
Subject: Post Employment Medical Screening (joint policy with UAMS, #4.5.18)
Number: 2.400
Date Developed: 3/96
Last Review/Revision: 5/07
Replaces:  previous policy of same name, dated 5/03
ACGME Requirement:  Institutional II.D.4

Purpose
To define the policy and procedures for post employment and annual medical screening of residents (includes fellows).

Policy
According to the post employment medical screening policy of UAMS (UAMS Policy, Human Resources, 4.5.18), all residents must undergo a medical screening at the time of appointment to the residency program and an annual, limited medical screening during the course of their tenure at UAMS.  In preparation for the initial medical screening, all residents must complete the UAMS Housestaff Medical Screening Form.  The completed form will be used by Employee Health/Student Preventive Services to prepare for medical screening at housestaff orientation/registration.  During orientation/registration, all residents will have a TB skin test and other immunizations as indicated.  The Housestaff Medical Screening Form will be reviewed and, if warranted, the physical requirements for the residency program may be reviewed with the resident.

Annually, each resident will be notified of the need to obtain a TB skin test.  It is the responsibility of the resident to complete this test within thirty-one days of the original notification. 

Procedure
For annual TB Skin Test

1.         Annually, the Director of Housestaff Records receives a list from Student Employee Health Services (SEHS) with names of residents who need to be scheduled for the TB Skin test.

2.         The list is forwarded to each Program Coordinator who notifies the residents in the program of the requirement along with the location and times for testing.

3.         If a second notification is required, the Director of Housestaff Records notifies the Program Coordinator so that he/she may ensure the resident complies with the policy.

4.         Failure to complete the TB skin test within the specified time will result in the resident being subjected to the disciplinary action of the hospital in which he/she is scheduled.