Short-Term Clinical Students & Scholars (Domestic)

The University of Alabama at Birmingham requires the following testing for short-term clinical domestic students. Students enrolled in clinical activities for three months or less at UAB will be considered short-term.

Clinical Health History Form
Tuberculosis Screening Requirements

  • The purpose of screening these short-term students is to rule out active TB disease.
  • The screening requirements were formulated in conjunction with the Jefferson County Dept. of Health recommendations.
  • Two step PPD required OR documentation of a negative PPD within prior 12 months and an updated one step PPD within 3 months, OR a Quantiferon or T Spot (blood tests), within 3 months of visiting, all performed in the United States.
    • Positive result requires a CXR, performed in the United States, taken since their last positive TB test but within three months prior to visiting, and if CXR positive, proof of initiation of appropriate therapy is required, and the student will not be allowed on campus until cleared by the Jefferson County Department of Health and UAB Student Health Services
  • TB Questionnaire must be completed and submitted to UAB SHS prior to arrival on campus
    • Positive result on question #7, symptom screening, requires a CXR, performed in the United States, taken since completing the Questionnaire but within three months prior to visiting, and if CXR positive, proof of initiation of appropriate therapy is required, and the student will not be allowed on campus until cleared by the JCDH and the UAB SHS.
  • Students with a positive symptom screening or positive CXR, or are currently being treated for TB, will schedule a visit with a Student Health provider upon arrival to campus and will require evaluation at the JCDH, and will not be allowed on campus until cleared by the JCDH and UAB Student Health Services.
  • Students with a history of a positive PPD, followed by a negative CXR and negative T-spot/Quantiferon, and a negative TB Questionnaire
    • Requires an updated TB Questionnaire and T-spot/Quantiferon, performed within 3 months of visiting, all performed in the United States.
    • If either is positive, requires a CXR, performed in the United States, taken since the last positive TB test/Questionnaire but within 3 months prior to visiting, and if CXR positive, proof of initiation of appropriate therapy is required, and the student will not be allowed on campus until cleared by the JCDH and UAB Student Health Services.

Immunizations

Given the nature of their work, students engaged in health professional training programs could have a higher risk of contracting Rubeola, Rubella, Mumps, Tetanus, Diphtheria, Varicella, Tuberculosis, Pertussis, and Hepatitis B. All UAB students in the Joint Health Sciences programs and in the Schools of Medicine, Dentistry, Optometry, Public Health, Nursing, and Health Professions are required to be immunized as follows:

  • MMR (Measles, Mumps, Rubella)
    • Must have had 2 doses of measles-mumps-rubella containing vaccine (MMR) at least 28 days apart with the first dose given after 12 months of age.
    • If the student has never been immunized, two injections of the vaccine, at least 28 days apart, are required.
    • In lieu of being re-immunized, such individuals may present proof of having had such immunizations. Proof must be either official documentation or certificates of immunization or positive titers to measles, mumps, and rubella.
  • Tdap
    • Evidence of at least a single dose of Tdap for all students aged 11-64 is required.
    • In the absence of proof of immunization, Tdap can be administered regardless of interval since the last tetanus-diphtheria toxoid-containing vaccine.
    • Adults should receive decennial Td boosters, beginning 10 years after receiving Tdap.
  • Meningitis Vaccination
    • Students up to and including 21 years 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.
    • The booster dose can be administered any time after the 16th birthday.
  • Varicella Vaccination
    • Required for all without evidence of immunity.
      • Evidence of immunity is defined as:
        • Written documentation of 2 doses of varicella vaccine
        • A history of varicella disease or herpes zoster (shingles) based on healthcare provider diagnosis, requiring provider documentation.
        • Laboratory evidence of immunity (VZV IgG antibody titer)
    • Two doses of varicella containing-vaccine given at least 4 weeks apart are required
      • Required if the student does not meet any of the criteria above or have equivocal or negative VZV IgG antibody titers.
    • For those students with a documented history of only one prior dose of varicella vaccine, one additional dose is required, at least 4 weeks after that initial dose.
  • Hepatitis B Vaccination
    • Students completing their Hepatitis B series of vaccines 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.
    • Those with a documented history of completing the three dose series, but beyond the 1 to 2 month post-vaccination period, are also required to obtain a Hepatitis B surface antibody titer.
    • Students with a negative Hepatitis B surface antibody titer after the initial 3-dose series, tested 1 to 2 months after the third dose, or anyone with a negative Hepatitis B surface antibody titer, 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.
    • For all, if the initial Hepatitis B surface antibody titer is negative, the entire three dose series must be repeated, followed by a Hepatitis B surface antibody titer 1 to 2 months after the third vaccine dose.
    • If the student is still found to have a negative Hepatitis B surface antibody titer after the completed second vaccination series, they are considered a non-responder to vaccination and will be counseled about precautions to prevent Hepatitis B infection and the need to obtain Hepatitis B immune globulin prophylaxis for any known or suspected exposure to Hepatitis B surface antigen-positive blood.
 
  • If individuals do not have proof or have not been immunized, they must be immunized against these diseases prior to attending, enrolling, or participation in UAB academic, research, observing, or clinical program activities.
  • Enrolling students must show proof of these immunizations with either an official certificate of immunization, a photocopy of an immunization certificate, or written documentation from their physician. Students must provide proof of their immunizations and TB testing. The preferred and most efficient method to accomplish this is to download the Clinical Immunization Record form. This should be completed by the documenting physician’s office and faxed, emailed, or mailed to UAB Student Health Services by the student. The actual "Blue Form," chart records, and TB records need not be sent if this form is properly completed. The student may send these records in lieu of the Immunization Record Form.

Please submit the TB Disease Questionnaire to Student Health Services:
  • E-mail: medclearance@uab.edu
  • Fax: 205-996-7468
  • Mailing Address: UAB Student Health Services, 930 20th Street S., Suite 221, Birmingham, AL 35294-2042
  • Physical Address: Family and Community Medicine Building, Suite 221
  • For questions, call 205-975-7751
  • School of Medicine: Submit your records through CertifiedBackground.com as per SOM instructions.

 

General

The UAB Student Health Services will provide such immunizations and titer testing on a fee-for-service basis for any student who needs to meet the UAB immunization or titer requirements. Students may choose to fulfill these requirements at the Jefferson County Health Department or a private physician.

Individual UAB Schools may impose additional immunization requirements as needed for their students.


Exceptions

Exceptions to this policy may be made in limited circumstances for students who can document medical and/or other contraindications to the vaccine.  Requests for exceptions must be submitted to UAB Student Health Services for consideration and approval.    

Students enrolled in online programs listed at http://www.uab.edu/studentimmunizations are exempt from this policy.


Implementation

The Provost is responsible for procedures to implement this policy.