Educational Program Committee Approved: September 28, 2021
Revised: January 19, 2022
• All students, faculty and staff must comply with state and federal safety guidelines. See Kentucky state website at https://govstatus.egov.com/kycovid19 and CDC website at https://www.cdc.gov/coronavirus/2019-ncov/ for any timely updates as conditions change.
• All members of the campus community must comply with UofL regulations and policies regarding COVID testing, wearing masks, or practicing physical distancing. These are posted and updated at this site as conditions change: https://louisville.edu/coronavirus
• Flu shots Vaccination Guidelines are required for all students, clinical faculty, and clinical staff. The university will provide free flu shots when the seasonal flu vaccine becomes available.
1. Vaccination Guidelines
a. Vaccine Requirement - Completion of the COVID-19 vaccine series is REQUIRED FOR ALL PERSONNEL - INCLUDING MEDICAL STUDENTS - working and learning in UofL Health clinical facilities. This includes all students participating in preceptorships at UofL Health facilities.
b. Proof of vaccination - Campus Health collects and tracks compliance with this requirement for all medical students. Student vaccine status is confirmed centrally through public health system tracking for students who received the vaccine in Kentucky. Students vaccinated outside Kentucky are required to provide official documentation of completion of their vaccine series to the Campus Health Office.
c. Falsification / Misrepresentation of Vaccine Status – Any misrepresentation of vaccination status is a serious breach of professional conduct and will result in severe, immediate disciplinary action.
d. Vaccination Exemption Request - Students who cannot comply with this clinical requirement for medical or religious reasons should seek an exemption through Campus Health, (502)-852-6446. Any unvaccinated students will be required to follow public health regulations.
2. Exposure / Infection Guidance
Please click on the following link for updated isolation, quarantine, and Campus Health protocols for students: UofL Spring 2022 COVID Protocols
Multiple protocols exist within the university for managing COVID exposure, testing, and isolation, and how they apply to medical students depends upon their stage of training.
EXPOSED M1-2 students will follow the first flow chart titled: UofL Vaccinated vs. Unvaccinated Exposure Protocol
COVID POSITIVE M1-2 students will follow the second flow chart titled: UofL Covid-19 Isolation Protocol if you test positive
M3-4 Students will follow ONLY the third flow chart titled: UofL Essential or Healthcare Worker Protocol
Louisville campus students should follow any instructions given to you by Campus Health. For Madisonville students, Baptist Urgent Care will provide the local clinical evaluation and testing necessary, and you will get a return to work/school note from them as you would with any illness.
a. All students will be required to complete the mandatory Covid-19 infection training from Campus Health to ensure they know the symptoms of infection and the precautions they are expected to take to minimize the risk of infection.
Procedures for students who must be absent due to COVID quarantine or isolation: a. The full ULSOM absence policy is linked under item 6.1 for preclinical students and 6.2 for clinical students.
b. COVID Patients: Students are currently allowed to care for patients who are known COVID positive or are under investigation/evaluation for COVID. Students must comply with and use each facility’s provided PPE for care of any patient, including COVID patients. If students are uncomfortable caring for a certain patient due to COVID status, they are free to contact their clinical care team/supervisor or clerkship director to discuss their concerns.
c. Immunocompromised Status: Students who are pregnant, postpartum/breastfeeding, immunosuppressed, or with other health conditions that place them at increased risk and questions about their work in the clinical environment should contact Student Health for a specific answer to their question(s) regarding safety and precautions in the clinical environment.
d. Grading Policy – The UofL SOM continually evaluates the effects of COVID on student performance. This includes the possible ways in which COVID can alter grades due to evaluations being truncated from days missed. Students will not receive a final clerkship grade until they have had a chance to remediate all missed days, instead having a grade of “incomplete”. Once missed days are completed, students’ grades will be changed to reflect Clinical Evaluations. Scheduling of NBME Subject Examinations for Clerkships may be altered due to student absences – this will be determined on an individual basis.
4. Professionalism and Illnesses / COVID
a. COVID Related Professionalism
i. Failure to comply with COVID policies, including self-isolation, testing, and symptom development will result in disciplinary action. These actions will be under the direction of the Office of Student Affairs. If you are found to be symptomatic on campus and have not followed UofL policies, you will be immediately removed until you have complied with these policies.
ii. Knowingly coming to campus or reporting to the clinical environment with symptoms of COVID and no medical clearance or known COVID positive status, will result in swift, severe adverse action that may affect your enrollment with UofL School of Medicine, referral to the Residency Match, or other actions.
5. Guidelines for Supervising Faculty and Institutions
a. Students must have standard personal protective equipment (PPE) provided to them for patient care that would be provided to any staff or physicians seeing patients and are expected to follow the facility’s isolation precautions. At the present time, this includes a simple, surgical-style face mask to be worn at all times while in the clinical environment. Masks should be limited to those provided in the clinical environment – homemade, cloth, or other mask types are not permitted. Students may also choose to wear eye protection, caps/hair coverings, shoe coverings, at their discretion.
b. Students must follow any protocols or guidelines that attendings and residents follow at specific facilities regarding donning, doffing, and preservation of PPE and supplies. If a PPE shortage develops and you cannot be protected effectively as instructed by the training resources below, halt your clinical activities regarding that patient immediately and notify your Clerkship Liaison / Coordinators / Elective Director / Dr. Farmer.
c. Donning and doffing PPE– Please see the following attached resources provided by the CDC for the use of PPE:
d. Students have a responsibility to protect themselves and their patients. Students should immediately remove themselves from any environment where practitioners are clearly violating practices regarding the management and treatment of COVID – i.e., denying vaccines to eligible patients, refusing the wearing of masks, refusing staff/students to wear appropriate PPE. Once out of that environment, contact Dr. Farmer immediately. This WILL NOT affect your grades, your graduation date, or your residency match.