The full content of Annals is available to subscribers

Subscribe/Learn More  >
Academia and the Profession |

Medical Schools and Immunization Policies: Missed Opportunities for Disease Prevention

Gregory A. Poland, MD; and Kristin L. Nichol, MD, MPH
[+] Article, Author, and Disclosure Information

Requests for Reprints: Gregory A. Poland, MD, Division of General Internal Medicine, Mayo Clinic and Mayo Foundation, 200 First Street Southwest, Rochester, MN 55905.

Current Author Addresses: Dr. Poland: Division of General Internal Medicine, Mayo Clinic and Mayo Foundation, 200 First Street Southwest, Rochester, MN 55905.

Dr. Nichol: Division of General Internal Medicine, Veterans Affairs Medical Center, Minneapolis, MN 55113.

Ann Intern Med. 1990;113(8):628-631. doi:10.7326/0003-4819-113-8-628
Text Size: A A A

Objective: To describe current immunization requirements and policies in North American medical schools both at matriculation and before students begin clinical clerkships.

Design: Survey of all allopathic medical schools in the United States and Canada.

Participants: One hundred and fifteen medical schools.

Measurements and Main Results: Twenty-eight percent of medical schools had no immunization requirements for matriculating medical students. Thirty-one percent of the schools had no rubella immunity requirement, 40% had no measles immunity requirement, and 44% had no polio immunity requirement for matriculating students. For students beginning clinical clerkships, 18%, 35%, and 40% of schools did not require rubella, measles, and polio immunity, respectively. Only 19% and 4% of schools required hepatitis B and influenza immunizations, respectively, at any time during training. Between 20% and 30% of schools accepted student self-report as evidence of rubella and measles immunity.

Conclusions: Despite expert guidelines, current medical school immunization policies for matriculating medical students are inadequate. Methods to assess, monitor compliance with, and facilitate student immunization are needed. Medical schools should review their immunization policies to comply with published guidelines.





Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Submit a Comment/Letter
Submit a Comment/Letter

Summary for Patients

Clinical Slide Sets

Terms of Use

The In the Clinic® slide sets are owned and copyrighted by the American College of Physicians (ACP). All text, graphics, trademarks, and other intellectual property incorporated into the slide sets remain the sole and exclusive property of the ACP. The slide sets may be used only by the person who downloads or purchases them and only for the purpose of presenting them during not-for-profit educational activities. Users may incorporate the entire slide set or selected individual slides into their own teaching presentations but may not alter the content of the slides in any way or remove the ACP copyright notice. Users may make print copies for use as hand-outs for the audience the user is personally addressing but may not otherwise reproduce or distribute the slides by any means or media, including but not limited to sending them as e-mail attachments, posting them on Internet or Intranet sites, publishing them in meeting proceedings, or making them available for sale or distribution in any unauthorized form, without the express written permission of the ACP. Unauthorized use of the In the Clinic slide sets will constitute copyright infringement.


Buy Now for $42.00

to gain full access to the content and tools.

Want to Subscribe?

Learn more about subscription options

Related Articles
Topic Collections
PubMed Articles
Forgot your password?
Enter your username and email address. We'll send you a reminder to the email address on record.