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About SHS

Mission

Student Health Services is devoted entirely to providing quality health care to the students at MUSC. Services include outpatient treatment for acute and chronic illnesses, preventive health care, and health education.

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Eligibility

Students who are actively enrolled in degree seeking programs carrying at least 6 credit hours are eligible for medical care at Student Health, with services beginning the first day of classes and ending on graduation or at the time of withdrawal, removal, or a leave of absence from study. Students must present their MUSC-issued identification at the time services are provided.You do not need student health insurance to use Student Health Services.

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Billing

There are no charges for visits to Student Health Services for actively enrolled students, regardless of the type of insurance coverage they carry. The student’s insurance plan will be billed for services that cannot be provided in the office – including any necessary send out labs, imaging studies, or specialty referrals.

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Confidentiality

Information regarding the physical or mental status of students at MUSC is strictly confidential and available only to those directly involved in the student’s care.  Information regarding a student will not be released without the student’s written consent, unless legally mandated. Medical records are at maintained at Student Health Services in a free-standing electronic medical record that does not interface with the MUSC Hospital electronic medical database and is not accessible to students or MUSC faculty.

Student Health Services operates independently from other MUSC academic and clinical programs. Our providers practice exclusively at Student Health and do not hold any university positions that grade students or determine their academic promotion.

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Policy for Students with Chronic Viral Infections

Policy for students with chronic viral infections (including Hepatitis B Virus, Hepatitis C Virus, and Human Immunodeficiency Virus).

MUSC adheres to the recommendations of the CDC and recognizes that the presence of a chronic viral infection does not in and of itself prohibit the clinical practice of a competent healthcare provider. Individuals with well controlled chronic viral infections may pose little to no infectious risk to patients.

Students who have or acquire HBV, HCV or HIV and will be involved in clinical activities that include invasive, *exposure-prone procedures that could transmit the viral infection to the patient, are required to disclose this condition to the medical director of MUSC Student Health Services prior to beginning or continuing in clinical experiences. This includes students in the following colleges: Medicine, Dental, Nursing, Physician Assistant, Anesthesia for Nurses.

An expert review panel is convened at the request of the medical director of SHS to evaluate confidentially the status of the student’s condition and determine if any modification of clinical training activities is necessary based on assessment of the student’s clinical status, including current viral burden and adherence to semi-annual viral monitoring, level of experience, complexity of procedures to be performed, adherence to recommended standard precautions. The expert review panel includes the following: director of MUSC Infection Prevention, a hospital epidemiologist, the medical director of MUSC SHS, and a representative designated by the student’s College of Student Affairs.

Students with HBV, HCV, or HIV infections should not perform any invasive procedures unless approved by the expert panel.

If a student disagrees with the decision of the panel, they may appeal to the Chief Medical Officer of MUSC Health.

Students with chronic viral infections are welcome to utilize SHS for any needed medical care and/or to assist them in coordinating care with their treating provider while they are enrolled at MUSC.

Students at the AnMed Health clinical campus follow the same procedure for reporting a viral condition to the director of SHS. The expert review panel includes the following: director of AnMed Infection Prevention, a hospital epidemiologist from MUSC, the medical director of MUSC SHS, and a representative designated by the College of Medicine Office of Student Affairs.

Students are not obligated to answer patient questions related to their own HBV/HCV/HIV status.

All health care professionals, trainees and students have an ethical, professional, and fiduciary responsibility to act in the best interests of their patients to ensure their safety. Failure of a student to comply with immunization and SHS requirements, hospital policies or panel decisions regarding eligibility for participation in clinical experiences (e.g., participation in Invasive, exposure-prone procedures when the student has been prohibited from doing so) can result in loss of access to clinical education settings and/or further disciplinary action by their college.

*Invasive, exposure-prone procedures include working with sharp surgical instruments in a restricted operating space, where visualization is poor and may require tactile identification of anatomic structures, and inadvertent sharp injury of the operator is a foreseeable consequence (e.g., surgical procedures).

**Blood Borne Pathogen Exposure (BBPE) is any exposure to infectious or potentially infectious material that contains human blood, human blood components, or any products made from human blood that could result in transmission of an infectious agent.  Common mechanisms for BBPE are sharps or needle injuries or mucous membrane exposures (i.e., patient body fluids contact with eyes, nose or mouth).

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