Herold A H, Roetzheim R G, Woodard L J, Pamies R J, Van Durme D J, Manning R
Department of Family Medicine, University of South Florida College of Medicine, Tampa 33612-3799.
J Fam Pract. 1993 Feb;36(2):158-60.
Unavoidable exposure to disease and to patients susceptible and vulnerable to disease warrants that students entering medical school be immunized against many of the illnesses for which vaccines are available. The validity of immunization records presented at the time of registration, however, is largely dependent on the provision of accurate and reliable documentation by the student.
We evaluated for authenticity the immunization and tuberculin testing records of 85 students entering medical school in 1990. Five levels of valid documentation were defined, and the information on each record was reviewed accordingly.
Only 43% of the records were original documents or laboratory reports of antibody titers, and 7.5% were not date-specific. We found that 8% to 20% of the forms were missing physician and/or student signatures, and 12% to 19% of the forms did not have health care provider addresses.
Even though medical student preventive health programs may have strict requirements, there may be substantial deficiencies in the quality of the documentation provided by the students. Such deficiencies undermine the purpose of these programs.
由于不可避免地会接触疾病以及易感染疾病的患者，因此进入医学院的学生有必要接种多种可通过疫苗预防的疾病的疫苗。然而，注册时提交的免疫记录的有效性在很大程度上取决于学生提供准确可靠的文件。
我们评估了1990年进入医学院的85名学生的免疫接种和结核菌素检测记录的真实性。定义了五个级别的有效文件，并据此审查了每份记录上的信息。
只有43%的记录是原始文件或抗体滴度的实验室报告，7.5%的记录没有具体日期。我们发现，8%至20%的表格缺少医生和/或学生签名，12%至19%的表格没有医疗服务提供者的地址。
尽管医学生预防健康计划可能有严格要求，但学生提供的文件质量可能存在严重缺陷。这些缺陷破坏了这些计划的目的。
