Post Admission Requirements

Experiential Placement Requirements

Students must comply with Immunization, CPR, First Aid, mask fit testing, OCP registration and Drug Profile Viewer requirements (items A to E).  Students who have not complied with these requirements will not be permitted to proceed to experiential placements (i.e., EPE-1, EPE-2, APPE) and will be denied access to the experiential database until all requirements are met. In addition, any site-specific requirements such as a Police Record Check/Vulnerable Sector Screening must be completed in order to proceed to experiential placements (see section F below). Please review the Office of Experiential Education website for the most up-to-date information on these requirements. (www.pharmacy.utoronto.ca/oee)

A. Immunization Policy

Prior to experiential placements, students must provide documentation to indicate compliance with the ‘Policies on Communicable Disease and Immunizations for Pharmacy Students’. Students are notified of the specific immunization requirements and deadlines for submission of supporting documentation.

i) Requirements:

        a) Tuberculosis:

Students whose tuberculin status is unknown, and those previously identified as tuberculin negative (with only ONE single-step Mantoux), require a baseline two-step Mantoux skin test with PPD/5TU.  However, if the student has a documented negative PPD test during the preceding 12 months a single-step test may be given.

For students who have had ≥2 previously documented negative single step PPD tests or 1 previously documented 2-step PPD test, a single-step test may be given.

Annual TB testing is a requirement for individuals who have previously tested negative.

Students who have had previous Bacille Calmette-Guerin (BCG) vaccine may still be at risk of infection and should be assessed. A history of BCG vaccine is not a contraindication to tuberculin testing.

        Documented positive tuberculin skin test

If a student has a previously documented positive tuberculin skin test, the student does not need to receive another tuberculin skin test, but requires additional documentation.

A chest X-ray should be taken on students who:

  1. are TB skin test positive and have never been evaluated for the positive skin test;
  2. had a previous diagnosis of tuberculosis but have never received adequate treatment for TB; and/or
  3. have pulmonary symptoms that may be due to TB.

        b) Measles, Mumps, Rubella, Varicella:

Proof of 2 vaccinations with documented date or positive titre results for antibodies is required.

        c) Diphtheria/Tetanus/Acellular Pertussis:

Proof of current immunization status is required. Immunization against diphtheria/tetanus is effective for approximately ten years.  Vaccination with acellular pertussis as an adolescent or adult is recommended.

        d) Polio:

Proof of a complete primary series of polio vaccinations is required. Should immunization be required prior to the commencement of experiential placements, inactivated poliomyelitis vaccine (IPV) is indicated rather than oral poliomyelitis (OPV) vaccine because people receiving OPV may shed the virus and inadvertently expose immunocompromised patients to live virus.  Persons who have not received a full primary course should have the series completed with IPV regardless of the interval since the last dose.

        e) Hepatitis B:

Documented immunization of a complete series of Hepatitis B, including lab evidence of immunity Antibodies to HBsAg (Anti-HBsAg over 10 IU/L = immune) must be provided at least one month after the vaccine series is complete.

  1. Individuals who are non-immune (i.e. do not have the antibodies against HBsAg after immunization), must be screened for the surface antigen (HBsAg). If the HBsAg result is positive, a further screen for e-antigen (HBeAg) must be performed.
  1. Individuals who are non-immune and HBsAg negative must undergo a second COMPLETE series of HB immunization, and subsequent lab results recorded. If lab evidence (anti-HBs) does not demonstrate immunity after the second series (‘non-responder’), individual consideration should be given to the case, depending on the professional requirements.

Routine booster doses of vaccine are not currently recommended in persons with previously demonstrated antibody as immune memory persists even in the absence of detectable anti-HBs, however periodic testing should be conducted in hepatitis B responders who are immunosuppressed to ensure they are maintaining their anti-HBs titre.

ii) Recommendations:

Influenza vaccination: is strongly recommended for all pharmacy students participating in experiential placements. Students who choose not to have an annual influenza vaccination should be aware that they may be limited from clinical placements in sites requiring the vaccination.

iii) Site Specific Requirements:

Students must comply with institutional/corporate policy of the site to which they are assigned. Individual institutions and practice sites may have immunization, testing or documentation requirements for student placements beyond those required by the Faculty. Information regarding these requirements will be provided to students when site assignments are confirmed.

iv) Students with a Communicable Disease:

  • All students are expected to be in a state of health such that they may participate in the academic program, including patient care, without posing a risk to themselves or to others. Students with a communicable disease may participate in experiential visits and rotations only as long as their continued involvement does not pose a health or safety hazard to themselves or others.
  • Students who acquire a communicable disease are required to seek medical opinion.
  • In addition to complying with other regulations, students with tuberculosis, hepatitis B, hepatitis C or HIV infection must notify the Associate Dean, Professional Programs who may consult with experts as appropriate.
  • The health status of the students shall remain confidential.

v) Student Participation in Care of Patients with Communicable Diseases:

  • Students are required to participate in the care of all patients assigned to them, including patients with communicable diseases, to a level commensurate with their level of training. Such participation is necessary for the student’s learning as well as for satisfactory completion of academic requirements.
  • All students are expected to understand and adhere to infection control policies, including the principles of body substance precautions, when participating in the assessment and care of all patients, regardless of the patient’s diagnosis.
  • Students are responsible for conducting themselves in a manner which is consistent with the health and safety of themselves and others and shall be given appropriate training to do so. Students who fail to meet these responsibilities may, depending on the circumstances, face sanctions under the provisions of the Standards of Professional Practice Behaviour for All Health Professional Students.
  • Students are required to comply with the immunization policies of the Faculty.

 

B. Standard First Aid and Level C CPR

It is mandatory that all students be able to perform Standard First Aid and Level C CPR. To meet this requirement all students must submit:

  1. prior to experiential placements in Year 1 of the program, evidence of currently valid certification or re-certification and,
  1. prior to experiential placements in Year 2 of the program, evidence of certification that is valid and,
  1. prior to experiential placements in Year 4 of the program, evidence of recertification that is valid to the end of Year 4. Students are held individually accountable for submission of required documentation.

 

C. Mask Fit Testing

Students must have a valid mask fit test prior to experiential placements in Year 4 of the program.  The mask fit testing documentation must be valid until the end of Year 4.  Students in Year 1 and 2 of the program may require mask fit testing depending on the site requirement of their placement.

 

D. Registration with the Ontario College of Pharmacists

It is mandatory that students are registered with the Ontario College of Pharmacists. Initial registration requirements include submission of application, payment of fee, proof of identity, declaration of good character and acquisition of liability insurance. Once a student has fulfilled registration requirements, the registration is valid for the duration of the academic program at the Faculty.  Students must acquire liability insurance for the duration of the registration.

 

E. Drug Profile Viewer

Students must register with eHealth for an ONEID account to access the Drug Profile Viewer prior to experiential placements in Year 4 of the program.

 

F. Police Record Check / Vulnerable Sector Screening (PRC/VSS)

Pharmacy students, as part of their curriculum, will have experiential placements (rotations) at various pharmacy practice settings. At some of these sites, students may work directly with, or in close proximity to, children or vulnerable persons. To protect these groups and maintain their safety, sites may require Pharmacy students to obtain a Police Record Check. A Police record check is more comprehensive than “Criminal Record Checks” and “clearance letters”.

Students undertaking experiential rotations in subsequent years of the program, and who have already completed a PRC/VSS, may be required by placement sites to show proof of an updated PRC/VSS.

Please note: The requirement for a PRC/VSS is between the student and the placement site. Students DO NOT submit PRC/VSS results to the Faculty of Pharmacy.