Immunization Requirements
Immunization is one of the most important requirements to protect the students, patients, and other individuals while the students are engaged in experiential courses. Prior to the first year of experiential courses, students must complete the University of Toronto Immunization Record to indicate compliance with the Communicable Disease and Immunization Policy. Students will be asked to renew specific immunizations throughout their studies and are responsible for all fees.
Students are responsible for completing the following vaccinations and/or testing procedures:
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Tuberculosis Testing (2-Step)
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Measles, Mumps, and Rubella and Varicella (MMRV)
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Polio Vaccination
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Hepatitis B (Hep B)
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Tetanus/Diphtheria/Acellular Pertussis (Tdap)
Requirements must be completed in advance and valid during the experiential rotation. Students must discuss outstanding vaccinations with a Health Care Professional (HCP) , this could be Family Doctor or nearby Walk-in Clinic or U of T Health and Wellness.
Students who fail to comply with immunization and documentation requirements will not be permitted to proceed to experiential placements.
University of Toronto Immunization Record
PharmD Pre-rotation Requirements: Immunization Timeline
Communicable Disease and Immunization Policy
- General Student Requirements
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The Faculty of Pharmacy will inform students that:
- They may be required to take part in the care of patients with various communicable diseases including hepatitis, TB, and HIV, during their clinical rotations;
- They will be instructed regarding methods of preventing the spread of communicable diseases;
- There is a risk that they may contract a communicable disease during the course of their rotations;
- They have a responsibility to prevent the spread of communicable diseases to others;
- They will be required to comply with Faculty immunization requirements;
- Students with a communicable disease may participate in experiential placements only as long as their (continued) involvement does not pose a health or safety hazard to themselves or to others;
- Students will be required to comply with provincial communicable diseases surveillance protocols developed under the Public Hospitals Act/Regulation 965;
- Students may be required to give body fluid specimens if they are exposed to or contract certain diseases while working in practice sites.
- Students With A Communicable Disease
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- 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 placements 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 provide documentation to Synergy Gateway Verified, from their primary care provider confirming the disclosed condition is being appropriately managed
- The health status of the students shall remain confidential.
- Students Caring For Patients With Communicable Diseases
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- 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.
- Students Exposed To A Communicable Disease During Experiential Placements
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- Students who incur an injury or other medically related incident that may place them at risk of acquiring a communicable disease, during the performance of activities as a part of their experiential placement, must immediately seek medical attention. The incident must be reported by the student, at the earliest opportunity, to their preceptor and the Office of Experiential Education to ensure that required documentation is completed.
- Students who are exposed to a communicable disease during the course of an experiential placement are strongly encouraged to follow up with Occupational Health, Health and Wellness services at the University of Toronto or any other health care provider for additional counselling or follow up needs related to the communicable disease in question.
- Co-Responsibility with Practice Sites
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The Faculty of Pharmacy and the practice sites each are responsible for ensuring that students are adequately instructed in infection control as it relates to communicable diseases. This will include the following:
- The Faculty will provide information on body substance precautions and infection control and inform students as to their responsibilities with respect to infection control.
- Affiliated institutional practice sites are required to comply with the Communicable Disease Surveillance Protocols for Ontario Hospitals developed under the Public Hospitals Act/Regulation 965. Compliance with these Protocols requires the hospitals to provide instruction in infection control precautions.
Frequently Asked Questions
General
- Where can I find the University of Toronto Immunization Record?
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The form can be accessed here
- Where can I find my immunization information?
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Your immunization records are available either from your physician, elementary/high school or by contacting the Association of Public Health Units
- Is the yellow immunization record accepted as proof of immunization?
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It is not, we require the Immunization Record form to be completed and signed by a Health Care Professional
- Where can I get my immunizations?
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You can get immunizations at any physician’s office or at the UofT Student Life Health and Wellness
- Do I have to take a copy of my immunization documentation to my site?
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Some institutional sites require that students produce immunization documentation. All students are to keep a copy of their immunization documentation in case it is requested at their site.
- If I have to submit my vaccination documentation to the Faculty anyway, why can’t the Faculty send my information to the sites that require it?
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Due to the confidential nature of this information, students are responsible for providing sites with their own immunization documentation.
- Are there any important timelines I should be aware of to plan for immunization completion?
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Yes, PharmD students can access important deadlines here
- Where do I upload my completed University of Toronto Immunization Record?
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The University of Toronto Immunization Record, will be uploaded onto a secure proprietary online platform: Synergy Gateway Verified. Synergy Gateway Verified allows you to securely upload all your requirements for verification through the Electronic Requirements Verification (ERV) appointments. Access to Synergy Gateway Verified will be provided to students upon arrival to the program in the Summer. Students will be required to hold on to their original copies of their documentation. All fees are payable by student at the time of their appointments and must be paid in full. Students are required to achieve a ‘Pass’ from their ERV appointments to proceed to their experiential courses.
Tuberculosis Testing (TB)
- Is the Mantoux test and TB test the same thing?
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Yes.
- What does a 2-step TB test involve?
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Two injections approximately 1-4 weeks apart. Each injection is ‘read’ after 48-72 hours.
- I have never had a TB test before. My health care professional thinks that only one step is necessary, do I need to have the second step?
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You need a documented two-step test. Each year thereafter is a one-step test.
- The first step of my 2-step TB test is negative. Do I have to have the 2nd step?
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Yes. A single TB test may elicit little response, but a second test anytime from one week to one year later may elicit a much greater response. This ‘booster effect’ may indicate a past TB infection.
- I had a documented 2-step TB test done previously. Do I need to have another 2-step test this year?
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No. If you had a two-step test done at any time and this is documented, you only need a one-step test this year. You must submit proof of a past two-step test
- My recent TB test was positive. Is this unusual?
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Every year a number of students discover that their TB tests are positive. A positive test doesn’t necessarily mean that you have TB, but you may have been exposed to it in the past. Your Health Care Professional will determine whether treatment is required, based on your chest x-ray and size of reaction to the test.
- What documentation do I submit if my TB test is positive?
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Submit a TB Chest X-ray and fill in the University of Toronto Immunization Record
- Should I get started on my TB test now?
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As TB tests are only valid for 1 year, and students may wait until they have been accepted into the program and have received instructions from the Office of Experiential Education to begin testing.
Measles, Mumps, Rubella and Varicella (MMRV)
- If I only have documentation of one MMR dose, do I need another dose?
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It is a requirement to have documentation of two doses of Measles and Mumps and 1 dose of Rubella.
- Do I require titres if I have proof of immunization?
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If you provided proof of immunization (two doses of Measles and Mumps and 1 dose of Rubella), titres are not required.
- How long does it take to get the results of titres?
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It usually takes about 3-4 weeks. Therefore, you should take this into consideration, to ensure all documentation is complete by the deadline.
- If any of my MMR titre results are “indeterminate” do I need to be vaccinated?
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Yes you need be vaccinated.
- Can I be cleared for registration if I can prove that I had my titres done, but I am waiting for the results?
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No. All documentation must be complete for students to be cleared for registration.
- What kind of documentation do I need for Varicella?
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You must have 2 documented doses of the vaccine or positive titre results for antibodies. The results of the titre must be documented on the immunization record. A history of chicken pox is no longer sufficient.
Polio
- If I do not have proof of my polio booster series, what can I do?
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You will need to complete a new primary series of polio vaccinations
(The series can take up to 6 months to complete, although it is possible to complete a 2 months accelerated schedule)
Hepatitis B (HepB)
- Can I provide proof of immunity (titre) to HepB instead of dates of primary series?
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Yes, a titre is required and students must have lab evidence of immunity. Students do not need to provide the original primary series dates.
- What happens if my titre shows that I am non-immune to HepB?
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After completion of HepB primary series, if the student is non-immune, another booster series and testing is required. Please note that this series can take up to 6 months to complete and we recommend that students start the HepB process (to check for immunity) immediately.
- What if I find out that I’m a Hepatitis B carrier?
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Your health care professional will counsel you on safety issues, precautions etc. In addition, you must provide documentation from your primary care provider confirming that your disclosed condition is being appropriately managed.
Tetanus/Diphtheria/Acellular Pertussis (Tdap)
- Do I require a new Tdap if I had my shot less than 10 years ago?
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A single dose of Tdap is only necessary every 10 years for those who have previously received an adolescent or adult dose of Tdap.
Recommended Immunizations
- Influenza
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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 will not be able to participate in rotations at sites requiring the influenza vaccination.
- COVID-19
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Pharmacy students participating in experiential rotations are recommended to receive updated COVID-19 vaccinations as per current public health guidance. Note that sites may have specific vaccination requirements.