Coronavirus COVID-19

Keeping IU School of Medicine Learners Safe and Informed

Last Updated March 26, 2020, 3:08 p.m. EDT

***If you keep this website open in your browser, please periodically refresh to see the most current information.

Latest General Announcements: Please scroll to see latest updates for your year. These will be updated regularly in addition to communication through Canvas.

MARCH 26, 2020, 2:10 p.m. SPRING COMMENCEMENT POSTPONED: Please see the Special Edition email that went out on March 26 from Dean Allen. This event will be re-imagined with student input.

MARCH 25, 2020, 4:32 p.m. WELLNESS RESOURCES FOR IU MED SCHOOL LEARNERS: Check out the blog post regarding current wellness resources for IU School of Medicine learners here.

March 25, 2020, 12:11 p.m. FREE WIFI PROVIDED BY IU IN HOTSPOTS FOR ACCESS FROM CARS: Please see IU’s news release here.

March 24, 2020, 12:15 p.m. EMAIL FROM DEANS WALLACH AND ALLEN WITH ADVICE TO STAY AT HOME FOR STUDYING: Following Governor Holcomb’s and President McRobbie’s statement, Deans Wallach and Allen advise IU School of Medicine Learners to stay at home or their current residence at this time for studying. You can see the full text in the “Special Edition” communication section below.

March 23, 2020, 11:00 p.m. GOVERNOR HOLCOMB AND PRESIDENT McROBBIE STATEMENT: Please see Indiana Governor Holcomb’s mandatory “Stay at Home” Order here, which takes effect Tuesday, March 24, at 11:59 p.m. IU President McRobbie also issued a message today at 4:00 p.m. EDT. This message is more pertinent for staff and research faculty, but gives context that at this time, universities are considered essential for the functioning of the state. The primary message for IU School of Medicine learners is to stay home for studying. See what the State of Indiana defines as an essential business here.

March 21, 2020, 10:20 a.m., IU PUBLIC SAFETY ADVISORY: Please see latest guidance from IU regarding COVID-19. The most importance guidance right now is for everyone to stay home.

March 21, 2020, 10:20, a.m., LEVEL 4 ALERT, DO NOT TRAVEL: The Department of State raised its global travel alert to level 4, warning against all international travel due to COVID-19.

March 17, 2020, CLINICAL CARE FOR LEARNERS SUSPENDED: A special edition email went out on March 17, 2020. Please note that at this time all direct clinical care for learners is suspended for the next 2 weeks. Please see the message below for latest updates.

March 17, 2020, GET INVOLVED: Here is an initial list of ways you can get involved during COVID-19. We encourage additions to this list.

Our Medical Student Education team is working closely with campus leadership, Dean Hess’s office and healthcare facility leadership to monitor the rapidly changing situation with the novel coronavirus (COVID-19). We will share information to keep you updated of any changes that would affect your studies or clinical training. Our goal is to keep you informed, safe, and to suggest ways to best protect yourself, your loved ones, and your patients from harm.

The purpose of this page is to provide information unique for undergraduate medical school learners at IU School of Medicine.

Coronavirus.iu.edu provides the latest updates for the entire IU community.

Please remember steps to take if you are not feeling well or have a COVID-19 exposure:

  • Limit your exposure to others by staying home from class or clerkship duties and let the course or clerkship director and/or your campus leadership know you will be away.
  • Access the free IU Health virtual screening tool here, which is free to all individuals across the state of Indiana.
  • If you are screened and the process suggests your symptoms are more severe and that you should seek further evaluation at your local Emergency Department or physician’s office, make sure to call the Emergency Department or doctor’s office in advance of your arrival so they can be prepared to see you and confirm that they can provide testing. Often, COVID-19 infections can have mild symptoms and you may be directed to simply stay at home, rest, and monitor your symptoms over time.
  • If you are evaluated and test positive COVID-19 or other infectious agents, please report your results to your course or clerkship director and/or your campus leadership.

If you are told to self-quarantine because of a positive direct exposure to a case of COVID-19 OR are screened as positive for infection even if you are without symptoms:

  • Contact your course or clerkship director and/or your campus leadership.
  • Contact Campus Health- 317-274-8214 and report your name and your circumstances.

And finally- if you are planning on returning to work after being out of the country or to an area of the U.S. with a heavy amount of COVID-19, you are required to:

  • Complete the secure IU Traveler Information Form.
  • Communicate with your course or clerkship director and/or your campus leadership regarding the details of timing of your return.
  • Contact the Infection Prevention Specialist at the clinical care site(s) you plan on returning to.

It is important for the returning student  to  communicate with their course or clerkship director and/or campus leadership and the Infection Prevention Specialist (or their designee) – whether or not they are symptomatic or asymptomatic and whether they are aware of any direct contact with individuals with known or suspected Coronavirus infection during their travel.


Special Edition Communication from Medical Student Education

Please see below for the latest special edition communication sent from Dean Brad Allen, MD, PhD, and other Medical Student Education leaders for students regarding COVID-19

March 26, 2020, 1:15pm EDT Message

Dear Class of 2020,

It is hard to believe that just last week, you were eagerly anticipating your Match results. We are so thankful we had the opportunity to celebrate with you, and once again send our congratulations! Here is the link to the compilation video recapping this special day and a story if you would like to share with family and friends.

We want to express our empathy for the continued disruptions associated with the evolving situation with COVID-19. Unfortunately, on March 20, at 1:30 p.m., IU’s President McRobbie announced the postponement of all Spring Commencement Ceremonies, which includes IU School of Medicine graduation. We wanted to provide you some space to enjoy your Match and regather before sending any further news during this time, during which updates come by the minute.

Our Medical Student Education (MSE) team has begun formulating a plan to make commencement meaningful through a virtual celebration. We will keep you updated as we formalize these plans and will provide information on logistics, such as details regarding your Herff Jones cap and gown and diploma. This will come through a special edition email communication and the graduation MedNet site.

Thank you so much for your flexibility, creativity and collegiality. We are eager for helpful input on what students would like to see on this special day. Details on how to share your thoughts will be included in the upcoming communication.

Please direct any questions to askMSE and keep healthy! 

Most Sincerely,
Bradley Allen, MD, PhD 
Senior Associate Dean, Medical Student Education

March 24, 2020, 12:36pm EDT Message

Dear Students, In yesterday’s executive order, Indiana’s Governor Holcomb required that all Hoosiers stay at home starting today, March 24, at 11:59 p.m., unless involved in essential activities to avoid the spread of COVID-19.Recognizing the importance of flattening the curve and avoiding further spread of the virus, we ask that students study at home or your current residence and not come to campuses.

Please see:

Please askMSE for questions.

Stay safe everyone,
Paul M. Wallach, MD
Executive Associate Dean for Education and Institutional Improvement

Bradley Allen, MD, PhD
Senior Associate Dean, Medical Student Education

March 19, 2020, 12:43pm EDT Message

Dear Learners,

We are so excited to share Match Day with you and incredibly proud of all your hard work.

Also, we have good news!! We just learned tonight that the NRMP agreed to sending you your matches at NOON! Thus, we will start the party sooner.

Please log into Zoom at 11:45 a.m. EDT on Friday, March 20, in anticipation of your email receipt of your Match results from the NRMP at 12 p.m.

JOIN HERE!

(**Because of quick change in time, this Zoom link might be subject to change, and we will send out tomorrow, if so.**)


There will be messages from your class president Zain Abedali and Deans at the school which will lead up until 12:00 p.m. In addition, we will have a virtual countdown, and then invite you to share in the Zoom Chat where you matched so we can announce to everyone as they come in.

We also invite you to share your Match! The school’s communications team is putting together a video of students sharing their excitement and experience on Match Day. There are a few ways you can share your photos and videos to be included in the video:

DM photos and videos to @iumedschool on Instagram or Twitter

Add photos and videos to a shared Google photos album

Be sure to tag @iusmmatch2020 and @iumedschool on Instagram or Twitter and use #IUSMmatch2020 to share the joy on Friday!

The student-created @iusmmatch2020 Instagram account has templates and filters to use in your posts, and there is a geofilter on snapchat.

We are so proud of you, excited to share in your joy and take time to acknowledge your incredibly important accomplishments.

March 17, 2020, 12:35pm EDT Message

Medical students, as junior colleagues, play an important role in the care of our patients and are valued members of our healthcare teams. The current COVID-19 pandemic is rapidly transforming the environment of care, calling for tremendous flexibility and creativity as we work together to make necessary adaptations.

Information from our clinical partners and educators indicates that there is a need to reallocate resources and personnel to serve the health of our communities. 

This morning, Dean Hess, Dr. Wallach, Dr. Allen, along with the entire IU School of Medicine COVID-19 Rapid Response Team met and determined that our school will temporarily suspend all medical student participation in direct clinical care activities.

This suspension is anticipated to last 2 weeks, and may need to be extended. We will be transitioning to virtual learning and telehealth opportunities. We will continue to consider alternative approaches for education and clinical care in the best interest of our students, faculty, and patients. 

Phase 1 Students

All learning has moved to an online format. Clinical experiences are temporarily suspended. Students should plan on being available to take exams at their respective campuses. We are looking into alternatives options for testing. 

Phase 2 Students

All direct clinical care is suspended for the next 2 weeks. Please be prepared to engage in online learning and other alternative experiences as instructed by your clerkship teams. Exams will proceed in-person, however, schedules may need to be adapted to ensure that we remain compliant with all social distancing precautions.

Phase 3 Students

All clinical electives/clerkships will engage in online learning and alternative experiences. Please follow course director directives.  Exams will proceed in-person, however, schedules may need to be adapted to ensure that we remain compliant with all social distancing precautions.

Mobilizing Action

IU School of Medicine continues to look at ways for our learners to engage in meaningful ways to contribute to the needs of our communities and the healthcare system responses to the pandemic. We are inspired by the large numbers of students who have reached out with offers to help in any way needed. We will provide follow-up communications regarding these existing opportunities for you which will remain updated on a regular basis as information becomes available.

Mental Health Services

Our Mental Health Services team continues to be available to support you during these very stressful times. They can be reached by emailing dmhs@iu.edu to set up a Zoom appointment. This is true for new and established patients. Staying connected with family and friends through virtual platforms is also important for your well-being at this time, and we will continue to send other suggested resources in the MD Student Newsletter.

The Medical Student Education (MSE) team continues to be available for you via email and Zoom as well. 

Most Sincerely,

Jay Hess, MD, PhD, MHSA

Executive Vice President for University Clinical Affairs
Dean of the School of Medicine

Paul Wallach, MD

Executive Associate Dean for Educational Affairs and Institutional Improvement
Professor of Medicine

Bradley Allen, MD, PhD, FACP, FIDSA

Senior Associate Dean | Medical Student Education
Associate Professor of Clinical Internal Medicine and Infectious Diseases

March 15, 2020, 11:54pm EDT Message

We are witnessing rapid and dramatic societal changes made in response to the COVID-19 pandemic as its impact continues to grow throughout the world. Most recently, please see President McRobbie’s message that went out tonight at 8:15 p.m. EST. 

Every person across the globe is impacted by these social changes, particularly those who are most vulnerable among us.

We have the opportunity as healthcare professionals to confront this crisis in a caring and innovative manner to address the acute needs of our communities and effectively prepare, you, our future physicians.

We are working with our statewide clinical partners to mediate the curriculum implications of these changes. Every medical school across the nation is facing the same challenges. Importantly, we also want to be mindful of our own wellness and health during this time and provide support for one another. 

Town Hall Details

Medical Student Education (MSE) leadership will host a general information session at 5 p.m. EST, Monday, March 16, for students of all phases.

The overall session, with presentations by Dean Wallach, Dean Allen and Dean Walvoord, will be followed by four break-out Zoom sessions that you can join to hear specific discussions regarding Phase 1 Year 1; Phase 1 Year 2; Phase 2; and Phase 3 related topics with the ability to submit questions.

Overview for All Students (For first 30 minutes) 

Breakout Zoom sessions after general presentation scheduled for first 30 minutes, beginning at 5:30 p.m. EST:

P1Y1
P1Y2
P2
P3

We, as a school, are rapidly adjusting to serve the needs of our state, country and world. Our primary mission is to prepare you, our future healthcare leaders, to tackle and lead in this crisis.   

We look forward to hosting these sessions regularly and hope they will help us all develop and communicate a path as you continue your training and prepare yourself for the changes that will come.

For latest updates on COVID-19, please check in on coronavirus.iu.edu and our page with information unique for IU School of Medicine learners.  

Most Sincerely, 

Bradley Allen, MD, PhD, FACP, FIDSA
Senior Associate Dean | Medical Student Education

Indiana University School of Medicine
Associate Professor of Clinical Internal Medicine and Infectious Diseases

Emily Walvoord, MD
Associate Dean | Student Affairs

Indiana University School of Medicine
Professor of Clinical Pediatrics

March 13, 2020, 11:54pm EDT Message

Coronavirus now spans 112 countries and regions and is classified as a pandemic by the World Health Organization. This has prompted countries across the world to take rapid and substantial actions to limit additional spread of COVID-19 to flatten the curve. 

These steps have dictated the changes taken by IU School of Medicine to follow and respect the federal and state directives. Hospitals and clinics in which we train have been asked to rapidly begin emergency response planning to prepare for large numbers of admissions.

Although we are seeing only a few cases in Indiana at present and are limiting your involvement with COVID-19 patients, medical students may play an increasingly supportive role to our care teams if the number of severe cases expands. This necessary institutional transition time leaves you, our learners, along with our statewide teaching faculty in a difficult position as we work to avoid interruption of your training in all phases.  

As IU President McRobbie announced today regarding the restrictions, “The measures we are taking will undoubtedly cause inconvenience and disruption, yet the risks of not acting now far outweigh the foreseeable inconvenience and challenges of these actions.”

We recognize the resiliency required to adapt to quick and sometimes conflicting messages due to hour-by-hour updates coming at a national, state and local level. Our statewide Medical Student Education (MSE) team is working around-the-clock on multiple fronts to answer questions, make contingency plans and deliver the educational experience that we all want for you, given the circumstances.

We appreciate your patience and collegiality as we respond to an unprecedented, global situation. We are attempting to send the most up-to-date information that we have, while recognizing that these updates might change by the hour. 

We realize the incredibly high stakes of your education as well as the health and safety concerns you may have right now. We are taking measures to help keep you safe while also recognizing the critical educational value of participating in the clinical setting.

It will be important to balance your training with the safety of other learners, healthcare teams and the patients we serve. All medical students across the country, and world, are facing similar challenges right now. 

We will do everything we can to keep you all safe, on track, and prepared to contribute to our COVID-19 response as needs arise! Please submit questions (and search for previously asked questions about your topic) to ASK MSE and continue to check coronavirus.iu.edu and the IUSM COVID-19 website (these sites have up-to-date FAQs and helpful links).

We will continue to send frequent major updates directly AND update these living sites on a daily basis. We are also exploring options for quicker and more interactive communication.

Thanks again for your patience, understanding and willingness to work with us in preparing for what could be a pivotal time for healthcare in Indiana and globally. 

Below please find specific details for each level of training as of Friday, March 13, 2020. These may change.

Phase 1 Year 1

  • We are making plans for all online education for the Neuroscience and Behavior Course in case the restriction of in-person teaching continues beyond April 6, 2020. Currently, students should plan to take all course exams in person.
  • The Host Defense Exam 3 and the NBME exam are to be taken in-person as planned. 

Phase 1 Year 2 

  • Prometric testing sites for USMLE Step 1 appear to be closing in certain areas of the country. Please check the individual Prometric sites for the most up-to-date closures and guidance.
  • If we need to extend the April 6 deadline for taking Step 1 due to widespread test site closures, we will determine a new plan. We want you to start clerkships on time as much as you do!
  • IPE Activity in April will be delivered virtually. Please maintain your current time slot.  
  • Orientation to Clerkships (OTC) will be delivered virtually. The full agenda and information will be posted on the Road to Phase 2 Canvas Site in the next couple of weeks.
  • Transitions 2 (T2), statewide, will be delivered virtually, with details to follow.
    • We will be adding discussions on how to approach the clinical setting optimally during this pandemic.
    • The full agenda and information will be posted on the Road to Phase 2 canvas site in the next couple of weeks.
  • It is possible we will need to modify clerkship plans, depending on how long restrictions last and the status of our community and hospital systems. 
  • Onboarding and FIT testing: Please see MedHub or MEDnet for the full list of on-boarding requirements to prepare for your clinical rotations. Please note that FIT testing is suspended because of potential shortages of N95 masks for now. You will be notified when testing requirements resume. You should not participate in any encounters or procedures that require an N95 mask (airborne precautions or aerosolizing procedures) if you have not been fit tested in the past three years.
  • We will reschedule the headshot/composite photos for another time. 

Phase 2

  • Your health and safety is a priority while you are also an important part of the overall health care team. The COVID-19 pandemic will provide a critical learning experience. Like other medical schools nationally, we are following the AAMC guidance for clinical training at this time. We all need to protect ourselves from a host of communicable diseases (ex. HIV, TB, influenza) while caring for patients, and COVID-19 is now a new pathogen to add to the list. However, because of the limited data about transmissibility, morbidity and mortality, we are restricting students from caring for known or suspected COVID-19 infected patients at this point in time. If you have a specific situation that you are concerned about, including individual health concerns, please contact Dr. Paul Ko, Associate Dean for Curricular Development and Improvement. 
  • Today the USMLE announced they are suspending Step 2 CS exams from March 15 until April 13, 2020. We will work with students to make sure that you all can take CS at a time that works for your overall educational plan and career goals. USMLE is listening to concerns as they arise and is working with schools to create contingencies for students nation-wide.
  • There may be times when you are excluded from the clinical environment. The current transition to emergency response mode by facilities and faculty may be contributing to this exclusion, which we anticipate to resolve for your interactions with most patients. However, the forecast of critical shortages of personal protective equipment (PPE), such as gowns and masks (based on experiences noted in Seattle, Italy, and China) are currently leading to student restrictions regarding caring for patients with requirements or locations that require use of this PPE equipment (isolation rooms, operating rooms, procedure rooms etc.). We are working on solutions to adjust for these limitations in your clinical experience but hope you can see the need to conserve these supplies which are in short supply and very difficult to restock based on the global demand. However, if you are being excluded from other experiences in the clinical setting please reach out to your Statewide Clerkship Director or Dr. Jennifer Schwartz so that alternative plans can be made for you.
  • With the restriction on rotations outside the state impacting most students in the United States, conversations at the national level are happening as to how away rotations will need to be modified. Remember, you are in the same boat as every other medical student in the country. We would recommend that you still apply/ schedule these away rotations as best you can, starting no earlier than July, 2020, in hopes that travel restrictions may lift by then. We also recommend having a backup plan in case you need to reschedule a rotation in Indiana. 

Phase 3 

  • Due to the highly communicable nature of COVID-19 and restrictions placed by the state on gatherings of individuals over 250, Match Day celebration is cancelled. We are working with your student leadership on plans for an alternative Zoom-based event to still allow your class to share in the excitement of finding out your residency training destination. We will not be able to hand out envelopes as we had hoped. The event will start by at least 12:45 p.m. on Match Day in anticipation of your email receipt of your match results from the NRMP at 1 p.m. 
    • The Match Day party is truly a student-led event, organized and funded by your class officers. We have spoken with your class officers, and sadly, the party needed to be cancelled due to state restrictions.
    • Match Day T-shirts will be available in Long Hall room 400 for pick up all next week. We will plan later pick up dates as needed.
    • We are making plans for how you will get your “official” IU School of Medicine Red Match Envelope and NRMP Match letter in the upcoming weeks, either for pickup or by mail.
  • Graduation planning is still in progress! We very much hope to hold this momentous occasion, but this will depend on state and federal regulations closer to that time.
  • Transitions 3 is being moved to online experiences at this time. We will keep you updated, and we are anticipating in-person activities hopefully will resume after April 5. 
    • March 31: The Kickoff Event at the NCAA Hall of Fame has been cancelled.  
    • April 1-5: All sessions for this period will be delivered online. The earliest check-in date at Candlewood for students traveling to Indianapolis has now been changed to April 5.
    • We may be able to bring you all to Indy to complete the remainder of the course on April 6, but the situation with COVID-19 is rapidly evolving and we are preparing to deliver all course content online, if needed.  

For All

  • Developing or reinforcing coping skills to build resilience during this time is important. The Mental Health Services (MHS) team will continue to be available for everyone and schedule appointments. However, all appointments will be conducted via Zoom. Please do not hesitate to reach out to MHS or any MSE leader if you need support.
  • A number of IU School of Medicine administrators/Deans will be present in Gatch and/or Long Hall from March 16 to April 6. Others will be working remotely and available by Zoom. Please call or email if we can assist you in any way and we will arrange to meet in person or remotely. 
  • We would advise that you not make any travel plans, including conferences, for the rest of the spring. However, if you do, please buy refundable tickets and be aware of the ever-changing travel restrictions that could impact your return or lead to a quarantine period. IU has amended its travel policy to require self-quarantine by only those travelers returning from countries under a CDC Level 3 warning. Any student, faculty member, or staff member returning from a country subject to a CDC Level 3 warning must self-quarantine off campus for 14 days before returning to any IU campus. There will be no exceptions. This requirement currently applies to China, Iran, South Korea, and the 26 European countries in the Schengen Area; however, the CDC may add additional countries to the Level 3 list with little warning.

Sincerely, 

Bradley Allen, MD, PhD, FACP, FIDSA
Senior Associate Dean | Medical Student Education

Indiana University School of Medicine
Associate Professor of Clinical Internal Medicine and Infectious Diseases

March 10, 2020, 8:45pm EDT Message

IU School of Medicine Follow-Up from IU President McRobbie’s Coronavirus Message

This afternoon, you should have received a letter from IU President McRobbie regarding the latest guidance due to the COVID-19 outbreak. These precautions aim to limit spread of COVID-19 and enable us to protect ourselves, our colleagues and our communities. It is heavily influenced by the directives of the Centers for Disease Control and Prevention (CDC) and other public health agencies.

You will receive more details regarding your curriculum based on the new expectations set forward by IU. We want to offer timely clarification on some of the facts provided as they uniquely apply to IU School of Medicine courses, clerkships and student activities for all students and campuses. We appreciate your understanding during this fluid situation.

Changes in delivery of our IU School of Medicine curriculum for all years commences on Monday, March 16, until at least April 5. This period could extend depending on the evolving status of the COVID-19 outbreak.

  • Phase 1, Year 1 courses will transition to remote delivery of material. We are developing contingencies for testing that falls within the timeframe impacted.
  • Phase 1, Year 2 students should continue their study and testing plans. All study resources will remain available during this period. Any updates will communicated by the USMLE.
  • Phase 2 clerkship rotations will continue as scheduled, but adjustments will be made on delivery of group lectures, and we will keep you informed of these changes.
  • Phase 3 rotations/electives will continue as planned, except for the discouragement of out-of-state rotations and halt on international rotations and adjustments to group activities. These restrictions have been previously shared, and more details can be found here.
  • Planning is underway for contingency plans for Orientation to Clerkships, Transitions 2, and Transitions 3 to meet the expectations of the new IU directive and still deliver needed content for your training.
  • Due to IU’s strong recommendations and similar situations across the country, Match Day at the Campus Center must be cancelled. We are working with Class of 2020 class officers to find creative ways to celebrate the incredible accomplishments of our colleagues. 

We appreciate your patience and understanding while your campus leadership works through the logistical planning of these changes. The goal of these efforts is to decrease spread of the COVID-19 agent, particularly for vulnerable populations, while still achieving the goals of our student training programs. Please regularly check our page on MedNet, email updates, and Canvas messages for important and more detailed announcements over the next few days

March 9, 2020, 3:15pm EDT Message

All International Elective Rotations Put on Immediate Hold

With the rapidly evolving status of the COVID-19 epidemic, please review the most recent important update regarding approval for medical student travel. This information is being regularly updated on a MedNet site set IU School of Medicine learners here.  

After careful deliberation with IU School of Medicine leadership, the following regulations and recommendations will be effective immediately for all IU School of Medicine students: 

International Rotations

All international travel for IU School of Medicine student elective rotations will be placed on immediate hold. There will be no exceptions. These restrictions have the potential to stretch into the Summer and Fall of 2020. 

Domestic Rotations

Travel for clinical rotations or electives within the continental United States is strongly discouraged. Students must consider the potential risks to their academic progress due to increased risk of exposure during their travel or clinical experience outside of Indiana and the risk of mandatory quarantine upon their return to campus.

Despite our best efforts to help with schedule changes, we will all need to work together and be flexible in order for all students to complete graduation requirements. There could be additional stronger restrictions on domestic travel that will come to pass in the next days and weeks. Therefore, we want to give students the chance to plan ahead for alternative options with their advising resources. 

International and Domestic Meetings

International travel for educational meetings and conferences is also placed on hold at the present time due to the risks of travel. Domestic travel for educational meeting and conferences is also strongly discouraged. Many upcoming conferences are cancelling or transitioning to a virtual meeting format. New time-away requests from studies for educational meetings and conferences will not be granted while the current travel restrictions are in place. This restriction may be appealed to the relevant Phase Dean/Director or to Dean Bradley Allen, MD, PhD. 

Personal Travel

IU School of Medicine students should carefully consider the degree of importance of any personal travel and understand the risks of travel delays and the potential of a 14-day quarantine, even if feeling well, upon return from travel to areas of high COVID-19 risk. 

Potential Impact of Rapid Changes

We have seen rapid updates in the areas considered high-risk over the last few days and expect these will continue to change over the next several weeks. Traveling students could become subject to quarantine upon their return due to health department guidance updates while traveling. Return travel arrangement could be complicated or delayed related to restrictions brought about by the COVID-19 outbreak. Strong consideration should be given to delaying any domestic personal travel due to the potential for further changes. 

A reminder that IU School of Medicine students will be asked not to deliver direct care to those patients with a high suspicion, or proven COVID-19 infections, in order to minimize exposure. The COVID-19 infection continues to cause the majority of severe disease and death in elderly patients or those with other chronic illness, however children and healthy adults may serve as asymptomatic carriers of the infection. 

Students should reach out to their lead advisors, career mentors, or campus MSE leadership for coordination of these potential schedule changes. Students should also be aware of the regulations and safety procedures being implemented at their local hospitals where they will be rotating, which can be provided by clerkship directors, elective coordinators and hospital websites that we are attempting to summarize on our website

We understand that travel cancellation is disappointing and disruptive. The health and safety of our students and those colleagues, staff, faculty or patients they may come into contact with are our highest priority. Medical Student Education is working hard to assist students to deal with these schedule changes. We are developing procedures to address the academic impacts of these cancellations.

It is quite possible that locations in the United States could join the current international high-risk areas for COVID-19. Again, please keep in mind that unanticipated and unpredictable delays may occur with travel to developing high-risk COVID-19 areas and interfere with your planned schedule for graduation.

The situation related to COVID-19 is rapidly changing and the School of Medicine, in conjunction with the Indiana State Department of Health, our statewide hospital affiliates and communities, will be reviewing these guidelines daily.

Guidelines may change, and we will communicate needed amendments to student regulations as they occur on this site, through the newsletter and through special edition emails.

March 4, 2020, 8:30pm EDT Message

Coronavirus Guidelines for Students and Campus Leaders

The worldwide outbreak of the 2019 Novel Coronavirus (also referred to as 2019-nCOV, COVID-19, and SARS-CoV-2) has impacted several countries beyond China. It is important that we all use reliable resources to stay on top of the latest guidelines and recommendations from the CDC, our Indiana State Health Department, our county health departments, the IU School of Medicine leadership, and the facility leadership in the hospitals and clinics in which we work and study. 

Our Medical Student Education team will plan to share updates/summaries periodically to keep you apprised of any changes over the next few days and weeks that would affect your studies or clinical training. IU School of Medicine’s overarching goal is to keep you informed, safe, and to suggest ways to best protect yourself, your loved ones, and your patients from harm.

There are ongoing discussions between our statewide IU School of Medicine campus leadership, Dean Hess’s office, and the healthcare facility leadership for all our statewide teaching facilities to monitor and potentially adjust the activities of our students based on the level of risk in the local communities from COVID-19.  

Please follow the guidelines below and keep updated at Protect IU and the CDC. Guidance continues to remind all that frequent hand washing, use of sanitizer, and keeping your hands away from your face are important habits during this season:

Staying Home if Ill
  • If you are feeling ill, stay home. Do not come to work or to class/clerkships. Call your medical provider or your student health clinic if feverish or you have other symptoms.  
  • Based on the emerging situation surrounding the Coronavirus/COVID-19 illness and even the usual seasonal round of colds and flu, it is critical that we all do our best to not put others at risk. 
  • IU School of Medicine provides a time away policy for times like this, and we understand that our students become ill. Please do communicate (call or email) and work with your course, clerkship, and campus leaders if you need to be home due to illness. We have communicated this with all faculty and staff on your behalf. It is okay to miss time from your studies. Really!
Traveling
  • Non-essential travel outside of the United States should be avoided during this time period if at all possible. If you have rotations or travel planned please check in with your advisor, MSE or campus leadership to discuss your approach to these plans.
  • If you do travel outside of the United States, please check in with your campus leadership and the Infection Prevention contact at the hospital to which you will be returning prior to starting a clinical service to assure you are safe to return to any patient care duties.
  • Any student traveling to high risk locations for COVID-19 (CDC Level 2 or 3 travel alert) should let their IU School of Medicine campus leadership know and, currently, should not return to school or work for 14 days after return.
  • Regarding any planned travel going forward, it is a good idea to consider refundable air fare and travel insurance in the upcoming weeks since conditions may change quickly in regard to your travel destination.

CDC Recommendations Link (updated daily) and Take-Home Points for Students in Clinical Settings 

  • Everyone can do their part to help us respond to this emerging public health threat: 
    • It is currently flu and respiratory disease season and CDC recommends getting a flu vaccine, taking everyday preventive actions to help stop the spread of germs, and taking flu antivirals if prescribed.
    • If you are a healthcare provider (including students in clinics or on hospital rotations), be on the look-out for: 
    • If you are a healthcare provider or a public health responder caring for a COVID-19 patient, please take care of yourself and follow recommended infection control procedures.
    • If you are a close contact of someone with COVID-19 and develop symptoms of COVID-19, call your healthcare provider and tell them about your symptoms and your exposure.
  • If you are a resident in a community where person-to-person spread of COVID-19 has been detected and you develop COVID-19 symptoms, call your healthcare provider and tell them about your symptoms.
    • For people who are ill with COVID-19, but are not sick enough to be hospitalized, please follow CDC guidance on how to reduce the risk of spreading your illness to others. People who are mildly ill with COVID-19 are able to isolate at home during their illness.
    • If you have been in China or another affected area or have been exposed to someone sick with COVID-19 in the last 14 days, you will face some limitations on your movement and activity for up to 14 days. Please follow instructions during this time. Your cooperation is integral to the ongoing public health response to try to slow spread of this virus.
IUSM Campus Closure Updates  

If cases begin to appear within Indiana communities, changes may be made from a public health/prevention standpoint to limit activities or close campuses.  You should refer to our website that offers information for each campus. 

Serving Patients With Suspected or Proven COVID-19 Infection

In the event that an IU School of Medicine student happens to be involved in the evaluation and management of patients with suspected or proven COVID-19 infection, we will refer you to resources that have been provided to IUSM residents and fellows from the accrediting body for GME, the ACGME. In order to recognize and care for these patients, students need to be both aware of and able to appropriately respond to this viral illness.

Clinical Facts Reminders
  •  The number of new cases of COVID-19 and the number of people still ill from this infection is starting to go down in the areas of China where the infection first started. 
  • The mortality rate remains in the 2-3% range, which may seem low – but compared to influenza is 20-30x higher in the rate of death (influenza mortality risk is typically at a rate of 0.1%). Most of the deaths have occurred in the elderly or in those with chronic diseases or for immunosuppressed hosts. 
  • Healthy individuals are not recommended to purchase or wear face masks in the general public. This step is not effective in stopping general community transmission and threatens to deplete the national supply of masks needed by frontline healthcare teams caring for COVID-19 patients. 
Use of Masks in Clinical Settings

Currently the CDC recommends the use of N-95 masks for those caregivers interacting within 6 feet of suspected or confirmed cases of COVID-19.  Accordingly, it is key to have awareness of the use of personal protective equipment (PPE) and the importance of the proper fit of an N-95 mask.

Our MSE office has record of fit testing for most students. We believe it is important for all our students to have proper PPE available to them. Therefore, the MSE office will be contacting those who have yet to complete fit testing with information regarding where to have this performed as soon as possible.

Updating Your Knowledge

Please see the Indiana State Department of Health COVID-19 Webinar from 2/28/2020 to review clinical disease descriptions, current recommendations for screening, testing and the ISDH contact information to discuss issues related to conservation of PPE equipment

Also, see recent Table at bottom of email from CDC regarding Criteria to Guide Evaluation and Testing of Patients Under Investigation (PUI) for COVID-19 (for more information see here.)

Thank you for your attention to this information and look for updates in the near future.


Curriculum Updates

These are general updates for your year. Please refer to Canvas for detailed information provided by your curriculum director.

Current P1Y1 (Information Relevant for Your P1Y2 Curriculum) Updated March 20, 9:30 a.m. EDT

March 19, 2020, HOST DEFENSE ADMINISTERED VIRTUALLY: The remaining exams in Host Defense (Exam 3 and final exam) will be administered remotely through Examsoft. We are allowing these unproctored exams in light of the extraordinary circumstance we are in, and trust our students to abide by the IUSM Honor Code during these exams. This means you will be able to take the exams off campus or come to campus and take the exams if WiFi and/or your living situation precludes taking the exams at home (exam rooms will not be reserved). You will receive later today (March 20) or tomorrow information on how to download Examplify on your computer and information regarding a “no point quiz” you will take on Monday (to troubleshoot this approach). Please refer to your Canvas page for details on this.

March 16, 2020, COURSE MOVED ONLINE: We planning to deliver the Neuroscience and Behavior Course online.

P1Y2 (Information Relevant for Your Transition to Phase 2), Updated March 20, 9:30 a.m. EDT

March 18, 2020, ONLINE ELECTIVES: Online electives are open for both Phase 2 and 3. Because Phase 3 students have a relatively shorter timeframe to graduation, Phase 3 students will have first priority for enrolling in online electives in April and May.

  1. 93ZI820 – LGBTQ+ Healthcare Research (Advanced Science Research)
  2. 93YF700 – Family Medicine Research Elective (Advanced Science Research)
  3. 93ZH770 – Public Health/Preventive Medicine (Advanced Science Research)
  4. 93ZI705 – Addressing Biases and Microaggressions in Medical Education (Professional Development)
  5. 02DA700 – Anatomy Education (Professional Development)
  6. 93CA910 – Medical Education Elective in Pathology (Professional Development)
  7. 53ZI701 – Team-Based Learning Case Development & Assessment (Professional Development)
  8. 45ZI701 – Advanced Medical Problem Solving (Professional Development)
  9. 84ZM700 – Introduction to Health & Informatics (Professional Development)
  10. 84ZM710 – Advanced Topics in Biomedical Informatics and Technology (Professional Development)
    1. Please note that this course requires completion of 84ZM700 Introduction to Health & Informatics as a pre-requisite

March 17, 2020, DIRECT CLINICAL CARE SUSPENSION FOR 2 WEEKS: Please note that, at this time, all direct clinical care for learners is suspended for the next 2 weeks.

March 17, 2020, STEP 1 TESTING DEADLINE MOVED: The Step 1 testing deadline has now been moved to June 1, 2021. With this change, you will be allowed to start OTC, Transitions 2, Intersessions and clerkships without first taking Step 1. Once the centers reopen, we recommend you take Step 1 as soon as you feel ready. Since the curriculum for the month of April is being delivered online, we would allow you to take Step 1 during that time.  If you feel you would need additional study time prior to taking Step 1, you could ask to move your vacation month in your schedule. Your testing date will be an excused absence from your clerkships, but you should avoid Intersessions and required clerkship activities such as orientation and the end of clerkship exam. Please check Prometric and USMLE site for latest updates on Step Exams. We will work with you alongside these changes

March 16, 2020, IPE NOW VIRTUAL: IPE Activity in April will be delivered virtually. Please maintain your current time slot.  

March 16, 2020, OTC VIRTUAL: Orientation to Clerkships (OTC) will be delivered virtually. The full agenda and information will be posted on the Road to Phase 2 Canvas Site in the next couple of weeks.

March 16, 2020, T2 VIRTUAL: Transitions 2 (T2), statewide, will be delivered virtually, with details to follow.

  • o We will be adding discussions on how to approach the clinical setting optimally during this pandemic.
  • o The full agenda and information will be posted on the Road to Phase 2 canvas site in the next couple of weeks.

March 16, 2020, CLERKSHIP MODIFICATION POSSIBLE: It is possible we will need to modify clerkship plans, depending on how long restrictions last and the status of our community and hospital systems. 

March 16, 2020, ONBOARDING REQUIREMENTS: Onboarding and FIT testing: Please see MedHub or MEDnet for the full list of on-boarding requirements to prepare for your clinical rotations. Please note that FIT testing is suspended because of potential shortages of N95 masks for now. You will be notified when testing requirements resume. You should not participate in any encounters or procedures that require an N95 mask (airborne precautions or aerosolizing procedures) if you have not been fit tested in the past three years.

March 16, 2020, HEADSHOTS POSTPONED: We will reschedule the headshot/composite photos for another time.

P2 (Information Relevant for Your Transition to Phase 3), Updated March 25, 12:52 p.m. EDT

March 25, 2020, CHECKING NBME COMPUTER COMPATIBILITY:

Here is what students will need to do with their personal laptops:

  1. Go to http://wbt.nbme.org/exam and follow the on-screen instructions to run the Secure Browser.
  2. Select the Workstation Certification icon.
  3. Select the Examinee Personal Laptop Certification link. The utility will test the laptop for compatibility with web based testing.

March 20, 2020, NBME/AQUIFER EXAMINATIONS: We are pleased to share with you, and grateful to the NBME and Aquifer for allowing us to provide remote examinations with virtual proctoring for the first time in its history. We appreciate the advocacy of our school leadership in working with these national organizations to reach this decision.

With this new exam flexibility will come new expectations as a school and for you as students. We will need to demonstrate that as emerging professionals, all IU School of Medicine students will adhere to our Professional Code of Conduct. The NBME will expect that all schools monitor examination results closely for any irregularities that might suggest academic dishonesty. 

The following changes will occur:

  • The NBME/Aquifer examinations on March 26 and March 27, 2020 are postponed to allow implementation of the virtual proctoring system.
  • The NBME plans to have virtual proctoring available starting on or after April 7, 2020.
    • We plan to administer the exam during the April 7-10, 2020, time period if possible.
    •  If the NBME is delayed in implementation of the proctoring system, this time frame may need to be adjusted and you will be notified.
  • The full testing process will be shared with you when made available from the NBME.
  • When the exam date is established, we will ensure that you have a full day to review the material and you will be excused from other requirements to prepare
  • We will have further information to you as soon as possible as we learn more from the NBME on this new program.

Please note that the anesthesia examination is unaffected and will proceed virtually as previously scheduled. The radiology examination will also be delivered virtually as planned. Further instructions will follow from your Clerkship Directors.

March 18, 2020, ONLINE ELECTIVES: Online electives are available at this time, open for both Phase 2 and 3. Because Phase 3 students have a relatively shorter timeframe to graduation, Phase 3 students will have first priority for enrolling in online electives in April and May.

  1. 93ZI820 – LGBTQ+ Healthcare Research (Advanced Science Research)
  2. 93YF700 – Family Medicine Research Elective (Advanced Science Research)
  3. 93ZH770 – Public Health/Preventive Medicine (Advanced Science Research)
  4. 93ZI705 – Addressing Biases and Microaggressions in Medical Education (Professional Development)
  5. 02DA700 – Anatomy Education (Professional Development)
  6. 93CA910 – Medical Education Elective in Pathology (Professional Development)
  7. 53ZI701 – Team-Based Learning Case Development & Assessment (Professional Development)
  8. 45ZI701 – Advanced Medical Problem Solving (Professional Development)
  9. 84ZM700 – Introduction to Health & Informatics (Professional Development)
  10. 84ZM710 – Advanced Topics in Biomedical Informatics and Technology (Professional Development)
    1. Please note that this course requires completion of 84ZM700 Introduction to Health & Informatics as a pre-requisite

March 18, 2020, VISITING AND AWAY ROTATIONS SUSPENDED: Consistent with national trends and AAMC guidance, all student visiting and away rotations or observerships are suspended until further notice. We recognize the incredible value of coming together as a national and international community to learn from one another, as well as the importance of visiting rotations in the residency selection and application process. We look forward to a time when we can resume visiting and away rotations, and plan to do so when the situation allows.

March 17, 2020, CLINICAL CARE SUSPENDED: Please note that, at this time, all direct clinical care for learners is suspended for the next 2 weeks. Please see the message below for latest updates.

March 16, 2020, SUSPENSION OF STEP 2 CS EXAM UNTIL APRIL 13: Today the USMLE announced the suspension of Step 2 CS exams from March 15 until April 13, 2020. We will work with students to make sure that you all can take CS at a time that works for your overall educational plan and career goals. USMLE is listening to concerns as they arise and is working with schools to create contingencies for students nation-wide.

P3 (Information Relevant for Graduating), Updated March 25, 12:53 p.m. EDT

March 25, 2020, CHECKING NBME COMPUTER COMPATIBILITY:

Here is what students will need to do with their personal laptops:

  1. Go to http://wbt.nbme.org/exam and follow the on-screen instructions to run the Secure Browser.
  2. Select the Workstation Certification icon.
  3. Select the Examinee Personal Laptop Certification link. The utility will test the laptop for compatibility with web based testing.

March 24, 2020, TRANSITION 3 VIRTUAL: At this point, the entire Transitions 3 curriculum has been moved online with the exception of the surgery track.  This will be a mix of live zoom sessions and asynchronous activities.  For those of you in the surgery track, Dr. Stanton will be providing specific information about your schedule soon.

March 16, 2020, PLAN TO DELIVER ENVELOPES BEING DEVELOPED: We are making plans for how you will get your “official” IU School of Medicine Red Match Envelope and NRMP Match letter in the upcoming weeks, either for pickup or by mail.


Traveling FAQ

What if I have an international or domestic meeting?

International travel for educational meetings and conferences is placed on hold at the present time due to the risks of travel. The Department of State raised its global travel alert to level 4, warning against all international travel due to COVID-19. New time-away requests from studies for educational meetings and conferences will not be granted while the current travel restrictions are in place. This restriction may be appealed to the relevant Phase Dean/Director or to Dean Bradley Allen, MD, PhD.

What is considered domestic travel?

Domestic travel is defined as travel to another state for a rotation or for a medical meeting. Intercampus travel within the state is currently allowed for all school-related activities.

Please see the current CDC guidance for domestic travel.

What if I have a personal trip planned?

The Department of State raised its global travel alert to level 4, warning against all international travel due to COVID-19.

What if I have traveled outside the United States in the past 14 days or plan to?

  • The Department of State raised its global travel alert to level 4, warning against all international travel due to COVID-19.
  • Please see the CDC guidance for domestic travel.
  • If you have traveled outside of the United States, please check in with your campus leadership and the Infection Prevention contact at the hospital to which you will be returning prior to starting a clinical service to assure you are cleared to return to any patient care duties. Please note that on March 17, all student clinic interaction was halted for 2 weeks.
  • Contact information is provided below this FAQ for each campus which has submitted information.
  • Please complete the secure IU Traveler Information Form.

Is it safe to travel within the United States?

The CDC offers guidance for current travel within the United States here.


General FAQ

How can I do my part to respond to COVID-19?

Students and staff are working together to find ways to help during this time! Please see this blog post which will be updated regularly for ways you can help.

How do I access mental health services during this time?

If you have an urgent matter that can wait a few hours, and it is a typical business day, you can send a message to dmhs@iu.edu or call 317-278-2383. If it is after hours or an emergency, please use the crisis line at 317-278-HELP (4357). The Department of Mental Health Services (DMHS) will plan to shift their clinical services to telehealth services. Clinicians will be available for Zoom appointments. There will be no change in scheduling. The process for crisis, triage, and scheduling will remain the same. The DMHS voicemail and email will be monitored as usual.

How do I access wellness resources during this time?

Please check out resources here provided by our IU School of Medicine Wellness Coalition. We will be hosting regular virtual quarantales and workouts. The CDC also provides guidance for maintaining mental health and wellness during this time. Finally, IUPUI offers a helpful page with resources such as recommended apps to download.

What should I do about an event I am hosting as a SIG or planning to attend?

If your meeting involves 5 or more individuals, please try to host via Zoom. We are strongly discouraging meetings with over 5 individuals that are non-essential to your curriculum progression during this time. We encourage use of proper hand sanitation at all in-person meetings.

Will my IU-sponsored healthcare plan cover the cost of a COVID-19 Test?

Yes, if a medical professional orders a COVID-19 Test for you, it will be covered at no cost under all IU-sponsored healthcare plans. This means that all copays, deductibles, and out-of-pocket costs are waived only for the focused test used to diagnose COVID-19. Coverage for the COVID-19 Test includes employees, students and their dependents enrolled on an IU-sponsored healthcare plan.

Will my IU-sponsored healthcare plan cover the cost of treatment for COVID-19?

Yes. If you require an office visit for testing or treatment for a diagnosed case of COVID-19, you will have the same coverage that is currently available for any emergency or non-emergency illness, subject to the normal deductible, copay and out-of-pocket amounts under IU-sponsored medical plan you are enrolled. For additional coverage details, visit the Student Insurance Website.

Where can I find resources regarding my campus facilities?

Please see your local campus sites or emails from your campus leaders for information specific to your location regarding COVID-19 such as building closings and campus health. Not all information on these pages will be relevant. Please note that the primary advice right now is to stay at home for studying.

What are current hours for the Ruth Lilly Medical Library? (UPDATED MARCH 24, 5:00 PM EDT)

Reduced library hours due to coronavirus (COVID-19).

Hours Staffed: Monday – Friday 8am – 4pm

We will be open on in-person testing days on 03/26 and 04/20 and as needed.

24/7 Area available to Medical Students: All other times.

Can I get Fit Testing?

Fit testing is on hold for now while hospital systems conserve N95 masks for COVID-19. You will be contacted when Fit testing requirements resume. You should not participate in any encounters or procedures that require an N95 mask (airborne precautions or aerosolizing procedures) if you have not been fit tested in the past four years.


Campus Contacts Prior to and After Returning From Travel for Learners at Hospitals

If you are to travel outside of the United States, please call Infection Prevention at the hospital to which you will be returning prior to travel and prior to starting clinical service to assure you are cleared for patient care. It is possible that the level of risk of COVID-19 in a country has changed, leading to restrictions on your ability to work and need for furlough/quarantine.

Bloomington

Please contact your campus leadership or lead advisor for immediate needs related to travel.

Evansville

Deaconess Hospital, Evansville: Dawn Rogers, 812-450-2768

Deaconess Women’s Hospital, Newburgh: Sonya Mauzey, 812-842-4262

Memorial Hospital and Health Center, Jasper: Christopher Bunce, MD, 812-996-5932

Good Samaritan Hospital, Vincennes: Robin McDonald, 812-885-3476

St Vincent’s Hospital, Evansville: Kim Bellessa, Tammy Work

Fort Wayne

Lutheran Hospital: Lisa MacDonald, 260-458-3600

Parkview Health: Scott Stienecker, 260-266-9227

Gary

Please contact your campus leadership or lead advisor for immediate needs related to travel.

Indianapolis

Muncie

IU Health Ball Memorial Hospital: Visit the Employee Health office on 7 west or call 765-747-3458. Open 7:30 a.m. to 4:00 p.m. Monday to Friday. When health office is closed call paging operator 765-747-3298 and ask for RESIDENT ON CALL.

South Bend

Elkhart General Hospital: (574) 523-3395
Goshen Hospital: (574) 364-2735
Memorial Hospital: (574) 647-6684
Saint Joseph Regional Medical Center: (574) 335-1030

Terre Haute

Terre Haute Regional Hospital: Myrna Dienhart RN, BSN, MS (812) 237-9289 or (812) 249-6250

Union Health System: Joe McKanna RN, BSN, MBA, CIC, CHSP (812) 238-7428 or (812) 238-7000 for paging.

West Lafayette

Franciscan Health Lafayette East: David Linn, MD, 765-775-2800

IU Health Arnett: Rachael Heathers RN, BSN, CIC, 765-838-5954 and West Central Region Infection Prevention at 765-414-4821 

Purdue University Health: Jamie L. Jackson, Director of Nursing, Purdue University Student Health Service, 765-494-1673


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