COVID-19

Keeping IU School of Medicine Learners Safe and Informed

Attention IU School of Medicine Learners: If you have COVID-19 symptoms, or believe you have been infected, please report your symptoms to IU School of Medicine Student Health at healthsv@iupui.edu (317-274-8214) and the IU Health Virtual Screening Clinic (also found at one.iu.edu, search “COVID” and click on COVID Health Services). If you tested positive somewhere else (i.e., did not use the IU Health Virtual Screening clinic), please complete the COVID-19 Self Reporting Form, (also found at one.iu.edu, search “COVID” and click on COVID-19 Self Reporting Form.) Your actions will help IU School of Medicine respond quickly to protect students, faculty and staff. Read more information on IU’s COVID-19 website.

Last Updated August 31, 2020, 12:30 pm EDT


A Message from Dr. Allen, Senior Associate Dean for Medical Student Education

Since the COVID-19 surge began in March, we know much more about the virus, how to prevent transmission, and how to treat patients with severe illness. However, there is still much we do not know, information can still change quickly and resulting plans may change as we learn more. SARS CoV 2 still constitutes a real threat to our patients, our communities, and our colleagues in healthcare. The following information is intended to keep you, and all who you interact with, as safe as possible while continuing your medical training. We want you to feel reassured, based on the experiences of our front line COVID-19 providers over the last 3 months, but to also help you remain vigilant for your safety and be prepared for changes that could come with little advance notice. IU and IU School of Medicine will keep you informed if that happens. 

We know that the rate of seroconversion in healthcare providers in the IUH system, following standard precautions, is lower than the rate of seroconversion in the general population with community exposure. Our goal is still to keep you as safe as possible while engaging in a robust clinical experience with a variety of patient care encounters. For this reason, and consistent with national guidance from the AAMC, IU School of Medicine students are currently restricted from direct contact with known or highly suspected COVID patients.

It is important for all of us to continue maintaining safe practices including consistent use of PPE, frequent hand hygiene, and social distancing consistent with best evidence and CDC guidelines in both our clinical and non-clinical settings due to the rate of community spread and asymptomatic and presymptomatic carrier states. Global studies have shown that our use of surgical masks and infection controls practices are effective and that self-quarantine after routine contact with a COVID patient is not necessary for providers who follow the standard infection control practices.


What You Need to Know

Information Applicable for All Phases


Wear Masks

Are required to wear face coverings, at all times when in public areas to maximally protect those around you and yourself. This includes in all hallways, elevators, public spaces, common areas, and classrooms in all IU buildings and those of the affiliated university campuses. Masks will be expected when in all clinical settings as well. Numerous studies have shown that masks are our best option to protect those around us and ourselves from infection. As health professionals, we need to be seen as role models for masking and distancing as recommended by the CDC. Our behavior is monitored by our communities, including activities that are posted on social media. For this reason, we expect all members of our IUSM community to wear masks and follow distancing guidelines anytime when in public.

If any students have any medical reasons they cannot wear a mask, they need to discuss this with their local leadership and ask for formal accommodations. We hope there will not be any compliance issues with the mask-wearing, but if there are the following steps will be taken. 

  • Non-Masking consequences: 
    • Students who are on campus and are not wearing a mask on campus will be offered a mask and expected to don a mask immediately.  If this happens more than once an Area of Concern will be issued in Professionalism for not following expectations. 
    • Repeat offenses after the issuing of an AOC will result in referral to the Senior Associate Dean for Medical Student Education with the potential for suspension and/or recommendation for an appearance before the Student Promotion Committee for further consideration up to and including possible dismissal.

Review the Student Commitment Form

All IU students must sign a Student Commitment Form. You can review the content of what you signed at any time.


Notify IU if you have symptoms concerning COVID-19 and self-isolate until cleared for return:

In the event that you develop any symptoms of COVID-19, you must:

  • If you have COVID-19 symptoms, or believe you have been infected, please report your symptoms to IU School of Medicine Student Health at healthsv@iupui.edu (317-274-8214) and the IU Health Virtual Screening Clinic (also found at one.iu.edu, search “COVID” and click on COVID Health Services). If you tested positive somewhere else (i.e., did not use the IU Health Virtual Screening clinic), please complete the COVID-19 Self Reporting Form, (also found at one.iu.edu, search “COVID” and click on COVID-19 Self Reporting Form.) Your actions will help IU School of Medicine respond quickly to protect students, faculty and staff. Read more information on IU’s COVID-19 website.
  • Please also inform your program director and/or rotation coordinator.
  • Services offered by IU Health will follow the basic flowchart listed below for students in their clinical (Phase 2 or 3) or pre-clinical (Phase 1) curriculum.
  • Be sure to fill out the time away request form if you need to do so.

Notify IU immediately if you have a high-risk direct exposure to COVID-19

  • A “high-risk exposure” means spending at least 15 minutes within 6 feet of someone with active COVID disease with no surgical mask, or in an aerosol-producing procedure/environment with no N-95 mask.
  • Email IU School of Medicine Student Health at healthsv@iupui.edu or call (317)-274-8214 immediately.
  • In clinical settings, you will not need to quarantine after a patient exposure as long as you remain without symptoms and continue to wear a mask at all times in the public and clinical setting to protect others.
  • At all times in situations where you are temporarily not able to wear a mask, such as when eating, a 6-foot radius should be maintained away from any other individuals.
  • Students need to continue monitoring for symptoms at least twice daily for 10 days after high-risk exposure and stop working immediately if they start feeling ill and pursue testing through the screening app. The student will then be guided through quarantine and testing procedures.
  • Be sure to fill out the time away request form if you need to do so.

What You Need to Know

Information Unique to Each Phase



Frequently Asked Questions

Questions Applicable to All Phases


Housing

What housing options do I have if I am immune-compromised?

All housing for rotations away from home campus is designed to provide a single bedroom and guidance for cleaning of any shared areas to minimize exposure. Please report to MSE or your clerkship or campus leadership if you have any questions regarding potential conditions that may make you at high-risk for infection.

What housing guidance is IU School of Medicine following?

IU School of Medicine is following IU guidance regarding occupancy, and will use the appropriate roommate agreement form when two students are sharing a single apartment with common areas. As of July 20, the form is being finalized.


Health and Wellness

What testing will be available for IU School of Medicine students?

Through an agreement with Indiana University Health, IU students, faculty and staff will have access to a comprehensive series of services related to the screening, testing and management of COVID-19. 

As part of the agreement, all IU students, faculty and staff at any IU or facility who have symptoms of COVID-19 will be able to use virtual visits and local clinics where samples can be collected for virus testing if needed.

These services can be accessed through this link.

What is mitigation testing? (ADDED 8/31/20)

Indiana University has rolled out its plan for semester-long, COVID-19 mitigation testing of nearly all faculty, staff and residents. The goal of mitigation testing is to quickly identify and isolate any individuals who test positive for COVID-19, including asymptomatic carriers of the disease. Scientific models those this level of screening is the best tool for keeping any breakouts at bay.

Thousands of people per week will be tested across all IU campuses.

-The tests will be conducted using saliva samples; nasopharyngeal swabs will not be required for mitigation testing.

-Individuals randomly selected for mitigation testing will be notified by email and must make an appointment to complete their test on campus by Friday of that week.

-If selected, individuals are required to participate unless they meet a very narrow set of exemption criteria.

-Test results will be available in two to five days.

-If the test is negative, individuals should continue their normal routine.

-If the test is positive, individuals will be contacted by an IU contact tracer and receive detailed instructions on isolation and next steps.

-Students, faculty and staff contacts for mitigation testing who fail to take the COVID-19 test may be subject to disciplinary actions, up to removal from campus or being placed on administrative leave without pay.

I have symptoms of COVID-19 and followed the steps to alert IU School of Medicine Student Health and access IU Health testing. What happens next?
  • PHASE 2 and 3
    • If symptomatic, please use the IU Health virtual hub with CAS credentials
      • If testing is appropriate, you will be guided to closest testing facility
        • If positive:
          • Let program director, staff physician, and rotation coordinator know
          • Isolation duration is 10 days minimum and individual must be afebrile (not feverish) for 72 hours with improving symptoms before returning to rotations. This process will be guided by the IU Health virtual hub.  Retesting is not required and is discouraged.
          • It is the learner’s responsibility to notify Occupational Health at the facility (e.g. Eskenazi Health or VA) where they have been assigned.  If assigned to IUH, the notification occurs via the IUH Virtual Hub.
        • If negative:
          • Let program director, staff physician, and rotation coordinator know
          • Should remain off work until you’ve been 24h fever free (off antipyretics such as ibuprofen or aspirin) with improving symptoms
  • PHASE 1
    • If symptomatic, please use the IU Health virtual hub with CAS credentials
      • If testing appropriate, you will be guided to closest testing facility
        • If positive:
          • Let course site leader know
          • Isolation duration is 10 days minimum and affected individual must be afebrile (not feverish) for 72 hours with improving symptoms before returning to classes. This process will be guided by the IU Health virtual hub. Retesting is not required and is discouraged.
        • If negative:
          • Let course site leader know.
          • Should remain off any in-person class until you’ve been 24h fever free (off antipyretics such as ibuprophen or aspirin) with improving symptoms

I do not have symptoms of COVID-19 but was notified of an exposure. What happens next?
  • PHASE 2 and 3
  • You are allowed to return to clinical work as long as you remain masked (with a surgical or isolation mask) as guided by institutional policies.
    • In this situation, should symptoms develop, you should stop working and utilize the IU Health virtual hub for testing.
    • Work and lectures outside of your clinical responsibilities should be done remotely when possible.
  • PHASE 1
  • If wearing a surgical/isolation/cloth mask during the exposure, no need for quarantine.
  • If not wearing a surgical/isolation/cloth mask during the exposure:
    • Let course site leader know (can discuss with contact tracing hotline for advice)
    • Quarantine duration is 14 days and will be guided by the IU Health virtual hub.
      • If symptoms never develop during the 14-day quarantine period, you can return to class at the end of the 14 days.
      • If symptoms develop during the quarantine period, contact the virtual hub for assessment for testing.

What are symptoms of COVID-19?

As stated by the CDC, symptoms of COVID-19 include:

  • Fever or chills
  • Cough
  • Shortness of breath or difficulty breathing
  • Fatigue
  • Muscle or body aches
  • Headache
  • New loss of taste or smell
  • Sore throat
  • Congestion or runny nose
  • Nausea or vomiting
  • Diarrhea
What services are included in the agreement with IU Health?

The six services being offered include: 

  1. IU Health COVID-19 symptom checker – an interactive virtual screening, available 24/7, for any IU student, faculty or staff who has COVID-19 symptoms.
  2. IU Health virtual screening clinic – a virtual clinic staffed by IU Health registered nurses and supervised by an IU Health physician is available 24/7 for those with symptoms of COVID-19.
  3. COVID-19 testing – virus testing available at 14 IU or IU Health facilities across the state.
  4. Care during self-isolation – virtual medical support for those who test positive for COVID-19 or are waiting on test results.
  5. Return from selfisolation – guidance from IU Health clinicians for those who have tested positive and recovered from COVID-19.
  6. Daily well check – a daily text message to those in pre-determined or high-risk groups asking about new symptoms consistent with COVID-19.
Is there a cost for using the virtual services and testing from IU Health?

No. Indiana University is covering the costs associated with these services.

What is the difference between isolation and self-quarantine?

Both isolation and quarantine are public health practices used to stop or limit the spread of disease but they are distinctly different measures.

Isolation is used to separate ill persons who have a communicable disease from those who are healthy. Isolation restricts the movement of ill persons to help stop the spread of certain diseases.

Quarantine is used to separate and restrict the movement of well persons who may have been exposed to a communicable disease to see if they become ill. These people may have been exposed to a disease and do not know it, or they may have the disease but do not show symptoms. Quarantine can also help limit the spread of communicable disease.

Isolation and quarantine are used to protect the public by preventing exposure to infected persons or to persons who may be infected.

The CDC has provided guidance for isolation and self-quarantine.

How do I get help and support for my mental health?

If you are feeling anxious or overwhelmed, the Department of Mental Health Services (DMHS) is available for support. DMHS offers individual psychotherapy, couples counseling, group counseling and psychiatric services. Currently, all services are available via telehealth.

DMHS also can assist in connecting to other resources as needed. IU School of Medicine trainees statewide can reach out to DMHS at:

In urgent situations, the DMHS Crisis Line is available 24/7: (317) 278-4357 (HELP)

  • Calls are answered by a licensed mental health clinician who can provide assistance and contact the on-call DMHS clinician for urgent help.
  • Anyone can call the crisis line on behalf of a trainee, and calls can be made anonymously.

When should I seek help?

Seek support if you are experiencing these common warning signs and risk factors for emotional distress.

And check out the Mental Health Continuum to determine when it’s time to enlist professional care.

Practice self-care

Think about how frequently, and how well, you are performing self-care activities to maintain good health and improve well-being by taking this self-care assessment.

Regional Campus Resources

Additional resources for regional campus trainees Regional campus medical students have additional local resources as listed below. They also may reach out to DMHS to explore their resource options as these resources continue to develop over time.

Campus Counseling Resource
 Bloomington IU Bloomington CAPS (812) 855-4011
 Evansville University of Evansville Counseling Center (812) 488-2663
 Fort Wayne Bowen Center (260) 481-5748
 Muncie Ball State University Counseling Center (765) 285-1736
 Northwest-Gary Contact DMHS or Dr. Dana Lasek (317) 278-2382 for referral to a NW-Gary therapist
 South Bend IU South Bend Counseling Center (574) 520-4125
 Terre Haute Indiana State University Counseling Center (812) 237-3939
 West Lafayette Contact Dr. Colleen Maguire-Jackson, Purdue Veterinary Medicine Counseling, pvmwellbeing@purdue.edu
What do I do if I or a family member have special health considerations that might affect my activities in the clinical environment?

Discuss your situation with your primary care physician for medical guidance. Discuss with MSE or your clerkship or campus leadership to determine best options.

Are individuals on IU campuses doing more cleaning in light of the novel coronavirus?

Yes, all IU campuses have increased cleaning and sanitizing to help ensure the health of all those on campus. Learn more about specific cleaning measures at IU campuses.

How can I protect myself from COVID-19?

There are several measures which reduce the likelihood of getting or spreading the virus:

  • Regularly wash your hands and use alcohol-based hand sanitizers with at least 60% alcohol.
  • Cover your nose and mouth when you sneeze.
  • Do not share food or drinks.
  • Avoid close contact with people who have fever, coughing, sneezing, or difficulty breathing.
  • Stay home if you are ill. Keep yourself away from others if you have fever, coughing, sneezing, or difficulty breathing.

Online Learning and Studying

What are some tips and resources to help me with online learning at IU?

Keep Learning at IU provides resources and tips.

Some library resources and other systems require me to be on campus or connect to the IU VPN. How do I connect to the IU VPN to access these from home?

See IU’s policy for connecting to enable secure access.

What if my home internet connection is weak or unstable?

IU has established hot spots around the state if you have any connectivity issues. Find deals and other sources for internet access in the FAQ section of the Keep Learning site.

Where can I find information about library hours?

The Ruth Lilly Medical Library on the Indianapolis campus will open its 24-hour area on Monday, July 27, at 7:00 am EDT. The rest of the library will be opening on August 3, starting at 7:00 am EDT. Hours for fall semester are:

Monday-Thursday: 7 am – 9 pm

Friday: 7 am – 6 pm

Saturday: Closed

Sunday: 12 pm – 6 pm

Information about study spaces on other campuses can be found on the Library Resources page, provided by the Ruth Lilly Medical Library.


Travel

What travel guidelines should I follow to keep myself and others safe?

The CDC has issued guidance for travelers returning from foreign destinations. Students arriving to Indiana University from a foreign location must spend 14 days at home monitoring their health and practicing physical distancing. This period may be spent at the traveler’s residence including on- or off-campus housing. This period could stretch longer if one becomes symptomatic during quarantine. IU Global provides guidance on global mobility during this time. There is still no IU School of Medicine-sanctioned travel, domestically or internationally. Students must weigh their options carefully and know that travel-related quarantine and isolation periods may be interfere with completion of academic activities upon their return, leading to the need for schedule changes or extending the end of training phases.

Who should I contact if I plan to travel or have traveled?

Healthcare systems may require self-isolation with any travel. Please call Infection Prevention at the hospital to which you will be returning prior to travel and prior to starting clinical service to determine how long you will need to quarantine prior to clearance to provide care upon your return. Please also contact your lead advisor and campus leadership in advance of any travel to establish a continuity plan upon your return. Infection Prevention Contacts at campuses are listed below:

  1. Bloomington: Please contact your campus leadership or lead advisor for immediate needs related to travel
  2. Evansville
    1. Deaconess Hospital, Evansville: Dawn Rogers, 812-450-2768
    2. Deaconess Women’s Hospital, Newburgh: Sonya Mauzey, 812-842-4262
    3. Memorial Hospital and Health Center, Jasper: Christopher Bunce, MD, 812-996-5932
    4. Good Samaritan Hospital, Vincennes: Robin McDonald, 812-885-3476
    5. St Vincent’s Hospital, Evansville: Kim Bellessa, Tammy Work
  3. Fort Wayne
    1. Lutheran Hospital: Lisa MacDonald, 260-458-3600
    2. Parkview Health: Scott Stienecker, 260-266-9227
  4. Gary
    1. Please contact your campus leadership or lead advisor for immediate needs related to travel 
  5. Indianapolis
    1. Methodist Hospital: Lana Dbeibo, MD
    2. VA:  Andrew Dysangco, MD 
    3. Riley Hospital: Adam Karcz, MD, Jaime Redkey, MD, or John Christenson, MD 
    4. IU Health University Hospital: Cole Beeler, MD 
    5. Eskenazi Health: Amy Kressel, MD, IP on-call pager 317-310-8250
  6.  Muncie
    1.  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.
  7.  South Bend
    1.  Elkhart General Hospital: (574) 523-3395
    2. Goshen Hospital: (574) 364-2735
    3. Memorial Hospital: (574) 647-6684
    4. Saint Joseph Regional Medical Center: (574) 335-1030
  8.  Terre Haute
    1. Terre Haute Regional Hospital: Myrna Dienhart RN, BSN, MS (812) 237-9289 or (812) 249-6250
    2. Union Health System: Joe McKanna RN, BSN, MBA, CIC, CHSP (812) 238-7428 or (812) 238-7000 for paging.
  9. West Lafayette
    1. Franciscan Health Lafayette East: David Linn, MD, 765-775-2800
    2. IU Health Arnett: Rachael Heathers RN, BSN, CIC, 765-838-5954 and West Central Region Infection Prevention at 765-414-4821 
    3. Purdue University Health: Jamie L. Jackson, Director of Nursing, Purdue University Student Health Service, 765-494-1673

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