Survey of immunization curriculum and training experiences at Michigan schools of medicine and physician-assistants

While vaccine-preventable diseases are more prevalent in children than would be expected, a goal of 90% of 2 years-old to be age appropriately immunized remains unrealized in many states. Providers appear to play a pivotal role m this problem. This study examined the curriculum and training regarding immunizations provided to medical (Med) and physician-assistant (PA) students in Michigan. A person familiar with each school's curriculum and training completed and returned a two page survey form. Unanswered or unclear responses were clarified. Responses were tabulated and compared with corresponding portions of the Standards for Pediatric Immunization Practices. All 9 schools (5-PA and 4-Med) responded that their curriculum was designed to teach students about routine childhood immunizations. Only 2/9 schools (22%), both PA, reported that students were taught to properly administer vaccines, and only 3/9 (33%) tested students on the content of childhood immunization schedule. While 8/9 (89%) reported teaching about true contraindications to vaccinations, only 6/9 (67%) taught students about recognizing missed opportunities to vaccinate. This survey identified deficiencies in several areas of immunization curriculum and training given to providers-intraining. Lack of a sound educational foundation may contribute to providers failing to maintain recommended Standards of Pediatric Immunization Practices.