Chances of MD with active Hep B?

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Nutritiouslunch

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Hi SDN,

I am seeking some advice/opinions on the viability of having a fulfilling medical career as a physician if I have chronic Hepatitis B. I was born oversea and got it via vertical transmission. I've read posts from prospective MDs who are carriers inquiring about their chances into med school. While those thread give great advice and outlook, I find them hard to relate to because my infection is very much active (though, managed) and can't be denied nor hidden away until matriculation.

I wasn't even aware of my active infection status until I started undergrad, and I found out because I was constantly falling sick to every common cold/flu going around campus and failing classes left and right. After a couple fumbles with the university infirmary, I was diagnosed with Hep B and depression. I got therapy and I switched into a major outside of science. It was the right choice at the time, because even though I continued to fall sick and land myself in the ER repeatedly, my grades were upward trending.

I graduated last year and pretty quickly got struck with an acute flare-up where I was finally prescribed antivirals. My GI has told me there is a slim to none chance I can ever go unmedicated, but he is happy with my decreasing viral load and expects me to live a healthy and fulfilling life.

Since taking medication, I've seriously felt like a brand new person and I couldn't even think of the last time I felt so energetic and clearheaded. I want to attempt a career in medicine again, but I am hyperaware of the stigma behind my disease, since it's blood-borne and very contagious, with the potent to endanger patients in a surgical setting. Not becoming a surgeon doesn't bother me terribly much, as I would like to specialize in IM or GI. My biggest hurdle right now would be to fix my sGPA with a postbacc, but before I sink time and money into it- I need to know realistically if my chronic disease, even with it being well managed, would make an adcom hesitate before offering an interview, much less a spot.
 
... viability of having a fulfilling medical career as a physician if I have chronic Hepatitis B. ... my infection is very much active (though, managed) and can't be denied nor hidden away until matriculation. ... I was constantly falling sick to every common cold/flu going around campus and failing classes left and right. ... got struck with an acute flare-up where I was finally prescribed antivirals ... Since taking medication, I've seriously felt like a brand new person and I couldn't even think of the last time I felt so energetic and clearheaded ... My biggest hurdle right now would be to fix my sGPA with a postbacc, but before I sink time and money into it- I need to know realistically if my chronic disease, even with it being well managed, would make an adcom hesitate before offering an interview, much less a spot.
Your GPA is more likely to be a sticking point for admissions to medical schools. Chronic well-controlled hepatitis B infection should not preclude you from matriculation provided you meet the medical schools' technical requirements. You are also not required to divulge your HBV/eAg status prior to matriculation. Accommodations and career counseling can be made for students with blood-borne diseases. This is commented on in some schools' blood-borne pathogen policies, but feel free to contact schools you plan on applying to directly to ask this question for peace of mind. Hope this helps.

Examples:
 
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Your GPA is more likely to be a sticking point for admissions to medical schools. Chronic well-controlled hepatitis B infection should not preclude you from matriculation provided you meet the medical schools' technical requirements. You are also not required to divulge your HBV/eAg status prior to matriculation. Accommodations and career counseling can be made for students with blood-borne diseases. This is commented on in some schools' blood-borne pathogen policies, but feel free to contact schools you plan on applying to directly to ask this question for peace of mind. Hope this helps.

Examples:

What sort of accommodations would there be / would a student's clinical training look very different? Would chronic hep B status preclude someone from doing certain specialties, like the surgical ones?
 
What sort of accommodations would there be / would a student's clinical training look very different? Would chronic hep B status preclude someone from doing certain specialties, like the surgical ones?
Should not in the face of universal precautions and PPE.
 
Shouldn't be any different. You would probably be allowed to opt out of seeing patients with some virulent airborne diseases if you're chronically immunosuppressed, but realistically any med student could opt out of that it they felt strongly enough about it.

My grandfather got HBV from a blood transfusion for leukemia many decades ago when he was a young man. He went on to practice surgery until he was almost 70.
 
A medical condition is not considered for admissions. Rather it is a post=acceptance / pre-matriculation issue that is part of the "technical standards" at every school. An example below is from Standford

2.3: School of Medicine, Technical, Non-Academic Standards
Should a candidate have or develop a condition that would place patients, the candidate or others at risk or that may affect their need for accommodation, an evaluation with the School of Medicine and the OAE may be necessary.
That’s good news! However I was thinking, for my PS for postbacc and med school applications, should I name it by name or refer to it as ‘an illness’? It had a very real impact on my grades and is a big reason why I need to do a postbacc in the first place.
 
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