Mel Handy GME Residency Coordinator m-handy@northwestern.edu 312-503-4756
Residency Process • Appointment Forms • Use for appointing of new Housestaff
Reappointment Forms • Housestaff promoted to next PGY-level • Making up time • Going into Lab (stipend B) • Maiden name
Forms • Completion of Training (due 4/30/16) • Certificate Request Forms (due 5/9/16) • Sign Out Sheets
Rotation Grids • Instructions with grid (email will follow 1 st week in April, due back 2 nd week in May) • Medical Report and Funding
MATCH DAY -March 18 th 2016 • Appointment Sheet (signed and dated by the Program Director) • ERAS applications with CA-MED FORMS • USMLE Step Scores 1 & 2 • Email to coordinators within a week with instructions
Have a great day!
Appointment Authorization Form McGaw Medical Center of Northwestern University Office of Graduate Medical Education Date Recvd GME: 240 East Huron Street; Suite 1-200 McGaw Pavilion, Chicago, Il 60611 Tel. (312) 503-7975 Fax (312) 503-5230 Department : Name Program : (A – O) Name Program : (P – Z) Name ← ↑ → The Executive Committee has determined that the following GRADUATE TRAINEES have fulfilled all requirements to ENTER or be PROMOTED in this Program. NOTE: PLEASE INDICATE IF APPOINTMENT IS PROBATIONARY. Any appointment in excess of the total number of positions approved by the individual hospitals of Northwestern McGaw Medical Center or its affiliated institutions will be charged to the appointing departments. Please indicate the Appointment Type in the second column below as follows: I = Initial Appointment R = Reappointment T = Transfer from another McGaw Program Appt Name of Trainee Gender International Visa Type ECFMG # PGY Appointment Dates For GME Use Medical (If Level Type (Last Name, First Name) Start End Contract Export Graduate Applicable) Date Code I,R,T 1 M F Y N N/A 2 M F Y N N/A 3 M F Y N N/A 4 M F Y N N/A 5 M F Y N N/A M F Y N N/A 6 7 M F Y N N/A Signature of Authorization: ____________________________________ Date: _____________________________ (Program Director) 1
Example Rotation Grid To the program from GME GME_ID Name Appoint_Start Appoint_End Appoint_Program PGY Rotation_Start Rotation_End Location_Program Funding_Hospital Location_Hospital Appoint_Type FY 12345 Cook, John 7/1/2016 6/30/2017 Diagnostic Radiology 2 Diagnostic Radiology Resident 17 23456 Davidson, Mary 7/1/2016 6/30/2017 Diagnostic Radiology 3 Diagnostic Radiology Resident 17 34567 Goodman, Aaron 7/1/2016 6/30/2017 Diagnostic Radiology 4 Diagnostic Radiology Resident 17 89012 Hillman, Kathleen 7/1/2016 6/30/2017 Diagnostic Radiology 5 Diagnostic Radiology Resident 17 90123 Morrison, Gary 7/1/2016 6/30/2017 Diagnostic Radiology 5 Diagnostic Radiology Resident 17 From the program to GME GME_ID Name Appoint_Start Appoint_End Appoint_Program PGY Rotation_Start Rotation_End Location_Program Funding_Hospital Location_Hospital Appoint_Type FY 12345 Cook, John 7/1/2016 6/30/2017 Diagnostic Radiology 2 7/1/2016 9/30/2016 Diagnostic Radiology NMH NMH 17 Resident 12345 Cook, John 7/1/2016 6/30/2017 Diagnostic Radiology 2 10/1/2016 12/31/2016 Diagnostic Radiology LCH LCH Resident 17 12345 Cook, John 7/1/2016 6/30/2017 Diagnostic Radiology 2 1/1/2017 6/30/2017 Diagnostic Radiology RIC RIC Resident 17 23456 Davidson, Mary 7/1/2016 6/30/2017 Diagnostic Radiology 3 7/1/2016 12/31/2016 Diagnostic Radiology LCH LCH Resident 17 23456 Davidson, Mary 7/1/2016 6/30/2017 Diagnostic Radiology 3 1/1/2017 6/30/2017 Diagnostic Radiology NMH NMH Resident 17 34567 Goodman, Aaron 7/1/2016 6/30/2017 Diagnostic Radiology 4 7/1/2016 6/30/2017 Diagnostic Radiology NMH NMH Resident 17 NOTE: Colorful font only used to clarify. No need for programs to deliniate with colors/shading.
Recommend
More recommend