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- Info
Info for Incoming Housestaff
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Greetings
Incoming Trainees!
Your credentialing is a multi-part process. The GME Office and your
new program work in tandem to credential and prepare you for your new
positions on our Housestaff. You will receive a mailing from the GME
Office to include a drug screen kit, Form B and return envelopes. It
will also contain this checklist which outlines the
required forms and steps you must complete in order to be credentialed
and begin work. The rest of the forms you are required to complete are
listed below.
If you are an intern the packet will contain your contract. If you
are an upper level (PGY2 and above including Fellows) your contract may
have already been sent or might come with your packet. Packets for
upper levels will be mailed by the end of January.
GME Office
UVAHS, P O Box 800136, Charlottesville,
VA 22908
Phone: (434) 924-2047
Fax: (434)924-0401
Physical Address: Floor 2, Room 2461 Barringer Wing, West Complex,
University Hospital (map)
Diane Farineau, Director - Orientation and ECFMG Questions (434)
924-2047
Joyce Adkins, Credentialing Coordinator (Notary) - Credentialing &
Training License Questions (434)
924-8145
Joe Gullo, Project Coordinator (Notary) – IT, NPI and NetLearning
Questions (434) 924-2315
Ranithra Chelliah, Business Coordinator – Benefits and Payroll
Questions
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GME OFFICE FORMS
Return the following forms to the GME Office in the WHITE envelope,
unless otherwise indicated. UPPER LEVEL RETURN DEADLINE MARCH 15th,
INTERN RETURN DEADLINE APRIL 15th
Credentialing Forms
- Download and print the trainee checklist.
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CONTRACT(included
in your mailed packet)
- MEDICAL
LICENSE APPLICATION must be notarized with signature and
thumb-print
LICENSURE
Your license will be issued in whatever name is listed on your social
security card. We are required to credential you in your legal name.
Your e-mail account, white coat, EMR profile, ID badge, etc. must all
reflect your legal name. We cannot accommodate nicknames, or substitute
middle names for first names, etc. If you plan to change your legal
name before you begin work (ie, marriage) please alert our Credentials
Coordinator so that we can assist you in completing the following
paperwork appropriately.
CREDENTIALS
Please be aware that, per policy, we credential physicians according to
the degree conferred by their medical school. For example, D.O. for
Doctor of Osteopathy, M.D., Doctor of Medicine, M.B.B.S., Bachelor of
Medicine, Bachelor of Surgery, etc. While all of these degrees use the
prefix “Dr.” the credentials you earned are the ones that must be used
for identification purposes. We will not substitute “MD” for a trainee
who has earned an “MBBS” degree.
- FORM B (included in your mailed packet) (Med
students give to Dean’s office, Upperlevels give to your School of
Medicine with the FedEx envelope) These forms are returned directly to
the GME office.
- VIRGINIA
STATE BACKGROUND CHECK (complete the hilighted portion
only) (must be signed and notarized) and STERLING
BACKGROUND CHECK (everyone must do BOTH forms)
- ELECTRONIC ACCESS
AGREEMENT FORM
- PERSONAL
INFORMATION FORM
- SUPPLEMENTAL
APPLICATION FORM
- RELEASE OF
INFORMATION FORM
- PARKING
APPLICATION FORM - DO NOT contact parking, you will be
given your parking assignment at orientation
- PARKING
INSTRUCTIONS
- FAC FORM (Long
Distance Authorization, only fill in hilighted portion)
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NPI REGISTRATION INSTRUCTIONS ONLY IF YOU DO NOT ALREADY
HAVE AN NPI NUMBER. IF YOU HAVE AN NPI , PLEASE SEND US THAT
NUMBER.
- PLEASE COMPLETE THE WHITE COAT &
ORIENTATION INFORMATION WEBSURVEY
The following forms cannot be submitted prior to April 15th
but must be returned before May 15th, unless you are
off-cycle.
- FINAL REFERENCE
FORM (Med students give to Dean’s office. Current GME
Trainees give to current Program Director.)
- MALPRACTICE
VERIFICATION (Malpractice verification must be provided
for every year of training or clinical employment after graduating from
medical school.)
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EMPLOYEE HEALTH
Return these forms to Employee Health in the BLUE return envelope
included in your mailer, unless otherwise indicated. UPPER
LEVEL RETURN DEADLINE MARCH 15th, INTERN RETURN DEADLINE APRIL
15th
- EMPLOYEE
HEALTH SCREENING DIRECTIONS
- DRUG SCREEN:
Urine collection kit and instructions will arrive in your
packet. Step 1: Find a collection facility
in your area. Try your institution's Employee Health Department
first. If you have to use a PromptCare or LabCorp to perform the
collection, please save the receipt for that service as you can be
reimbursed once you’ve begun work here. Step
2. Mail the collection in the pre-addressed
box. Step 3. Your results
will be processed at our lab and results reported to the GME
Office. DO NOT have your sample processed at
another facility. If you are not able to find a collection
facility in your area, you can wait until you arrive in Charlottesville
to have it done at Employee Health, however, the results can
take a week or more to process which may jeopardize your start date.
- HEALTH
QUESTIONNAIRE
- RESPIRATORY FIT
QUESTIONNAIRE
- COPY OF YOUR IMMUNIZATION RECORDS
Please call (434) 924-2013 to schedule an Employee Health
intake appointment between April 1st and May 30th*. Identify yourself
as an incoming trainee when you call. Please note, Employee Health
cannot schedule your appointment until they have received your
completed forms. Employee Health must have received your paperwork
prior to your appointment. If you cannot schedule an appointment prior
to orientation, please notify Joyce Adkins. Directions and hours here.
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COMPLIANCE AND I.T. TRAINING
An essential component of your credentialing which will be assigned
in two phases:
- Phase 1 Compliance - All modules must be completed by APRIL
30th.
- Phase 2 EPIC (electronic medical record) will be assigned after
April 30th.
Failure complete modules by due dates will jeopardize your start
date. You will be emailed login and password information to access the
NetLearning system.
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ORIENTATION 2012
INFORMATION
Intern
Orientation June 14th & 15th (7:30 – 5:00 p.m.)
McKim Auditorium, West Complex, UVA Hospital (Directions)
Upper Level
and Pharmacy Orientation June 28th & 29th (7:30 – 5:00
p.m.)
Please be aware that a number of upper level trainees will be scheduled
for EMR training on June 30th.
Jordan Hall Auditorium, UVA Hospital (Directions)
If you cannot attend GME Orientation, you will be required to attend
a make-up session which may affect your start date.
Because you will not have been assigned parking yet, you must park
in the University Hall General Parking lot on Orientation days and take
the University Transit Bus to the Hospital. Please allow at least 30
minutes for transport time. Bus Map
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FAQ
The GME Office will pay for your Virginia State Training License. Do
not send payment.
BLS is required of all GME trainees. Many programs also require
additional advanced life support certification. Because we cannot
accommodate all incoming trainees, you are strongly encouraged to
obtain the required training at your current institution. The GME
Office will reimburse the cost of any required training once your
training has begun. Please check with your program coordinator about
this.
PLEASE DO NOT STAPLE YOUR FORMS TOGETHER
Info For Foreign Medical
Graduates
International Medical Graduates living abroad will not receive an
Orientation Packet from our office. Everything will be done
electronically prior to your physical arrival in the US.
The contract will be scanned by us and sent to you via e-mail.
Please print this contract, sign it and return it to the GME Office
with the other forms you will find here.
Form B - You will not complete Form B for your
license. Instead, you must submit a notarized copy of your Medical
School Diploma (plus a notarized copy of a translation if the Diploma
is not in English) and a notarized copy of your ECFMG Certificate.
Employee Health Appointment - Please let us know
when you plan to arrive in the United States, as you will need to make
an appointment with our Office Of Employee Health for a drug screen and
immunization review as soon as possible.
Verification of Malpractice - If your country does
not provide malpractice insurance, please provide a statement to that
effect, signed and dated. Otherwise, please provide this
documentation.
Social Security – If you have never had a Social
Security number, you must be in the US for 10 days before you can go
the Social Security Office here in Charlottesville (on your 11th day)
to apply for one. Because you will not have a SS number prior to
arriving, you will be issued a temporary medical license that will then
have to be updated when you receive your permanent SS number. You also
will not be able to apply for an NPI number, or a UVA billing ID
number. It is imperative that you come to the GME Office with your new
SS card, and show it to the Credentialing Coordinator, as soon as you
receive it.
Visas - H1-B visas are coordinated between your
department and the University. Please contact your program coordinator
for details. J-1 visas are coordinated between the GME Office and
ECFMG. Please contact Diane Farineau at dwf4h@virginia.edu for
details.
NPI Number - You cannot apply for your NPI number
until you have a social security number.
SMS Number - Will not be issued until you have your
NPI number.
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