Mel Handy GME Residency Coordinator m-handy@northwestern.edu - - PowerPoint PPT Presentation
Mel Handy GME Residency Coordinator m-handy@northwestern.edu - - PowerPoint PPT Presentation
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
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 1st week
in April, due back 2nd week in May)
- Medical Report and Funding
MATCH DAY -March 18th 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!
1
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
- f 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 Medical Graduate Visa Type (If Applicable) ECFMG # PGY Level Appointment Dates For GME Use Type (Last Name, First Name) Start End Contract Date Export 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 6 M F Y N N/A 7 M F Y N N/A Signature of Authorization: ____________________________________ Date: _____________________________
(Program Director)
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 Resident 17 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.
Example Rotation Grid