Program Coordinators
***ATTENTION***
IMPORTANT INFORMATION REGARDING
GME MEDICARE FUNDING
*READTHIS*
Duties of PIT Holders Criminal Background Check DEA and DPS Certificates Interview Match Checkout
Helpful Links for Coordinators
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ACGME - Accreditation Council for Graduate Medical Education
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AHME - Association for Hospital Medical Education
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ERAS - Electronic Residency Application Service
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NEW INNOVATIONS- Residency Management Suite
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NRMP - National Resident Matching Program
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TMB - Texas Medical Board
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SUBSTANTIAL EQUIVALENCE - Schools whose graduates do not have to demonstrate that their education is equivalent to that of a Texas medical school.
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Additional Licensure Forms – Use these forms as indicated on the TMB application.
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FAIMER - Foundation for Advancement of International Medical Education and Research
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TAGME - Training Administrators of Graduate Medical Education
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NPI Registry - Look up your Resident's or Fellow's NPI number
Duties of Physician in Training (PIT) Permit Holders to Report
Criminal Background Check Information
HSC OP 20 - Criminal Background Checks for Students, Trainees and Residents
Attachment A - Notice to Students/Trainees and Residents
Attachment B - Consent for Release-Hold Harmless Agreement
Use these numbers and Resident's or Fellow's three digit extension
Institutional DEA Certificate (expires 11/30/11)
Institutional DPS Certificate (expires 10/31/09)
Important Documents
INTERVIEW – Prospective Candidates/New Residents List of Items Needed for US and IMG Grads
Resident Credentials Checklist
CBC Notice (Attachment A)
Confirmation of ECFMG Certification
Prospective Candidate List – For IMG’s Only
Prospective Resident List – For US Grads Only
Welcome Letter
W-4
Authorization of Release
Confidential Statement
Crime Victim Election Form
Letter regarding CBC
Direct Deposit Form
HR Bio Form
I-9 Form
Name Tag Request
PLI Form
Standards of Conduct
Suppression of Information Form
TB Questionnaire
Immunization Form
J-1
Checklist Form
Leave without Pay Form
W-4 (for changes to current information)
Rotation Application
Evaluation Advancement
J-1 Renewal
Address Change*
*Important – Resident must also change address in Webraider Portal to ensure that Payroll and Human Resources have the most current information.*
Check List
Confidential Confirmation & Reference Form
Clearance Form
Program Graduate Information - must have address to mail residency certificate
PLI Form (resignation)
DEA Change of Address Form (Must be done online)
**Residency Completion Certificates Will Not Be Mailed Until
All Required Check-Out Documents Are Turned Into GME**