Steps to complete prior to starting your residency or fellowship
As the next step in the process, incoming residents and fellows should download and complete the following documents, which must be reviewed and/or completed PRIOR to starting a residency or fellowship at University Hospitals.
After completion, please return forms to the GME office using one of the following methods:
Mail to Our Office:
11100 Euclid Ave.
Lakeside Building, Suite 6223
Cleveland, OH 44106
Fax to: 216-844-1949
Email to: email@example.com
Please complete the following steps:
- Contracts: You should receive your contract by the end of April.
Your contract will be emailed by your program coordinator to you. A sample contract is provided for your reference. Please sign your contract and email back to your program coordinator. Policies mentioned on the contract can be found in the Resident Manual. Please visit www.myuhhr.org for information about benefit plans.
- State Medical Board of Ohio Training Certificate
Residents and fellows must obtain Ohio State Medical Board licensure in the form of a training certificate or a full an unrestricted license to participate in a residency of fellowship program. It is the trainee’s responsibility to provide proof of application as well as to maintain licensure throughout the duration of training. Failure to submit documentation to the GME office that you applied for or renewed your Ohio State Medical Board training certificate or unrestricted license will result in automatic suspension. Please review the instructions on how to obtain the application and apply for the State Medical Board of Ohio Training Certificate. We have already sent in the Certification of Hospital that tells the Board that you will be training here. Your medical school must complete the verification of medical education (form 1 A) AFTER your graduation. Your medical school should send the form directly to the Board. You may send your application as soon as you complete it; there is no need to wait for graduation. The completed application with payment goes directly to the Ohio State Medical Board.
- Apply for a National Provider Identifier (NPI) – INDIVIDUAL who renders health care services
Please review the instructions on how to apply for a NPI. Once you have obtained your NPI please provide it to your program coordinator. Only those who do not already have a NPI need apply. If you are not certain if you have been issued a NPI visit the NPI Registry’s website. Please remember to keep your NPPES login information. You will need your login credentials to apply for Medicare Part D/PECOS at a later date.
- Resident Acknowledgement Form
Please sign and return the acknowledgement form confirming that you have read and reviewed the Resident Manual.
- Corporate Health Assessment Forms
Please download the health assessment forms and bring the completed forms with you to your corporate health assessment. Call 216-844-1602, press option #2 to schedule your health assessment. Suggest scheduling ASAP since appointments fill-up quickly.
- Computer User Data Collection Form
Please complete and return the Computer User Data Collection Form. Leave Work Location blank.
- Complete Background Request and Waiver Form
Complete the request and waiver form and return to Graduate Medical Education. If you don’t have a social security number or driver's license please enter “Not issued yet”. Enter your current address.
- Please complete signature form for UH Care AEMR Providers
Please download and complete the signature form.
- Lab Coat Ordering
Please contact your residency or fellowship program coordinator to order lab coats. You must place your order no later than April 27, 2018 to ensure having coats by your start date.
- VA Application (only for those whose program rotates to the VA)
Please read the VA Resident Processing instructions for those who are rotating at the Louis Stokes Cleveland Department of Veterans Affairs Medical Center. Please note, you do NOT need to have this notarized.
- I-9 Acceptable Documents
Please review the list of acceptable documents to complete an I-9 form. Make certain you bring the appropriate identification to the orientation so we may complete an I-9.