CHECK LIST OF REQUIRED DOCUMENTS FOR NEW HIRES
CHECK LIST OF REQUIRED ITEMS-TERMINATING HOUSE OFFICERS
To be completed and attached to paperwork submitting to GME Office.
Terminating = Completed Training; Resignation; Non-Renewal of Contract.
Please note: all items listed below are required.
Name: ________________________________ Program: ____________________________
Appointment Date: ______________ Completion/Termination Date:_______________________
Completed Training: ________________ (Yes/No)
______ Listed on Off-Cycle spreadsheet if not Terminating June 30
______ PER 3 to Terminate (Note: c.o.b. Worked is the last day worked and last day to include in paycheck;
effective date is the first day to not pay. E.g. June 30, 2011 terminations would be effective 7/1/2011;
c.o.b worked 6/30/11)
______ Updated Personal Data Sheet for GME Office
______ Beeper turned in to Coordinator and pager change spreadsheet sent to GME office via email kcanno@lsuhsc.edu
______ Review/Update Biographical Data in New Innovations (Forwarding address; training dates;
and update other items that should be completed in database).
______ Medical Records clearance from all Training sites (hospitals) – House Officer should not have
any delinquent charts at these facilities.
______ All Check-out requirements completed at MCL and other Hospital; for Training Program and for GME – if check-out is required when rotation/training completed at each site.
______ LSU Personal Data Change Form Completed (find form on HRM webpage)- if there is no address change put N/A on form and send in)
______ Complete Exit Survey Form
_______ Resident was issued the program completion packet for outgoing house officers in February by GME office, reissue upon actual completion of the program by coordinators, as follow up (Implemented in June 2009).
______ Post program completion packet, to be completed by coordinators, due July 31st 2010. Includes listing of paperwork needed to be sent to the GME office, final evaluations, summaries and program completion letters etc. (implemented in June 2009) Please initial for your awareness.
______ Verify the House Officer NOT assigned in PS-RTS
______ Send list of Terminating House Officers to HRM Employees Separating from University EMail address: LSUHSC-NONotificationofEmployeeSeparation@lsuhsc.edu
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