ACLS / PALS PROVIDER COURSE



BLS / ACLS / PALS PROVIDER COURSEBLS, ACLS and/or PALS are mandatory requirements of the University of South Florida College of Medicine residency programs and the Graduate Medical Education Committee (GMEC). All residents and fellows, regardless of specialty, must have a current provider card throughout their residency/fellowship. Please note that BLS is a requirement of the American Heart Association and mandatory in order to attend an ACLS or PALS course.BLS is required for all specialtiesACLS is required for all specialties, except Pediatrics* and Neonatology. PALS is required for Emergency Medicine*, Pediatrics and Family MedicineEmergency Medicine, Family Medicine and Internal Medicine/Pediatrics are required to have both ACLS & PALS certifications.Emergency Medicine, Internal Medicine/Pediatrics, Neonatology, OB/GYN, Pediatrics are required to have NALS certification in addition to the above, you will receive info on this from our office closer to the date.Emergency Medicine and Surgery are required to have ATLS certification. (TGH Trauma Center will contact you concerning course location and textbooks)Neonatology is required to have NALS & BLS – Information concerning NALS will automatically be sent in May to all who are required to take the course.If you are currently certified – you MUST provide a copy of your card with the return of this form. Please note that if your certification expires July 2012 through December 2012 you will need to be recertified prior to beginning our programs. Certifications expiring in January or February 2013 will be automatically enrolled in a March 2013 renewal course and attendance will be mandatory. Failure to maintain provider status while in a USF program may result in the loss of a vacation day to complete the course and the cost of the course being your responsibility.Please complete the following:_____I am currently certified and am attaching a copy of my provider card (both BLS AND ACLS or PALS) with this application. If you do not include a copy of your current provider status you WILL be enrolled in the appropriate course and expected to attend on the scheduled date. _____I am NOT BLS certified – please enroll me in the Sunday, June 17, 2012 course. (7:30am – 10:30am at TGH) _____I am NOT BLS certified – please enroll me in the Sunday, June 24, 2012 course. (7:30am – 10:30am at TGH)Please indicate below where you will be receiving e-mail effective through May 2012. Your pretest will be sent to you via email the last week in May 2012._____I am NOT ACLS certified – please enroll me in the Friday, June 22, 2012 course. (7:30am – 5:00pm at TGH) Please indicate below where you will be receiving e-mail effective through May 2012. Course books & CD’s are on a loan basis and must be returned following the course. You will be held responsible for the return of the text or will be charged $25.00 for its replacement. The Pre-test for ACLS is on CD – books will be available for pickup from the TGH or USF GME offices, beginning 6/1/12. Please note: You MUST complete a pretest with a score of 80% or better PRIOR to the course or you will not be allowed to take the course._____I am NOT PALS certified – please enroll me in the Wednesday, June 20, 2012 course. (7:30am – 5:00pm at TGH) Please indicate below where you will be receiving e-mail effective through May 2012. Course books & CD’s are on a loan basis and must be returned following the course. You will be responsible for the return of the text or will be charged $40.00 for its replacement. The Pre-test for PALS is on CD – books will be available for pickup from the TGH or USF GME offices, All Children’s Pediatric Residency Office or Morton Plant Mease Family Medicine Office beginning 6/1/12. Please note: You MUST complete a pretest with a score of 80% or better PRIOR to the course or you will not be allowed to take the course.NAME (Please PRINT)??????????????????????????Email address that will be effective through May 2012 ................
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