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Name of HospitalGeneral InformationContact Person/PLA InformationAbbott Northwestern HospitalAnne runs a report based off of the ABNW location code being in the name of the rotation.Coordinators should contactAnne to inform her of the first day the resident will be at Abbott so she may schedule systems training for the resident.Anne Klinkhammeranne.m.klinhammer@(612) 863‐4649PLA Contacts (Anne as above) Signer: Terry Rosborough, MD, Director of Medical Education Signer: Penny Wheeler, MD Chief Clinical Officer AllinaPrograms MUST speak with Terry Rosborough before sending trainees to ABNW HospitalChildren’s HospitalForms to complete and returnResident/Fellows must follow the link below to complete the enrollment forms: ’s directs residents/fellows to the enrollment to the left.2016-2017 will use New Innovations for Hospital Onboarding.Corrine Wilcox-Schowaltercorinne.wilcox-schowalter@612-813-6206PLA ContactRalph NorusisPhone: 651‐220‐6133Email: Ralph.norusis@Signer: Angela Goepferd, MD Director of Medical Education Children’s Hospitals & Clinics345 North Smith AvenueSt. Paul, MN 55102Signer: Phillip Kibort, MDVice President Medical AffairsChildren’s Hospitals & Clinics2525 Chicago Avenue SouthMinneapolis, MN 55404Fairview HospitalMira gets information on all incoming residents and fellows from RMS at the beginning of the academicyear.Mira Jurich mjurich1@ (612) 624‐0990Signer: James Breitenbucher, MD, Vice President Medical Affairs UMMC‐Fairview Administration2450 Riverside Ave/M235Minneapolis, MN 55454Gillette HospitalDocuments need to be reviewed and updatedRequired Rotation Reading ?Welcome Letter?Personal learning objectives?Map/Directions to hospital?CyberDOCS Medical Record Viewer Instructions?Viewing Clinical Data in Affinity handoutDiane collects demographic and rotational information via RMS.2016-2017 will use New Innovations for Hospital OnboardingDiane Swayzee dswazee@(651) 578-5098PLA Contact/Signer: Steven Koop, MD Director of Medical EducationGillette Children’s Hospital200 East University AvenueSt. Paul, MN 55101Name of HospitalGeneral InformationContact Person/PLA InformationHealth East(St. Joe’s & St. Johns & Woodwinds)If a contract exists between the program and Health East, the program is only required to send the following: information:Resident nameType of residentRotation datesApproximate number of hoursIf no contract exists between the program and Health East, the following must be completed:Application for Educational ExperienceBackground Privacy NoticeBackground FormObservorship Applications (if applicable)Kevin Svenbyksvenby@(651) 326‐3791PLA Contact/Signer: Stephen Kolar, MDSenior Vice President and ChiefMedical OfficerHealth East559 Capitol BlvdSt. Paul, MN 55103Hennepin County Medical CenterComplete the photo id form Email the completed form to:hcmcparking@HCMC obtains demographic and rotational information from RMS via aCustom report.Judi Shurson judi.shurson@873‐3922PLA Contact/Signer: Howard SchurDirector ‐ GMEMail Code 867A701 Park AveMinneapolis, MN 55415‐1829Name of HospitalGeneral InformationContact Person/PLA InformationMinneapolis VA Health CenterUses RMS Onboarding checklist to distribute all requirements prior to the rotation start.Required Documentation to bring on first day of orientationOne photo ID (i.e., driver license, military ID, passport) and one non‐photo ID )i.e., birth certificate, social security card, etc)Permanent Resident Card (if applicable)NPI# (National Provider Identification Number).All paperwork must becompleted and submitted 4 weeks prior to your desired start date. This enables HR to complete necessary requirements.Fingerprints are required for all incoming trainees. Please call 612‐467‐2060 to schedule fingerprints at least 4 weeks before your desired start date.Kaarn Spencer (Pathology and Lab) Kaarn.Spencer@ 612-467-2088Michael Froats (Physical Medicine & Rehabilitation) Michael.Froats@ 612-725-2044Jay Stephenson (Psychiatry) Jay.Stephenson@612-467‐1504Darlene Dewaay (Primary Care)Darlene.Dewaay@ 612-467-4431Judith Haswell (Imaging) Judith.Haswell@612-467-5033Cheryl Schmitz (Specialty Care)cheryl.schmitz@612-467-4551PLA Contact/Signer: Kent Crossley, MDAssociate Chief of Staff for EducationOne Veterans DriveMinneapolis, MN 55417Name of HospitalGeneral InformationContact Person/PLA InformationPark Nicollet Hospital and ClinicsForms to complete and return:Resident, Fellow, Medical/PA/NP/NM Student ApplicationConfidentiality Packet- Sign and return Page 7Report Flu Vaccinations via survey monkey2016-2017 will use New Innovations for Hospital Onboarding.JoEllyn Pilarksi (hospitals)joellyn.pilarski@(952) 993-5135Barb Ricke (clinics)barb.ricke@(952) 993‐6106PLA Contact/Signer: Steven Connelly, MDChief Medical Officer, Park Nicollet Institute c/o Kathie Radcliffe3800 Park Nicollet BlvdMinneapolis, MN 55416‐2699Name of HospitalGeneral InformationContact Person/PLA InformationRegions HospitalForms to complete and return?Welcome Letter?Photo ID Badge Request Form?Resident Parking Form?Door Access Card Request Form?Joint Commission MEMO and attestation form** this form is required for surgical services only**Residents/Fellowsneed to use the login below to access the needed information: Login to New Innovations Institution ID= MMCGMEUser Name= regionsPassword= hospitalAll forms must be returned to Regions prior to beginning a rotation. 2016-2017 will use New Innovations for Hospital OnboardingMichael Bolandmichael.h.boland@(651) 254‐2864PLA Contact/Signer: Carl Patow, MD Executive Director, HealthPartners c/o JoEllyn Pilarski8100 34th Avenue S,PO Box 1309Minneapolis, MN 55440 ................
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