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Office of Medical Education
2020 Gravier Street
Suite 602
New Orleans, LA 70112
Phone: 504-568-4006
Fax: 504-599-1453

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Office of Medical Education

 

 

 

Visit the GME Knowledge Base

http://lsugme.atlassian.net

The content from this page is now contained in the new GME Knowledge Base. This page will remain as-is until a full review is completed to ensure all content is available in the Knowledge Base. Once completed, the content will only be available through the Knowledge Base. If you encounter any content not yet available in the Knowlege Base, please contact the GME Office.

 

 

Program Coordinator Documents
FY 2016-2017
FY 2015-2016 Docs

IMPORTANT - Links beginning with a * have not yet been updated for the 2016-2017 academic year

2016 Due Dates for Paperwork

I-9 Acceptable Documents

New Hires

Checklist for New Hires (auto-populated) (Program Coordinators Only)

Instruction for PER 2's

Per 2 (Pre-Populated Per 2)

Instruction for New Hire Packet

New Hire Welcome Packet (to be completed online)

UMCNO Packet  *if needed
See House Officer Document Page for individual forms

OLOL New Hire Packet

OLOL Returning Resident Packet

VA Resident Packet* *if needed
Contact Mr. James Milligan, Jr. at 504-412-3700 ext. 8088 or email at james.milligan@va.gov with any questions about VA forms.

Instruction for Appointment Form & Spreadsheet

Agreement of Appointment (Program Coordinators Only)

 

Incoming Transfers From Other Institutions (Including LSU Shreveport)
These forms should only be used when a House Officer will be receiving credit for training done at another institution (exluding required prerequisite prelim years).
NOTE: These forms must be completed and approved by GME before a position may be offered to the applicant!

Checklist for Trainees – Transfer from Other Institution

Transfer Application from Other Institution

Transfer Applicant Program Director Questionnaire

Release Data to LSU

 

Continuing House Officers

Instructions for Continuing House Officers

Instruction for PER 3's

PER 3 vs No PER 3

PER 3

Instruction for Appointment Form & Spreadsheet

Agreement of Appointment (Program Coordinators Only)

VA Training Information and Acknowlegement Form- Returning Residents* *if needed
Contact Mr. James Milligan, Jr. at 504-412-3700 ext. 8088 or email at james.milligan@va.gov with any questions about VA forms.

 

Transferring House Officers
(Transferring from one LSU program to another, including UMC-Lafayette)

Checklist for Transferring House Officers

GME Data Sheet

Instruction for PER 3's

PER 3 vs No PER 3

PER 3

UMCNO Packet  *if needed
See House Officer Document Page for individual forms

OLOL New Hire Packet

OLOL Returning Resident Packet

VA Resident Application and Documents - New Residents* *if needed
Contact Mr. James Milligan, Jr. at 504-412-3700 ext. 8088 or email at james.milligan@va.gov with any questions about VA forms.

VA Training Information and Acknowlegement Form- Returning Residents* *if needed
Contact Mr. James Milligan, Jr. at 504-412-3700 ext. 8088 or email at james.milligan@va.gov with any questions about VA forms.

Instruction for Appointment Form & Spreadsheet

Agreement of Appointment (Program Coordinators Only)

Extra-Curricular Form (Moonlighting Form)

FCVS Form

LSBME Release

 

Terminating House Officers

Instruction Sheet for Terminating House Officers

GME Data Sheet

Instruction for PER 3's

PER 3 vs No PER 3

LSU Personal Data Change Form

Program Separation Packet (Actions needed by resident before separation)

Post Program Completion Packet

 

Promote / Transfer / Terminate / Off-Cycle Spreadsheets

Promote, Transfer, and Terminate (Auto-populated from New Innovations)

Transfer without Promotion (must be manually completed)

Off-Cycle (must be manually completed)

Becoming Faculty (must be completed manually)

 

Other Forms

Residency / Fellowship Appointment Form (Auto-populated from New Innovations)

Release Data From LSU

VA TQCVL (Resident Credential Verification Letter)*
(Sample Completed Letter) Contact Ms. Contact Mr. James Milligan, Jr. at 504-412-3700 ext. 8088 or email at james.milligan@va.gov with any questions about VA forms.

Certificate Order Form

Malpractice Form

 

Medical School Visiting House Officer - Patient Care

Documents for Visiting House Officer - Patient Care (Revised January 2012)

Data Sheet for Visiting Residents and Fellows (Revised January 2012)

ILPH / HCSD Appointment Packet (separate documents available here)

Sample Letter for Patient Care visiting resident (Revised January 2012)

Pelican / EPIC Training Request Form

 

Dental School Visiting House Officer - Patient Care

Documents required for a visiting House Officer – Patient Care – Dental School (Revised January 2012)

Data Sheet for Visiting Residents and Fellows – Dental School (Revised January 2012)

Sample Letter for Visiting House Officer-Patient Care – Dental School (Revised January 2012)

ILPH / HCSD Appointment Packet (separate documents available here)

Pelican / EPIC Training Request Form

 

Drug Testing Instructions