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GRADUATE MEDICAL EDUCATION Incoming House staff Checklist Applicant's Reprogram CoordinatorSpecialty / Subspecialty ProgramProgram Dates (i.e. 7/1/xx 6/30/xx)YESNOInternational Medical GraduateACGME
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How to fill out incoming housestaff checklist

How to fill out incoming housestaff checklist
01
Gather all necessary documentation and information, such as identification documents, medical records, and educational certificates.
02
Review the checklist provided by the housestaff office to ensure you have all the required documents and information.
03
Fill out the personal information section, including your full name, contact details, and emergency contacts.
04
Provide your educational background, including the names of institutions attended, degrees obtained, and dates of graduation.
05
Complete the medical history section, disclosing any relevant medical conditions, allergies, or previous surgeries.
06
Provide information about your previous clinical experiences, including the names of hospitals or clinics, departments worked in, and dates of service.
07
Complete any additional sections specified in the checklist, such as visa or immigration information.
08
Review the completed checklist for accuracy and completeness, making sure all required fields are filled out.
09
Submit the filled out checklist to the designated housestaff office or department.
10
Keep a copy of the checklist for your records.
Who needs incoming housestaff checklist?
01
Incoming housestaff members, such as medical or clinical trainees, interns, residents, or fellows, need to fill out the incoming housestaff checklist.
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