Get the free Resident/Fellow Check-out Form - uth tmc

The University of Texas System Medical Foundation Resident/Fellow Check-out Form Name: Program: Instructions: Obtain signatures from all hospitals at which you have rotated as part of your training.

How to fill out residentfellow check-out form

How to fill out a resident/fellow check-out form:

1. Start by obtaining a copy of the resident/fellow check-out form. This form is usually provided by the institution or program where the resident or fellow is completing their training.
2. Fill in your personal information on the form. This typically includes your full name, contact information, and identification number or code assigned to you.
3. Indicate the date of check-out. Write down the specific date when you will officially be completing your residency or fellowship program.
4. Provide information about your program. Include the name of the program, the department or specialty you are involved in, and any sub-specialties or rotations you have completed.
5. Document your completed responsibilities. Write down a comprehensive list of all the responsibilities and duties you have fulfilled during your residency or fellowship. This may include tasks such as patient care, research projects, teaching assignments, and administrative duties.
6. Indicate any outstanding tasks or pending responsibilities. If there are any tasks or responsibilities that you have not completed at the time of check-out, make sure to mention them on the form. This allows the program directors or supervisors to be aware of any loose ends that need to be addressed.
7. Obtain necessary signatures. The resident/fellow check-out form usually requires the signatures of both the resident or fellow and the program director or supervisor. Make sure to sign and date the form, and ensure that your supervisor does the same.

Who needs a resident/fellow check-out form:

1. Residents or fellows completing their training program. Any individual who has successfully completed their residency or fellowship program will need a resident/fellow check-out form.
2. Program directors or supervisors. The program directors or supervisors of the residency or fellowship program require this form to officially acknowledge the completion of the trainee's program and to keep a record of their responsibilities and achievements.
3. Academic institutions or medical boards. Some academic institutions and medical boards may require a resident/fellow check-out form as part of the documentation necessary for the trainee's future career progression or certification.

For pdfFiller’s FAQs

What is residentfellow check-out form?

The residentfellow check-out form is a form that residents and fellows must fill out when they are leaving their residency or fellowship program.

Who is required to file residentfellow check-out form?

Residents and fellows are required to file the residentfellow check-out form.

How to fill out residentfellow check-out form?

Residents and fellows must provide their personal information, program details, departure date, and any other required information on the residentfellow check-out form.

What is the purpose of residentfellow check-out form?

The purpose of the residentfellow check-out form is to inform the program administrators about the resident or fellow's departure and to collect any necessary information for program completion.

What information must be reported on residentfellow check-out form?

Residents and fellows must report their personal information, program details, departure date, and any other information required by the program.

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