2010 Agreement Packet for New Residents
Welcome to the University of North Carolina Hospitals. The forms, policies, and tests listed here are referenced in the Appointment Agreement packet that was mailed to you on April 1. If you have not received this mailing, please call the Office of Graduate Medical Education at 919-966-1072.
Forms to be completed and returned to Office of GME by May 14, 2010
Confidentiality
and Code of Conduct Statement (return last two pages
only)
Patient Privacy
Statement
Occupational
Health Service Forms and Required Immunization Documentation
Federal Tax
Form - W-4
North Carolina
Tax Form - NC-4
Authorization
for Direct Deposit
Policy and
Procedure for Graduate Medical Education Pagers
Graduate
Medical Education Discretionary Fund Agreement
Substance
Testing Consent Form
National
Provider Identifier (NPI) Information and Instructions
Policies referenced in Appointment Agreement
2.1 Medical Staff
Rules and Regulations
2.20
Nondescrimination Policy
2.21 Dress
Code
3.5 Patient
Care Activities and Supervision Responsibilities
4.1
Institutional Duty Hour Policy
4.4
Moonlighting
5.2 Vacation
and Sick Leave Policy, Serious Illness,
Major Disability, and Parental Leave Policy, and Institutional
Policy on Leaves of Absence
5.3
Professional Liability Insurance
5.4.5
Confidential Support Services
5.4.6 Physician
Impairment Policy and Fit For Duty
Policy
6.0
Reappointment, Nonreappointment, and Dismissal
6.5 Hospital or
Program Closure
7.0 Grievance
Procedures Policy
Learning Management System Instructions and Links (please print instructions before accessing LMS)
Map and Directions to The Carolina Club for Orientation Program on July 1, 2010
If your residency program requires you to have ACLS, ATLS, PALS, or NALS, you are expected to obtain this training prior to arriving at UNC Hospitals. If you have not already secured ACLS or PALS you may try the following web sites for information on AHA training centers:
