| Form Name: | Checkout House Staff Clearance Form |
|---|---|
| Completed By: | House Officer |
| Used When: | Exiting Program |
| Purpose: | to ensure all facility requirements are complete |
| Direct Questions To: | UMCNO Academic Affairs |
| Form Link: |
Instructions for Completing Form
Other Info
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Places This Form is Referenced
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UMCNO Meal Card Tracking (Forms & Documents)
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LCMC Visiting House Officer Packet (Forms & Documents)
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UMCNO Learner Code of Conduct (Forms & Documents)
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Visiting House Officer Checklist (Forms & Documents)
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LSBME Permit Renewal Spreadsheet (Forms & Documents)
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LSBME Letter of Commitment PGY 2 (Forms & Documents)
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LSBME Letter of Commitment - PGY 1 (Forms & Documents)
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Incoming House Officer Checklist (Forms & Documents)
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Paperwork Submission Timeline (Forms & Documents)
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EQuIP Participation Outline (Forms & Documents)
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Summative Letter Template (Forms & Documents)
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Request for Authorization to Serve Alcohol (Forms & Documents)
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DIO Transfer Approval Packet (Forms & Documents)
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Data Sheet for Visiting Residents and Fellows (Forms & Documents)
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Mask Fit Test Medical Form (Forms & Documents)