1 - Your Request to Add a New Participating Site must be submitted to GMEC, by email, to Dr. Frey

• • send email to rodine@lsuhsc.edu
  • email to include
    • the name of the new site
    • educational rationale
    • # of months per year that trainees rotate at the new site
    • # of residents per month
    • PGY years that will be rotating there
    • Site Director/Faculty Supervisor name(s)
    • funding source for the rotation
    • What will be removed from the current block diagram to add this new experience

2 - Once received, Dr. Frey will present your Request to Add a New Participating Site, to GMEC

3 - If approved, you will be notified by GMEC

4 - Once notified, you MUST initiate the request in ADS

5 - Approval of your new participating site will be forwarded by ADS to Dr. Frey for approval

6 - Once approved, your RRC reviews the Request to Add a New Participating Site and provides confirmation to you via email

1 - Your Request to Add a New Participating Site must be submitted to GMEC, by email, to Dr. Frey

• • send email to rodine@lsuhsc.edu
  • email to include the following information:
    
    • Institution Name
    • Institution Address
      
      • Address Line 1
      • Address Line 2
      • Address Line 3
      • City
      • State
      • Zip Code
    • Website Address
    • Is the site a recognized healthcare entity by any of the following (check all that apply):

• • • • Joint Commission

      • Community Health Accreditation Program (CHAP)
      • Accreditation Commission for Health Care (ACHC)
      • DNV
      • State regulatory commission
      • Medicare Direct - CMS
      • HFAP
      • None
      • Other (provide name)
  • • CEO/President/Director Information
      • First Name
      • Middle Initial
      • Last Name
      • Suffix
      • Degrees
      • Title
      • Phone Number
        • Extension
      • Fax Number
      • Email Address
    • the educational rationale
    • the # of months per year that trainees rotate at the new site

2 - Once the new Institutional Site is added to ADS, complete your Request to Add a New Participating Site (currently existing in ADS)

3 - Submit your Request to Add a New Participating Site to GMEC, by emailing Dr. Frey

• • send email to rodine@lsuhsc.edu
  • email to include
    • the name of the new site
    • the # of months per year that trainees rotate at the new site
    • the educational rationale

4 - Once received, Dr. Frey will present your site request, to GMEC

5 - If approved, you will be notified by GMEC

6 - Once notified, you MUST initiate the request in ADS

7 - Approval of your new participating site is forwarded by ADS to Dr. Frey for signature

8 - Once approved, your RRC reviews the site request and provides confirmation to you via email