GME | Office of Graduate Medical Education

• GME Office
• Policies
• Training Resources
• Committees/Meetings
  • GMEC
  • PDAC
  • Administrator Meetings
• Educational Activities
  • Orientation
  • Core Curriculum
  • Chief Resident Conference
  • Scholarly Exchange Day
• Awards/Honors

Directors/Administrators - Forms

• Authorization from Applicants Form (PDF)
• Core Curriculum Waiver Form (PDF)

• Employment Paperwork
  • New Resident/Fellow Checklist (PDF)
  • UB Application Form (PDF)
  • Employment Paperwork Package UMRS

     i. Employment Paperwork Instructions

    ii. I-9 Employment Eligibility Form (Employer Specific)

   iii. Biographical Data Form

   iv. Federal Tax Form (W-4)

    v. NYS Tax Form (IT-2104)

   vi. Direct Deposit Form

   

  • Employment Paperwork Package UDRS
• Final Evaluation of Residents/Fellows - Sample (Word)
• Immunization Document (PDF)
• Internal Review/Annual Progress Report (WORD)
• Match Rank Order Worksheet (WORD)

• Medicare Quarterly Reporting
  • Quarterly Resident and Fellow Assignment Information Form (WORD)
  • Example Quarterly Resident and Fellow Assignment Information Form (PDF)
  • Instructions for Completing Resident and Fellow Assignment Information Form (PDF)
  • Resident Research Project Proposal Form
• Non-Core Hospital Reporting Form (PDF)
• Non-Standard Training Verification Form (PDF)

• Outside Annual Plan
  • Program Director Attestation Form (PDF)

 

• Program Letters of Agreement

• Do I need to submit a PLA for my rotation? (PDF)
• Program Letter of Agreement (PLA) Process (PDF)
• ACGME PLA Requirements (PDF)
• Program Letter of Agreement - Template (WORD)
• Program Letter of Agreement - Catholic Health System Template (WORD)
• Program Letter of Agreement RPCI - Template (WORD)

 

• Reimbursement Information/Forms
• Certification Course Reimbursement Guidelines 2013
• Program Certification Course Reimbursement 2013
• Basic Life Support Reimbursement 2013
• Advanced Cardiac Life Support Reimbursement 2013
• Advanced Trauma Life Support Reimbursement 2013  
• Pediatric Advanced Life Support (PALS) Reimbursement 2013         

 

• Verification of Training

• Release from Liability Form (PDF)
• Verification of Training (Word)
• Verification of Training with Associate PD (Word)

 

• Visa Processing Procedures

• H-1B
  • H-1B Checklist for Medical Residents (PDF)
  • H-1B Visa Processing Request Form (PDF)
  • H-1B Questionnaire (PDF)
  • H-4 Dependent Questionnaire (PDF)
  • Translator's Certificate of Accuracy (PDF)
  • Procedure for H-1B Initial Sponsorship (PDF)
  • Procedure for H-1B Extension Sponsorship (PDF)
• J-1
  • J-1 Visa Processing

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Quick Links

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