Appointments and Rotations

• PLA (Program Letter of Agreement)
• Generic Application
• New and Re-Appointments
• Elective Residency Positions

PRE-Recruitment/Match

• Training Program Request to Recruit
• Required Prior to interview for:
• IMG
• Non-US Citizen
• Out of Match/Normal Recruitment
• Request for J1 Visa Sponsorship
• Request an Exception to Policy for H1-B Visa
• Terms and Conditions

POST-Recruitment/Match

Forms:

• Slot Designation Form
• Checklist for New Trainees
• Checklist for Internal Transfer Trainees
• MD License Matrix
• MBC Release Authorization Form
• (to be submitted with Matrix)

Orientation Preparation

• COEM Health Screening Packet - UPDATE IN PROGRESS
• COEM Privacy Notice
• COEM Fax Sheet Only
• Lab Coat Embroidery Order Form
• Orientation Lab Coat Procedure New

Affiliate Reimbursement Billing

• Affiliate Reimbursement Billing Form

Certificates

• Certificate Request Form

Insurance

• Monthly Insurance Billing Summary
• Submit requests to the Benefits Coordinator
  
• Insurance Rates

"Help" for Coordinators

• PLA Template is now under Appointments and Rotations
• COEM Coordinator Screening Instructions
• COEM Email Template
• Slot and Application Packet Guide
• Slot LOA + Name Change Instructions
• Name Change Request Form
• Create License Expiration Report

Program Related Changes

• ACGME Program Complement Increase Worksheet
• Non-ACGME Program Complement Increase Worksheet
• New ACGME Program Worksheet
• New Non-ACGME Program Worksheet
• Program Director Change Request