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Required Documents

Welcome to Wake Forest Baptist Health and the exemplary training journey we are commencing together. Please review the following checklist for required on-boarding activities. We encourage you to start as soon as possible.

A) First Things First (1 ONLINE FORM)

Fill out the New House Staff Information Form Online . This provides us with a chronology of your prior training and gives you the opportunity to explain any training gaps.

Please provide GME with a current address and your personal email address - gmail, yahoo, hotmail, etc.

Note : The New House Staff Information Form must be submitted 90 days before your start date.

B) 1 email (Background Check)

Sumbit an email to Nadine Friel (nfriel@wakehealth.edu) to kick-off the background check process. 

C) Resident Training License (RTL) (ONLINE & MAIL)

Complete the online Resident Training License (RTL) Application (North Carolina Medical Board). Follow the NC Board RTL Checklist to help with the process to obtain your RTL. The cost is $138 payable by credit card only.

Mail the required GME documents, listed on the RTL checklist to the GME Office .

Note : This process takes time and you must receive your RTL before you may begin training.

D) 1 link (To report American Heart Association Certification, or sign up for recertification)

(http://www.wakehealth.edu/Life-Support-Education/Classes/Incoming-House-Officers-and-Fellows.htm)

Your American Heart Association Certification must be current before your first clinical day. Please check the list of requirements for your specialty and follow the directions for completing the House Staff form.

E) 1 email (from a  Wake Forest Talent Coordinator)

You will receive an email from a talent coordinator asking for information regarding for important on-boarding forms to be completed before your start date. 

 

F) Upper-level Residents and Fellows (1 E-MAIL)

Please notify the House Staff Office if you are applying for a Full N.C. License. The ACGME only requires a RTL. Please check with your individual program to determine if the program requires a full license. This involved process may equate to 5-6 moths. Please start early with the North Carolina Medical Board . Once you receive your Full License, please email a copy to the House Staff Office: gme@wakehealth.edu .

Obtaining a full license for moonlighting purposes also requires you to apply for an independent DEA number. The DEA number assigned to you from The Medical Center is exclusively for training purposes.

Please note: Residency training and full licenses renew on your birthday regardless of the date it was issued.

G) Employee Health (1 PHONE CALL/5 DOCUMENTS)

Schedule your initial health screening: 336-716-4801.

Employee Health (1 phone call)

To schedule your initial health screening please call 336-716-4801. Please identify yourself as an incoming resident or fellow. The GME department number is 500090.

Please be advised that you will need to bring copies of your immunization records.

Note : A drug screen is part of this process.

H) I-9 Verification of Employment Eligibility (1 IN-PERSON VISIT )

You will be required to have your I-9 (Verification of Employment eligibility in the United States) completed prior to orientation. You must present supporting documentation in person for verification and you will fill out the I-9 form at that time. Your documents must be original and not expired: Review acceptable documents .

You will need to go to the Human Resources Office, Fourth Floor, Piedmont Plaza One. [ Campus Map ] You will be notified if this location changes.

I) NPI # (1 ONLINE FORM)

All House Staff are required to have a documented NPI before commencing work.

Secure numbers at: https://nppes.cms.hhs.gov/NPPES/Welcome.do . Please follow the Step by Step Instructions .

  • If you do not have a full NC Medical License, you cannot enter a specialty taxonomy code. Applicants who are applying for an NPI under a Residency Training License must use the student taxonomy code (390200000X).
  • Select "individual" rather than "institution".
  • List your home address and phone number as your contact information.

Once completed, email the form to the House Staff Office: gme@wakehealth.edu .

NPI # (1 online form)

All House Staff are required to have a documented NPI before commencing work. Follow the Instructions on the website to obtain a user ID and password. https://nppes.cms.hhs.gov/#/

  • If you do not have a full NC Medical License, you cannot enter a specialty taxonomy code. Applicants who are applying for an NPI under a Residency Training License must use the student taxonomy code (390200000X).
  • Select "individual" rather than "institution".

· For your Business Address use One Medical Center Blvd, Winston Salem, NC 27157. Check with your program coordinator to get a business telephone and fax number.

Quick Reference

Graduate Medical Education

Phone 336-716-5222
Fax 336-716-6415

E-mail
gme@wakehealth.edu

Hours
8 am to 4 pm

Mailing Address

Graduate Medical Education Office
Wake Forest Baptist Medical Center
Medical Center Boulevard
Winston-Salem, NC 27157

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Last Updated: 04-09-2018
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Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.

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