Checklist for Incoming House Staff

Review the list below and make sure you have completed or taken the appropriate steps to complete all the requirements listed. If not, please complete prior to orientation. In order to complete each form, locate and select the Submit/Finish button. The department number is 500090. Print the Confirmation Sheet and send with your package.

Sign and return Residency Training Agreement (Contract

 Deadline: 30 days prior to the start of your residency program. 

Protecting Patient Information and Social Media Outlets 

Protecting our patients' information is paramount at The Medical Center as outlined in the Social Media Policy and  this statement "Patient Information and Social Media Don't Mix".    Please review both and adhere to our protocol.

Complete and return Residency Training License Application, including fingerprint cards. The cost is $138 payable only by credit card.     

Deadline: Must be approved at the start of your residency/fellowship program.  

Please notify the House Staff Office if you are applying for a full N. C. license

Background Information 

     The North Carolina Medical Board, as part of their licensure process, requires a complete criminal background check on all applicants. The release form for your signature is included with the application that you will print from the "Residency Training License" section of the webpage.

     You will need to obtain 2 sets of fingerprints. Cards for the fingerprints will be included in the package being mailed to you containing your contract. The fingerprint cards need to be returned with the license application. Important: These fingerprints must be completed by a professional, i.e. Security Office at your institution, local Police Department or Sheriff Department. It is imperative that you do not attempt to do your own prints.

     Electronic fingerprinting is only allowed if  secured by a N.C. based law enforcement agency.  The N. C. Medical Board states "Do not  have your electronic fingerprinting done until you have completed the online portion of the application and paid the fee". 

     In addition to the background check required by the Medical Board, Wake Forest Baptist Medical Center obtains their own background check on all new employees. To expedite a safe background check, please email You will receive a return email that requires you to submit a release form  showing your personal identifying information.  Please note: If you lived in any of the states listed on the form additional information and/or additional finger prints may be required

Deadline:  30 days prior to the start of your residency program.

Submit House Staff Information Sheet This chronological information must be complete with all prior training and an explanation of any gaps.   
Deadline: Within 90 days prior to the start of your residency program.    

Employee Health Requirements

Complete the following documents.   2015 Employee Health Demographic Data,  2015 Preemployment Screening, TB Baseline HIstory, and 2015 Employee Health Confidential Information for Employee Health Services and send to

Please note: If you are using an Apple device, you must use Adobe Reader and NOT Apple Preview when opening. Apple Preview documents cannot be read properly by Adobe. 

 Make appointment for initial screening - 716-4801.  Print 2015 Immunization Form and compile records to provide to Employee Health. 

 Deadline is 30 days prior to the start of your residency program.   

Required American Heart Association Courses.  All incoming residents and fellows must successfully complete an American Heart Association  BLS course and one or more advanced AHA courses (ACLS, PALS, NRP) depending upon your specialty.  All staff must register or verify current AHA course status by clicking this link: or log on to and select the "Incoming House Officers" link.  

  This section is currently under review. Please do not complete at this time (1/28/2013). Complete the Electronic Medical Recordsonline education videos prior to class.  After viewing the videos, if you feel you  require additional training in a classroom setting, please RSVP to     

Review Online Medical Records Resident Orientation Manual , then print, sign and return page 4.  

Deadline:  30 days prior to the start of your residency program.  

Complete and submit NCBH Bloodborne Pathogen Education/Infection Control Annual Training after arrival.

 Review the Confidentiality of Information Policy.  Then, review, sign and submit Confidentiality Agreement  Deadline: 30 days prior to the start of your residency program. 

Complete and return Payroll Direct Deposit Form.
Deadline: 30 days prior to the start of your residency program. 

Complete Federal and  NC State Withholding Tax prior to beginning training.

Foreign Medical Graduates – ECFMG Sponsorship.
Deadline to begin process: 30 days prior to the start of your residency program. 

   We look forward to your arrival. Please contact the House Staff Office with any questions or concerns.

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3rd Floor Watlington Hall
Wake Forest Baptist Medical Center
Medical Center Blvd.
Winston-Salem, NC 27157-1090
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Last Updated: 02-11-2015
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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.