Incoming House Staff

Before Arrival

Residency Training Program Agreement (Contract) . The program's contract to which you have recently been appointed will send you the contract at the address provided on your application. Once you receive the Agreement, please review carefully and sign the document. There are two (2) pages which require signatures. Be sure to sign in both places. Return this document no later than April 30 to:

House Staff Office
Medical Center Blvd.
Winston-Salem, N.C. 27157

Residency Training License
You must obtain a Residency Training License prior to beginning your training program. The North Carolina Board of Medical Examiners has made the application available on-line. The N.C. Medical Board requires that applicants for a NC resident training license (RTL) must pass USMLE Steps 1 & 2 or COMPLEX 1 & 2 in no more than 3 attempts. Please go to:
http://www.ncmedboard.org/licensing/license_application/category/resident_training_license/ to complete the application. Process the documents as referenced in the application. The Board has provided a section, "Residency Training License Status", where you may go in after the application has been completed and submitted and check the status of your own application. The cost is $138 payable only by credit card.

Your on-line application will be electronically sent to the House Staff Office at this institution. Your application will remain with the House Staff Office until all paper credentials and documents arrive from the sources in which you have requested information. Once all required documentation is received, the House Staff Office will electronically submit the on-line application to the Board and mail the paper credentials and documents for process and review.

The House Staff Office will coordinate the application process and act as liaison between you, the applicant, and the North Carolina Medical Board. Unless otherwise indicated during the application process, all paper credentials and documents are to be sent directly to the House Staff Office. Please do not contact the North Carolina Medical Board. If you have any questions or concerns regarding the application process, please direct them to the House Staff Office.

All Residency Training License Applications must be submitted to the House Staff Office. These applications should be complete. If your school is one that does not complete the Medical School Certification Form until after graduation, please send your application in without that form. It can be reviewed and held for issuing pending that one form. Please work to have all the other forms and documentation necessary by that time.

Computer generated pictures and signature stamps submitted with the your Medical School Certification Forum are not accepted. Pictures are required to have a glossy finish and have the school seal imprinted over the photograph.

The license is absolutely necessary in order for you to begin training. Put this first on your list of things to do. Delays in licenses have caused many residents delays in beginning their training. The importance of this application cannot be stressed enough. Do it timely, completely and provide all necessary documentation.

Note: If you have not yet graduated from medical school, your school must complete “Medical School Certification Form A”. If you have graduated already Form B must be completed. If you turn your form into your school and they are not going to process until after graduation, be sure you give them Form B. The Board will not accept the wrong form. Completion of the wrong form has slowed down the licensing process for many entering a training program.

Special Alert Regarding DWI History and Physician Health Program

Please review the 2008 N. C. Medical Board action listed below as it relates to DWI and NC PHP evaluations and referrals. NC PHP, the N. C. Medical Board and N. C. Medical Society function under a Memorandum of Understanding to provide this service. Additional information is located on the following websites http://www.ncphp.org and http://www.ncmedboard.org.

The general requirements for a N. C. resident training license may require that some applicants will need to meet additional requirements and/or meet with a representative of the Board or a subcommittee of the Board as part of the application process. It further notes that this will not be determined until Board staff has reviewed the application. NC PHP and the N.C. Baptist Hospital House Staff Office will notify the applicant if additional information is required.

License applicants will be referred for NC PHP assessment under the following circumstances:

Any DWI arrest within the past 5 years.
Two or more previous DWI arrest over any period of time.
Any DWI arrest where the blood alcohol content (BAC), if available, was greater than 0.14.
In some cases, an out-of-state assessment by another state’s PHP, which is known and trusted by the Board, will be accepted in lieu of a NC PHP evaluation.

If the license application is otherwise clean, and NC PHP evaluation, performed in compliance with the criteria above, identified no alcohol or substance abuse problems, no applicant interview will be required with regard to the question of a previous DWI arrest.

BOARD ACTION: Establish the following policy with regard to applicants with DWI History and NC PHP evaluations.

Applicants for license will be referred for NC PHP assessment under any of the following circumstances:

1. Any arrest within the past 5 years for the operation of any vehicle under the influence of any impairing substance.

2. Two or more previous DWI arrest, or the equivalent, over any period of time

3. In some cases and out-of-state assessment by another state’s PHP, which is know and trusted by the Board, will e accepted in lieu of a NC PHP evaluation.

Location information

NCPHP, 220 Horizon Drive, Suite 218, Raleigh, N. C. 27615, 919 870-4480 or

1 800 783-6792, Fax 919 870-4484.

Full North Carolina Licensure
If you are entering a second year of training or above, you may elect to apply for the Residency Training License or a Full N.C. License. The training license is all that is required. The application for full medical license can also be obtained at the N.C. Medical Board’s website.

If you elect to obtain a full license, all questions and concerns regarding that application must be addressed directly to the Board, not our office. However, please let us know if you are planning to apply for a full license.

International Medical School Graduates

The N.C. Medical Board requires that applicants must pass USMLE or COMPLEX in no more than 3 attempts. However, the Board shall waive the requirement if the applicant is certified or recertified by an ABMS, CCFP, FRCP or AOA approved specialty board with the past 10 years.

This is to remind you that effective October 1, 2011 all International Medical Graduates (IMGs) will be required to use the Federation of State Medical Board’s Credential Verification Service (FCVS) as part of their application for a full, unrestricted medical license in North Carolina. Please notify all of your residents that are IMGs, of this change in order that they can start the FCVS process if they are planning to remain in North Carolina following completion of their current postgraduate education program. The FCVS process could take a minimum of 4 months to complete or as much as 6 months if they wait to begin the process after January 1. If they delay starting this process they may not be licensed in time to begin work in July 2012.

Graduates of Canadian medical schools are NOT considered IMGs and will not be required to use FCVS as part of the application process.

FCVS was established in September 1996 to provide a centralized, uniform process for state medical boards to obtain a verified, primary source record of a physician’s core medical credentials. FCVS obtains primary source verification of medical education, postgraduate training, examination history, board action history, board certification and identity. This repository of information allows a physician to establish a confidential, lifetime professional portfolio with FCVS which can be forwarded, at the physician’s request, to any state medical board that has established an agreement with FCVS, hospital, health care or any other entity. http://fsmb.org/fcvs.html

All materials must be submitted to:

NC. Medical Board, PO Box 20007, Raleigh, N.C. 27619. For overnight night or express deliveries, the address is 1203 Front St. Raleigh, N.C. 27609.

In addtional, please print a copy of your ECFMG certification and send it to the House Staff Office.

The National Provider Identifier (NPI)

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPPA) administrative simple standard. The NPI is a unique identification number for covered health care providers. Covered health care providers, all health plans and health care clearinghouses use NPIs in administrative and financial transaction is adopted under HIPPA guidelines.

The NPI is a 10-position, intelligence free, numeric identifier (10 digit number). This means that the numbers do not carry other information about healthcare providers, such as the state in which they live or their medical specialty.

All house staff is required to have a documented NPI before commencing work. Secure numbers at http://nppes.cms.hhs.gov/NPPES/Welcome.do. If you do not have a N.C. Medical License, you cannot use the taxonomy code for their "Specialty". The "Student" taxonomy code (390200000X) is the only one that allows you to enter a Residency Training License (RTL).

Drug Enforcement Authority (DEA)
When entering a residency training program and obtaining a residency training license, the institution will issue you a DEA number to use within the parameters of your training program. If you obtain a Full North Carolina Licensure and plan to use that license to “Moonlight”, you must apply for and obtain your own DEA number. You can obtain an application for a DEA number on their website www.deadiversion.usdoj.gov/online_forms.htm.

Background Checks
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. Only ink imprints are permitted. Electronic and digital imprints are prohibited.

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 nfriel@wakehealth.edu. 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.

2013 New House Staff Orientation Schedules

June 19, 20, 21 for Internal Medicine, Obstetrics/Gynecology and Neurology

June 26, 27, and 28 for all reminaing programs

Sessions for each day commence at 8:00 A.M.

Babcock Auditorium

Hanes Building, E Floor

Resources/Payroll Requirements

Background Consent Form needs to be completed with at least seven years of prior addresses, printed, and signed and dated. You will be contacted if further forms or fingerprints are required and due May 1. https://www.wakehealth.edu/AppConsent.

Direct Deposit Form needs to be completed by May 1. Direct deposit is mandatory for all employees. Please attach voided check or deposit slip. http://www.wakehealth.edu/HR/Direct-Deposit.htm

Federal W-4 Tax Form needs to be completed by May 1. If you have problems filling out the form, please consult a tax consultant to help you. http://www.irs.gov/pub/irs-pdf/fw4.pdf

NC Tax Form needs to be completed by May 1. If you have problems filling out the form, please consult a tax consultant to help you. http://www.dor.state.nc.us/downloads/nc-4.pdf

You will be required to have your photo ID completed prior to your orientation date. The location of the Medical Center Badging Department is Third Floor, Meads Hall. You will also be given your parking decal at this time. Please have the License Plate number for up to two vehicles, make, model, and color.

You will also be required to have your I-9 completed prior to your orientation date. You must present, in person, your documents to verify your eligibility to work in the United States. We will have you fill out the I-9 form at this time. Your documents must be original and not expired. Please refer to the link below for a list of the acceptable documents. You will come to the Human Resources Office, Fourth Floor, Piedmont Plaza One. You may use the shuttle van. http://www.uscis.gov/files/form/i-9.pdf

Please mail the 2 tax forms, direct deposit, and background consent form by May 1 to:

Nadine Friel, Human Resources

Medical Center Blvd.

Winston-Salem, NC 27157

House Staff Policies

House Staff policies can be viewed at http://www.wakehealth.edu/School/Physician-Services/House-Staff-Policies.htm

Required American Heart Association Courses

All incoming residents and fellows must successfully complete BLS 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:

http://www.wakehealth.edu/Life-Support-Education/Classes/Incoming-House-Officers.htm or log on to www.wakehealth.edu/lse and select the "Incoming House Officers" link.

Medical Center E-mail Accounts

All incoming house staff have a Medical Center e-mail account set up prior to arrival. Particular information about e-mail addresses is provided at orientation.

House Staff Mailboxes

All house staff are assigned a mailbox in the Medical Center’s Mailroom as of July 1. On or after July 1, each house officer must go by the mailroom’s service window and request his/her mailbox assignment and combination. Please do not inquire about your mailbox prior to July 1.

Exceptions: Diagnostic Radiology, Family Medicine, Anesthesiology residents receive all of their mail in departmental mailboxes.

Beepers

Beepers are assigned by the program to which you have been appointed.

Lab Coats

Lab coats are provided to incoming residents by their department. Please check with the program in which you will be training to determine the process for obtaining lab coats. If your program is not providing lab coats, they can be purchased in the Gift Shop, Main Floor of Ardmore Tower.

Check with your department for details about getting lab coats cleaned. Cleaning services are also available via the Gift Shop.

Children's Choice Learning Center (CCLC)

The Medical Center provides a child care center for the children of Medical Center employees. Children's Choice Learning Center (CCLC) accepts children between the ages of 6 weeks and 5 years.

The Center is open 6 am to 6:15 pm, Monday through Friday. The cost of placing a child in the Center is automatically payroll deducted and varies depending on the age of the child and the hours of care. To receive more information or put your child’s name on the waiting list, call 336-716-0300.

On-Call Meals and Accommodations

All house staff required to remain in the hospital overnight are provided dinner and breakfast by the hospital free of charge. Please see the On-Call Meals for Residents policy for specific information.

All house staff required to remain in the hospital overnight are provided on-call accommodations for the night. These rooms are reserved by the house officer by calling 6-0007 on the day of their call. Please see the On Call Room Policy for specific information.

2012 House Staff Salaries Effective 10/01/2012

HO I - $46,079.32	HO V - $50,365.76	HO IX - $54,652.21
HO II - $47,150.93	HO VI - $51,437.38
HO III - $48,222.54	HO VII - $52,508.99
HO IV - $49,294.15	HO VIII - $53,580.60

Employee Benefits Effective January 1, 2013

A complete explanation of Employee Benefits and cost can be accessed at Benefits.

HEALTH INSURANCE: Effective Date of Coverage: Date of hire

Prescription Drug Program: Enrollment in any of our Health Plans automatically provides you with the same prescription drug coverage. As with the Health Plan, you will always pay the least out-of pocket costs when you utilize WFBMC pharmacies.

VISION: Effective Date of Coverage: Date of hire

Employees and dependents enrolled in the Health Care Plan are automatically enrolled in the annual eye exam portion of the Vision Plan. Those who want coverage for glasses and contacts must enroll in one of the Vision Plans. Employees not enrolled in the health care plan may enroll in both the eye Exam and Eyewear benefit portions of the Vision Plans. Check out Superior Vision’s web site for a list of providers http://www.superiorvision.com.

DENTAL PLAN: Effective Date of Coverage: Date of hire

There are two new dental plans for 2010 and a new provider, MedCost (http://www.mbstpa.com). Both plans are open access and cover all of the “reasonable and customary charges” for preventative services such as basic exams, cleanings, X-rays and other basic services. The Dental High Option has a $1500 annual maximum benefit per participant. This option includes a $1500 lifetime orthodontia benefit per participant. The Dental Low Option has a $750 annual maximum benefit per participant. The Low Option DOES NOT INCLUDE an orthodontia benefit or major services.

PRE-TAX AUTHORIZATION (Section 125): Your employee contributions for coverage under the Health, Dental and Vision plans are not taxed. This means that your taxes will be computed after your premiums are deducted, so you pay less tax.

LONG-TERM DISABILITY: Effective Date of Coverage: 91^st day from date of hire

The hospital provides a long-term disability plan at no cost to you. This plan consists of a group plan, which offers coverage of 66 2/3% of your monthly salary up to a monthly maximum of $2,000 after you have been off work for 90 days due to a disabling condition. There is an additional individual policy also provided by the hospital at no cost to you. This individual policy supplements the group policy.

TERM LIFE INSURANCE: Effective Date of Coverage: 91^st day from date of hire

The hospital provides basic term life insurance equal your annual salary rounded to the next highest thousand. This benefit is provided at no cost to you.

Additional Supplemental Term LIfe Insurance: Effective Date of Coverage: 91st day from date of hire

Additional life insurancemay be purchased for an amount of an additional one, two, three or four times your annual salary. The bi-weekly deduction cost for this additional life insurance is based on age and amount of coverage. Dependent life insurance may be purchased for your spouse and dependent children.

Retirement Savings Account

Wake Forest Baptist Health provides a tax-deferred saving plan that provides the opportunity to invest pre-tax dollars. You have the option of investing up to the current annual maximum of $16,500 of your income. At the end of the residency program, this money may remain in the plan and continue to grow or be transferred to another 403b plan, 401K plan, or an IRA account.

Resident Spouse Association (RSA)

A Message from the RSA President

Welcome to the Winston-Salem area! RSA is a great place to get involved with the community, meet new people, and be a part of a supportive and exciting group. We sponsor and organize many activities throughout the year that appeal to the needs and interests of all our members. We organize events geared toward both families with and without children. Some of our events include: weekly playgroups, monthly meetings, wine tastings, holiday parties, game nights, trips to the zoo and apple orchard, lunch bunches, and book clubs. We also help support the Ronald McDonald House with bake sales and monthly dinners.

Please visit our website for more information and to join. Email us if you have any questions. Congratulations on your match and we look forward to hearing from you.

RSAwakeforest@gmail.com

www.RSAwakeforest.com

www.facebook.com/RSAwakeforest