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 795. Print the Confirmation Sheet and send with your package.

• Sign and return Residency Training Agreement.
  Deadline: 30 days prior to the start of your residency program. 
• Complete and return Residency Training License Application, including fingerprint cards. The cost is $138 payable only by credit card.     
  Deadline: 30 days prior to the start of your residency program. 
• Complete NCBH Background Consent Form. 
  Deadline:  30 days prior to the start of your residency program. 
• Submit House Staff Information Sheet.  
  Deadline: Within 90 days prior to the start of your residency program. 
• Complete the Demographic Form for  Employee Health Services and send to ehftdesk@wakehealth.edu. Make appointment for initial screening. Print Immunization Form and compile records to provide to Employee Health.  Employee Health can be reached at 336 716-4801.                Deadline 30 days prior to the start of your residency program.
• 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.  This link,http://www.wakehealth.edu/Life-Support-Education/Classes/Incoming-House-Officers.htm,  is required of all incoming house staff or log on to WWW.wfubmc.edu/lse  and select the “incoming House Officers” link.
• Complete the Electronic Medical Records online education videos prior to class.  After viewing the videos, if you feel you require additional training in a classroom setting, please RSVP to akoonts@wakehealth.edu.  Deadline is 30 days prior to the start of your program. Upon your arrival, you will be notified via email your log-in information for both Carecast and Centricity. 
• 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.
  Deadline: 30 days prior to the start of your residency program. 
• Review, sign and submit Confidentiality Agreement.
  Deadline: 30 days prior to the start of your residency program. 
• Review Medical Records, then print, sign and return page 4.
  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. 
• New Item:  Prior to arrival, review Death Certificates/Autopsy Reports at this link,http://www.wakehealth.edu/hs_videos/15me/15me.html., and complete the test at  https://www.wakehealth.edu/schoolOfMedicine/schoolOfMedicineFrm.aspx?ekfrm=35512  .  
• Incoming House Staff presentation by Dr. Russell Howerton, Chief Medical Officer

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