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Forms

Resident Forms:

Leave of Absence (PDF)

Moonlighting Form (PDF)

Non-ACGME/Off-Cycle Resident Contact Sheet (PDF)

Non-Required Elective Rotation with Compensation (PDF)

Off-Cycle Resident Orientation Form (PDF)

Prep 4 Step 3 Study Program Referral Form (PDF)

Resident/Fellow Clearance Sheet (PDF)

Remediation Plan Template (DOC)

Instructions/Example - Remediation Plan (PDF)

Wellness Center Re-Enrollment Form

Visiting Resident Policy/Signature Form



Resident Transfer Forms:

Approval to Release Resident from Program Letter (DOC)

Transfer Acceptance Letter (DOC)

Transfer Release Approval from Outside Institution Letter Template (DOC)


 

Program Request Forms:

BLS/ACLS Certification Attestation Form

Change in Program Complement (DOC)

Change in Program Director (DOC)

End of Program Final Evaluation Letter (PDF)

GME Manpower Request Template (DOC)

Handbook Acknowledgement Form (PDF)

Handbook Verification Form (PDF)

Remediation Plan Template (DOC)

Instructions/Example - Remediation Plan (PDF)

Non-MUSC Rotation Funding Approval Form (PDF)

Request for International Rotation (PDF)

Request for New Training Program (PDF)

Resident Appointment Letter Template (DOC)

Resident Certificate Request Letter Template (DOC)

Request for Replacement Completion Certificate (PDF)

VA Letter of Agreement Template (PDF)

Request for New Program Creation in E*Value (PDF)

 

GME Handbook

Resident Resources

E*Value

MyQuest

Clinical Connections

The Catalyst

 

Contact Us

GME Office
169 Ashley Avenue
MSC333
Room 202 Main Hospital
Charleston, SC 29425
Phone: 843-792-2575
Fax: 843-792-9295

 

 

 
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