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MUSC GME Resident Handbook

Home > Graduate Medical Education > Appendix 3 > Appendix 3 - Forms
Graduate Medical Education  2017-2018

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Resident Handbook Introduction

Letter of Commitment/
Accreditation Status Disclaimer

Administration & Governance - Graduate Medical Education Programs

Policies & Procedures

Salaries & Benefits

MUSC Policies

Appendix 1 - Resident Agreements (Medical and Dental)

Appendix 2 - Evaluation Forms

Appendix 3 - Forms

Appendix 4 - Scopes of Practice

Appendix 5 - Program Resources



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)

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)