Welcome New Residents and Fellows!
General Information
As a new resident or fellow at UAB, there are several educational requirements and forms that you
must complete before you begin your employment. If you have completed all required paper work
AND educational testing, you may begin your employment on June 24th or July 1st (determined by
your program).
You will use the following systems in completing requirements
 Cactus AppCentral – System you will use to complete an on-line application and attach
documents, forms, and a photo to send back to the GME Office. You will be sent an email
invitation from evalAppCentral@CACTUSSoftware.com and there will be a link for you to
access the on-line application. The first step will be to create an account (user ID and
password). Please set your User ID the same as the email address. A document containing
detailed instructions is located in AppCentral.
 MedHub – This is the GME enterprise software system. You will initially use this site to
electronically review and sign your Initial Resident Agreement and Code of Conduct. You will
be sent an initial email from MedHub Notification with your username and temporary
password. Please select the link in the email to reset your password and login to MedHub.
The temporary password will remain active for 24 hours, so please reset your password as
soon as possible. Your username will be your first and last initial followed by your 8 digit birth
date. You will receive an additional email from MedHub Notification alerting you when the
Resident Agreement is ready for review. This will be sent after the Agreement has been
approved and signed by the Program Director. You may access MedHub at
https://uab.medhub.com
 GME Website – This site contains general information, forms and required reading
 UAB Faculty & Staff Learning System - You will review required education modules in this
system, but you will not have access until approximately May 1st. You will receive an email
from the GME Office when you are able to access the system. Please complete the assigned
modules prior to attending orientation.
In addition, you will also receive separate emails to:
1) Set up your Blazer Id. An email will come from “Blazer ID Central - UAB [mailto:phadmin@uab.edu].” Please complete this by April 13, 2015 since many of the orientation
processes rely on this step to be completed. If you already have a blazer id because you have
been associated with UAB in the past, please email the GME office at gme@uabmc.edu your
blazer id as soon as possible. You will continue to use it.
2) Complete Section I of the Form I-9 that will come from Human Resources. More information
about this is contained in the instructions below. This email will not arrive until later in April. GME will
send you an email notifying you when the email has been sent.
Please review this packet and instructions and submit the required forms and documents by
May 15, 2015. In addition, complete education modules in the UAB Faculty & Staff Learning
System prior to attending GME Orientation.

Reminder: GME Orientation is all day Thursday, June 18, 2015 (begins promptly at 7:30
a.m.). Breakfast and registration begins at 7:00 a.m. Location is Margaret Cameron
Spain Auditorium. Make-up date is July 1, 2015. Registration begins at 9 a.m. Location is
the West Pavilion Conference Center, Room B.
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
Important Information on Employee Benefits
Representatives from the UAB Benefits Department will be at orientation to review UAB
Benefit choices and answer any questions you may have. You will have an opportunity to sign
up for your benefits at orientation.
Detailed information on the benefit choices and the forms that you will complete at orientation
are provided on the GME website. You are encouraged to review this information prior to
attending orientation so that you will have time to review your options and prepare any
questions you may have.

Current Alabama Medical License: If you have more than 18 months of residency training in
the U.S., you are required to have a current Alabama medical license at the beginning of your
training at UAB. This applies to graduates of U.S. Medical Schools as well as graduates of
International Medical Schools. More details are provided about license requirements as well
as the Alabama Controlled Substance Certificate and DEA in the GME Policy Manual.
Note: It is important that the name you list on your Alabama Medical License matches the
name you list on the NPI Registry and your DEA License (if applicable)

Federal DEA License & (form) Request for Fee Exemption – DEA Registration
If you are a PGY-3 or higher and write controlled substance prescriptions, you will need your
own personal Federal DEA license.
Note: If you will utilize your personal DEA number only within the scope of your training
program and will not utilize it for external moonlighting purposes, you are eligible for a
fee exemption for your DEA registration. To request approval for fee exemption, complete and
sign the form “Request for Fee Exemption-DEA Registration” that is provided on the GME
Website. Return the form to the GME Office using AppCentral and we will route to your
program for approval.
Note: It is important that the name you list on your DEA License matches the name you list on
the NPI Registry and your Alabama Medical License.

BCLS/ACLS: All Residents are required to maintain BCLS and ACLS certification throughout
training. You must submit proof of certification or register for one of the courses offered
during orientation. You cannot begin training without this certification. The course registration
form is available on the GME Website.
For Residents in Pediatrics, they must obtain and maintain certification in PALS (instead of
ACLS). All Surgery residents must also obtain and maintain certification in ATLS (in addition
to BCLS/ACLS). If you need PALS or ATLS training, please contact your Program
Coordinator.

New Employee Physical: The State Health Dept. requires all new employees to have a
physical examination. This is also a Hospital requirement. Please call Employee Health at
205-934-3675 to schedule your exam as soon as possible. You can begin as early as today.
Please note that the location that you will have your TB Skin test is Employee Health (Room
S123, Spain Wallace Building) and then you will go to The Workplace (1201 11th Avenue
South, Birmingham, next to UAB Highlands) for your new employee physical. We cannot
accept physicals conducted outside UAB.

Please note that UAB Medicine has a Tobacco Free Hiring Policy and all employees are
tested for nicotine use as part of the pre-employment drug screen.
More information is located here http://www.uabmedicine.org/careers/tobacco-free-hiringpolicy
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
Take picture for badge prior to orientation: If at all possible, please have your picture made
for your UAB identification badge before you attend orientation. Beginning on May 12, 2015, if
you have established your Blazer ID, you can visit Human Resources Management Monday
through Friday, 8:30 a.m. to 5:00 p.m. at University of Alabama Hospital, Russell Wing
University Hospital (RWUH), Room 165. The physical address is 1813 6th Avenue South.
Telephone: (205) 934-2097. When you arrive, you will first see a Receptionist that will let you
in the area (the door usually remains locked). Please identify yourself as a new GME
resident/fellow and let her know you are there to have your ID badge picture made. ID badges
will be distributed at orientation.

Complete the Form I-9 online and have your documents reviewed in HR if at all
possible: The Form I-9 is used to verify both the identity and U.S. work eligibility of all
employees. Before you attend GME Orientation, you will be sent (to the email address that
we received for you) a link to complete a portion of the Form I-9 online. You will actually
receive two separate emails during this process: 1) one email will provide your Login Name
and a link to our online Form I-9; 2) a second email with your password for the system. You
will receive an email from the GME Office notifying you that the emails are about to be sent.
This will occur sometime later in April.
Please follow the link and complete Section 1 of the form before you attend GME
orientation. You will be also asked to identify the documents you will use in order to
complete the Form I-9. A list of the acceptable documents needed is available for review while
in the online system. A copy of the Form I-9 and list of acceptable documents are also on the
GME Website.
Please bring these documents with you when you arrive for your GME orientation.
The documents will be reviewed by an HR representative as part of the orientation process.
If at all possible, at the time you have your picture made for your UAB identification badge;
you can also bring your documents and have them reviewed by an HR representative. If you
do this, you would not need to have the documents reviewed again at orientation. Beginning
on May 12, 2015, you can visit Human Resources Management Monday through Friday, 8:30
a.m. to 5:00 p.m. at University of Alabama Hospital, Russell Wing University Hospital
(RWUH), Room 165. The physical address is 1813 6th Avenue South. Telephone: (205) 9342097. When you arrive, you will first see a Receptionist that will let you in the area (the door
usually remains locked). Please identify yourself as a new GME resident/fellow and tell her
that you need your Form I-9 documents reviewed. This will save you time at GME Orientation.

All educational modules in the UAB Faculty & Staff Learning System (Health Stream)
must be completed before you can attend orientation and begin training. You will not have
access to this system until your Blazer ID has been set up, or approximately May 15, 2015.
An email from the GME Office will be sent to you, when you can log on in the system and
complete the assignments. This education will be due prior to you attending GME Orientation.

MedHub training: MedHub is the residency management software utilized by all GME
programs at UAB. You may access MedHub at https://uab.medhub.com/index.mh
You will be sent an initial email from MedHub Notification with your username and temporary
password. Please select the link in the email to reset your password and login to MedHub.
Training videos are located in the “Resource/Documents” section under the link “MedHub
Community”. The videos are located in the “tutorials & certifications” area of the “MedHub
Community” page. There is also a “Resident/Fellow Quick Reference Guide” located in the
folder “Resident/Fellow Resources” in the Resource/Documents” section.
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
IMPACT Computer training: All residents rotating through the University of Alabama
Hospital must complete training on the IMPACT (Cerner) system. You will be assigned a
module to complete in the Faculty & Staff Learning System. You must successfully complete
this education module before your physician number can be activated.

Physician Number: After you successfully complete IMPACT (Cerner) training, you will be
assigned a physician number and issued a Sun Ray card to access IMPACT, Horizon, and
Outlook email. You will be assigned a user id and password. You can also find this number
on the “Review Records” link in MedHub.

Surescripts Provider Identification (SPI): If you are in a program that will prescribe
medications that will be sent electronically to outside pharmacies, you must have a
Surescripts Provider Identification (SPI) number. If you are in a program that sees patients at
UAB Hospital, UAB clinics and the UAB Emergency Department and electronically prescribes,
you will need an SPI. Instructions are found on the GME website. The site you use to request
this number can only be accessed through the UAB intranet, meaning you will have to be onsite at UAB to complete this request. Please do this as soon as possible when you begin
training. Note: you must have your NPI number when you submit your request

UABMC.EDU email address: You will be assigned a UAB Health System email address
(uabmc.edu) and required to use it as your means of email communication while working at
UAB. You can also find this number on the “Review Records” link in MedHub. Your account
will be active when you receive your address.
You may access your Health System account by going to https://webmail.uabmc.edu
Your user name and password are the same as your IMPACT user name/password.
A Frequently Asked Questions document is posted on the GME website and will answer most
questions.

Accessing UAB Health System email on your smartphone (MAAS 360)
After you receive your email address, you can get access to your UAB Health System email
on either your smartphone or tablet by requesting access at this location:
https://uabhsforms.hs.uab.edu/form/31884431103
There is no cost to you to enroll one device. When completing the online application, the
“account to bill” portion disappears when you choose “resident/fellow.”
Please complete the form for Smartphone activation. Once the form is received and approved,
email activation will be sent to your Health System email account. The enrollment email will
come from maas360@fiberlink.com and include the instructions necessary to activate your
phone.
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
NPI Number (National Provider Identifier)
You will need an NPI number – a standard unique identifier for health care providers (required
by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). If you do not have
one, please apply for one using the following directions.
Note: It is important that the name you list on your NPI number matches the name you list on
your Alabama Medical License and DEA registration (if applicable).
Below are the steps when applying for an NPI number:
If you need help during the application process or have any questions, please contact the GME Office at 205-9344793.. You can also contact the NPI Enumerator at 1-800-465-3203.
Note: You will be completing the Information Required for Individual Providers and NOT the Information
Required for Organizations
You will be asked the following information when applying for an NPI number online:
Are you a sole proprietor? No
Provider Name: Your name
SSN: You must have a Social Security number to submit an online application for an NPI.
Note: If you do not have a Social Security number, you will have to complete this step after you have your
Social Security number.
Provider Date of Birth: Your birth date
Country of Birth: “U.S.” if you were born in the United States. If you were not born in the U.S., you will be given a
list of the standardized two letter abbreviations for the country in which you were born. You will not be required to
also enter a state or province.
State of Birth: If Country is U.S. – if you were born in the U.S., you will be given a list of the standardized two letter
abbreviations for the state in which you were born.
Provider Gender: Your gender
Mailing Address: 625 19th Street South, Birmingham, AL 35249
Practice Location Address: 625 19th Street South, Birmingham, AL 35249
Practice Phone Number: Your Program’s phone number
Student – Health Care
Taxonomy (Provider Type): 390200000X – STUDENT IN AN ORGANIZED HEALTH CARE
EDUCATION/TRAINING PROGRAM
State License Information: Leave the license field blank
Contact Person Name: Your Name
Contact Person Phone Number: Your Phone Number
E-mail: Your Email
IMPORTANT: When your application is accepted and a number has been issued to you, you will receive your
notification by email. Please retain this notification for the duration of your career as it is the only one you
will receive.
Click below to begin the registration at the NPPES Registration Site.
https://npiregistry.cms.hhs.gov/NPPESRegistry/NPIRegistryHome.do
Please print a copy of the confirmation you receive and return to the GME Office in App
Central.
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The Affordable Care Act requires physicians or other eligible professionals to be enrolled in
the Medicare/Medicaid Program to order/refer items or services for Medicare/Medicaid
beneficiaries. This section contains information on completing a Medicare Enrollment
Application.

CMS-855O MEDICARE APPLICATION
When you begin your training program, you must be registered as a Medicare provider so that you can order or
refer items or services for Medicare beneficiaries. This applies to all GME residents and fellows.
Here are the steps to register:
1. You must have an NPI number. Your NPI log-in and password will be required to access the Medicare
application system.
Note 1: If you recently registered for your NPI number, it may take up to 7 days for your log-in and password
information to be transferred to the Medicare application system.
Note 2: If you do not have a valid SS #, you will not be able to complete this enrollment step until after you
obtain your SS# and NPI.
Note 3. Your name on this application must match what is listed on the NPI Registry.
2.
You will use the internet-based Provider Enrollment, Chain, and Ownership System (PECOS).
Click here to begin the enrollment process at the PECOS site: https://pecos.cms.hhs.gov/pecos/login.do
3.
First, check to see if you are already registered. If you are registered, you do not have to go any further.
Notes on the Application Process
SECTION 1 - Basic Information
A.
You are registering for the sole purpose of ordering/referring
B.
Licensed intern resident or fellow not employed at any of the above
SECTION 2 - Identifying Information
A.
Complete in full (most of you probably do not have PTAN). Enter NPI number
B.
Complete in full
C.
1. Alabama License information entered here
2. Check box - Certification Not Available – if you do not have an Alabama medical license/ACSC
3. List your personal DEA number if you have one
SECTION 3 - Final Adverse Legal Actions – Complete if applicable
SECTION 4 - Medical Subspecialty
A.
Choose only 1
B.
Leave Blank
SECTION 5 - Important Addresses
Business Location: 619 19th Street S., Birmingham, AL 35249
Attention: YOUR NAME
Mailing Address: UAB Hospital, 625 19th Street S., Birmingham, AL 35249
Telephone number: YOUR PHONE
Email: YOUR EMAIL
Note: If you are a resident in programs located in Huntsville, Montgomery or Selma, use the address at these sites.
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SECTION 6 - Contact Person Information
YOUR NAME
Same address as above
Phone: YOUR PHONE
Email: YOUR EMAIL
Relationship - Self
SECTION 7 - Nothing Required
SECTION 8 - Certification and Signature
Be certain to enter your name and date Print and sign - IN BLUE INK
Before you submit your Medicare application electronically, please print a copy and attach to
the documents you return in App Central.
If you do not have Social Security #, you will not be able to complete this application until you
obtain one.
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Documents you will send us via CACTUS APP CENTRAL
(Requested as part of the Online Cactus App Central Application)





You will either “Attach an Image” electronically or Fax from AppCentral. If you fax from
AppCentral, a fax coversheet will be generated for you to use. The fax number is
(1-913-227-0673).
You can also send them to gme@uabmc.edu
Or, return them in the self-addressed envelope
Deadline to send to us is May 15, 2015
Missing items could delay your start date
Documents Requested as part of
the Online Cactus App Central
Application
1.Alabama Medical License
2. Federal DEA License
3. Alabama Controlled Substance
Certificate (ACSC)
4. Board Certification
5. ECFMG Certificate
6. Medical/Dental School Diploma
Comments
If you are a PGY-3 or higher, you must have a current Alabama
medical license to begin training.
If you are a PGY-3 or higher and write controlled substance
prescriptions, you will need your own personal Federal DEA
license.
If you are a PGY-3 or higher and write controlled substance
prescriptions, you will need a current ACSC.
Not applicable for GME. No action required.
If you are an IMG, you MUST present a valid ECFMG certificate to
be eligible to work.
You must provide a copy of the Medical or Dental school diploma..
If you have not received your diploma, you can skip and send when
received. You can bring a copy to orientation if you have it.
7. Copies of Certificates from Other
Residencies, Fellowships
8. Curriculum Vitae
If you have completed an ACGME accredited residency or
fellowship, please provide a copy of the certificate of completion.
Attach a copy of your current CV
9. NPI notification letter, login &
password
GME only needs a copy of the confirmation you receive -- if you do
not have an NPI number and apply for one during the orientation
process.
If you already have an NPI number, disregard this section.
10. Copy of Social Security Card
11. Copy of USMLE Step 2 (CK and
CS) – successful completion
12. Copy of USMLE Step 2 (CK and
CS) – successful completion
13. Copy of Step 3 (USMLE or
COMLEX)
For MDs. Attach a copy in AppCentral
For DOs. Attach a copy in AppCentral
For MDs and DOs. Attach a copy in AppCentral
14. A copy of current certification in
BLCS, ACLS, ATLS, PALS
15. Copy of Protocol
If you have any current certifications, attach a copy of the card in
AppCentral
Not applicable for GME. No action required.
16. Copy of Full Collaborative License
Not applicable for GME. No action required.
17. Photo - Digital Image
No larger than 2x2, file format must be JPEG (< or = to 240 KB)
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Forms you will send us via CACTUS APP CENTRAL by May 15, 2015
These forms can be found on the GME website http://www.uab.edu/gme




Print out forms, complete and “Attach an Image” electronically (preferred method) or Fax from
AppCentral. If you fax from AppCentral, a fax coversheet will be generated for you to use. The
fax number is (1-913-227-0673).
You can also send them to gme@uabmc.edu
Or, return them in the self-addressed envelope by May 15, 2015 for a June 24th or July 1st
Start Date
Missing items could delay your start date.
Notes:
1. If you are an IMG and will not have your Social Security and NPI numbers until your arrive,
please go ahead and send us all other documents by May 15, 2015.
2. If you are a PGY1 and will not have your diploma until June, please go ahead and send us
all other documents by May 15, 2015.
3. If you are obtaining an Alabama medical license and will not have it before May 15, 2015—
please go ahead and send us all of the other documents.
Documents you will print from the
GME website and send to us as an
attachment using Cactus App Central
Application for Institutional Controlled
Substance Permit (Temporary DEA
Application Form)
(Note: will not apply to all)
Request for Fee Exemption – DEA
Registration
(Note: will not apply to all)
Background Check
Parking Application
Infectious Disease Questionnaire
Malpractice Application
INSTRUCTIONS
Print and complete this form if you are a PGY1 or PGY2 and do not
have your own personal DEA number. The Pharmacy will issue you
a number at orientation, if needed.
In addition, if you have completed 18 months of training, you cannot
utilize this form; you must have a personal DEA.
Exceptions in these programs only: Pathology and Pathology
subspecialties( does not include Blood Banking/Transfusion
Medicine); Dermatology; Diagnostic Radiology, Neuroradiology,
Vascular Interventional Radiology
Complete and return this form only if you are applying for your person
DEA number and will utilize your personal DEA number only within
the scope of your training program and will not utilize it for external
moonlighting purposes. You are eligible for a fee exemption for
your DEA registration.
To request approval for fee exemption, complete and sign the form
“Request for Fee Exemption-DEA Registration.” Return the form to
the GME Office and we will route to your program for approval.
Print and complete. Sign and date.
If you are not a U.S. citizen, there is an additional International Form
for you to also sign, date and return.
Print and complete. Parking Cards will be issued at orientation for
most programs.
Exceptions are Pediatrics and subspecialties, Dermatology, and
Ophthalmology. You will receive these parking assignments through
your programs. DO NOT COMPLETE THIS FORM IF YOU ARE IN
THESE PROGRAMS.
Print and complete.
Complete the fillable form on-line, print, and email to UAB Risk
Management at PLTF@UABMC.edu.Also attach a copy for GME in
App Central. The form is located on the GME website. Note: This
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USMLE Step III/ Licensure/ACSC/DEA
Acknowledgement Form
GME Policies and Procedures
Acknowledgement Form
Impact Policy Acknowledgment Form
requirement does not apply to Pediatric Fellows – except Sleep
Medicine. You will complete as part of your department orientation.
Print. Sign and date.
Print and sign. You can access the GME Policy and Procedure on
the GME website. You will be given a hard copy of this manual at
orientation.
Print and sign.
Document you will send us by mail
in the self-addressed envelope enclosed in this packet by May 15, 2015
Document you will print from the
GME website and send to us by mail
OPR AL Medicaid Application
(Note: Alabama Medicaid only wants
physicians with a valid Alabama medical
license to order services for Medicaid
patients)
We need original to mail to Alabama
Medicaid.
(form found on GME Website)
INSTRUCTIONS
Print and complete form only if you will have an AL license by
July 1, 2015. If you are in the process of obtaining an AL
license, please do not complete.
If you do not have SS #, you will not be able to complete
this application until you obtain one.
Notes on the Application Process
SECTION 1 - Basic Information
List your NPI number
SECTION 2 - Identifying Information
A.
Complete in full
B.
Complete in full. List YOUR ADDRESS
D.
Medical Specialties – choose 1
SECTION 2.2 - Identifying Information – Skip this section
SECTION 3 – Disclosure Information – Answer all questions
SECTION 4 – Contact Person – List YOUR NAME and information
SECTION 5 - Read
SECTION 6 – Sign and date in blue ink
RSVP for GME Orientation
Print, complete and return to GME
(form found on GME Website)
BCLS/ACLS Registration Form
Print, complete and return to GME
(form found on GME Website)
Scrubs Order Form
Complete and return to GME
(form in packet mailed to you)
Lab Coat Order Form
Complete and return to GME
(form in packet mailed to you)
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POLICES AND MISC. INFORMATION YOU ARE REQUIRED TO REVIEW PRIOR TO ATTENDING
ORIENTATION
POLICIES AND MISC. INFORMATION TO
REVIEW ON THE GME WEBSITE
All must be completed in order to attend
orientation and begin training
COMMENTS
AY 2016 GME Policy and Procedure Manual
You will receive a copy at orientation.
GME Policies on Supervision, Attending
Notification and Bedside Procedures
These policies are located in the GME Policy
and Procedure Manual.
Information on Death Notes at UAB Hospital
Oracle Self Service Applications (Instructions)
Lister Hill Library Information
Gives employees access to view and change
personal information in the Administrative
Systems, view pay slips and manage direct
deposit account.
YOU WILL NOT HAVE ACCESS TO THIS
SYSTEM UNTIL AFTER ORIENTATION.
You will complete a form at Orientation that
allows you to have access to the library
Professional Development Office
UAB Health System Personal Appearance
Uniform & Hygiene
Social Media Policy
Consent to Photograph, Video, or Audio
Record
UASOM Honor Code
UASOM Technical Standards
UASOM Student Code of Professional
Conduct
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FACULTY & STAFF LEARNING SYSTEM
INSTRUCTIONS FOR REVIEWING EDUCATION MODULES REQUIRED PRIOR TO ATTENDING
ORIENTATION
EDUCATION MODULES TO REVIEW
All must be completed in order to attend
orientation and begin training
IN THE UAB FACULTY & STAFF LEARNING
SYSTEM
https://www.healthstream.com/HLC/uabhs
Note: Please disregard the instructions on the signin page that says “for UAB Medical West ONLY.”
Instructions are on the GME Website and a
copy is also in this packet
Your user id and password is your Blazer ID
(for both).
Confidentiality Agreement
Rules of Behavior for UABHS Information
Systems
HIPAA Privacy and Security
2015 Environment of Care
2015 Patient Safety Clinical Competency
2015 Joint Commission Medical Staff
Preparedness
2015 Corporate Compliance/HIPAA
Sleep Loss, Fatigue and Medical Training
AIDET Training
CERT Modules (Creating Effective Resident
Teachers) – you will be assigned two modules
ICD -10 Modules
IMPACT (computer system) Module
Please feel free to call the GME Office at 205-934-4793 if you have any questions.
GME is open Monday – Friday from 8:00 a.m. through 5:00 p.m. (CST). Our office is located in
UAB Hospital, Jefferson Tower Room J136, Birmingham, Alabama 35249.
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