Welcome New Residents and Fellows!
General Information
As a new resident or fellow at UAB, there are several educational requirements and MANY 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).

Please review this packet and instructions, return required forms by May 11, 2013 and
complete education modules in the UAB Faculty & Staff Learning System prior to attending
GME Orientation.

Reminder: GME Orientation is all day Wednesday, June 19, 2013 (begins promptly at
7:30 a.m.). Breakfast and registration begins at 7:00 a.m.

Reminder: Current Alabama 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.
Reminder: 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.
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 this training, please contact your Program Coordinator.

Reminder: 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.

Reminder: 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 13, 2013, 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 and let her know you are there to have your ID badge picture
made. ID badges will be distributed at orientation.

Reminder: 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. After we receive your GME Information Form, you will be receiving two additional
emails (they will come 24-48 hours apart) from gme@uabmc.edu regarding our online Form I9. The emails will be sent to the email address that we received for you. If you do not receive
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two emails within 24-48 hours, please check your junk/spam folder. Contact the GME Office at
205-934-4793 if you have not received these emails by mid-April. One email will provide your
Login Name and a link to our online Form I-9. You will receive a second email with your
password for the system. Please follow the link and complete Section 1 of the form before
your 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. Please bring these documents with you when you arrive for
your GME orientation. A copy of the Form I-9 and list of acceptable documents are also on the
GME Website.
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.
Beginning on May 13, 2013, 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 and tell her
that you need your Form I-9 documents reviewed. This will save you time at GME Orientation.

Reminder: Computer training: All residents rotating through the University of Alabama
Hospital must complete training on the IMPACT system. Classes are scheduled on an
individual or group basis. You must complete this class before your physician dictating
number can be activated. Please contact: IMPACT Lab Telephone: (205) 934-1332 or 1-888830-6523 to schedule training.

Reminder: All educational modules in the UAB Faculty & Staff Learning System
(HealthStream) 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 April
8, 2013 for most.
The forms you will need can be found on the GME website
http://www.uab.edu/gme

Print out forms, complete and return in the self addressed envelope by May 11, 2013 for a
June 24th or July 1st Start Date
 Missing items could delay your start date
Reminders
Comments
2013 Orientation Schedule
June 19, 2013 begins promptly at 7:30 a.m. Registration and
breakfast begin at 7 a.m.
Make up dates are June 28th and July 1st.
ECFMG Certificate
If you are an IMG, you MUST present a valid ECFMG
certificate to be eligible to work.
Medical Schools Diploma
You must provide a copy of the Medical or Dental school
diploma by July 15, 2013.
Alabama Medical License
If you are a PGY-3 or higher, you must have a current
Alabama medical license and Controlled Substance license (if
applicable) to begin training.
Federal DEA License
If you are a PGY-3 or higher and write controlled substance
prescriptions, you will need your own personal Federal DEA
& (form) Request for Fee Exemption –
license.
DEA Registration
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
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NPI Number (National Provider Identifier)
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.
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.
Below are the steps when applying for an NPI number:
If you need help during the application process or have any questions,
please contact Jamie Moody in the GME Office at 205-934-47693, or
jmmoody@uabmc.edu. You can also contact the NPI Enumerator at 1-800465-3203.
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 you 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
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FORMS TO BE PRINTED FROM THE
GME WEBSITE
INSTRUCTIONS
Licensure Acknowledgement Form
Print. Sign and date.
After you return your “GME Information Form” and your Blazer
ID is set up, you will be receiving two additional emails (they
The Form I-9 is used to verify both the identity will come 24-48 hours apart) from gme@uabmc.edu regarding
and U.S. work eligibility of all employees.
our online Form I-9. The emails will be sent to the email
address that we received for you. Please check your
The Form I-9 is viewable on the GME
junk/spam folder.
Form I-9 and Instructions
website, but you will complete the actual form
electronically.
One email will provide you Login Name and a link to our
online Form I-9. You will receive a second email with your
password for the system. Please follow the link and
complete Section 1 of the form before your 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. Please bring these documents with you when you
arrive for your GME orientation.
IMPACT Policy Acknowledgement Form
GME Policies and Procedures
Acknowledgement Form
BCLS/ACLS Registration Form
RSVP for GME Orientation
OPR AL Medicaid Application
CMS-855O Medicare Application
If at all possible, please have your original documents (that
you identified) reviewed by an HR representative at the same
time you have your picture taken for your ID badge. That will
save you time at GME 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 complete. Attach valid BCLS/ACLS/PALS/ATLS
card, if applicable.
Print and complete.
Print and complete form only if you will have an AL license by
July 1, 2013. If you are in the process of obtaining an AL
license, please leave this blank.
Print and complete.
Note: If you do not have a SS# or NPI number at the time you
complete the form, please leave this field blank.
Some other tips regarding the application:
• In section 1A, you are registering for sole purpose of ordering/referring,
this box is already checked.
• In section 1B, please select either:
“Licensed intern resident or fellow not employed at any of the above”
OR
“Non-Licensed intern, resident or fellow not employed at any of the above”
• In section 2 C, if you have an AL license number or DEA number, please
indicate it with the effective date.
• In section 4 A, select only one specialty.
• In section 8 B, you must sign and date. We need to receive the original
signature. Please do not fax or scan and email the application.
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FORMS TO BE PRINTED FROM THE
GME WEBSITE (continued)
Code of Conduct for Professional
Behavior
Application for Institutional Controlled
Substance Permit (Temporary DEA
Application Form)
INSTRUCTIONS
Print. Sign and date.
Print and complete this form. The Pharmacy will issue you a
number at orientation, if needed.
In addition, residents/fellows with greater than 18 months of
training must have a personal DEA.
Background Check
Infectious Disease Questionnaire
GME Information Form
ID Badge Application
Parking Application
Request for Fee Exemption – DEA
Registration
Exceptions in these programs only: Pathology and Pathology
subspecialties; Dermatology; Diagnostic Radiology,
Neuroradiology, Vascular Interventional Radiology
Print and complete.
Print and complete.
Print and fill out completely. Under “home address” – please
list your local address here after July 1st.
Print and complete. If at all possible, please have your picture
taken prior to orientation (beginning May 13, 2013).
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.
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.
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FORMS THAT ARE IN THIS PACKET
FORM IN YOUR PACKET
INSTRUCTIONS
Scrubs Order Form
Complete and return to GME– don’t forget to
circle coat size. You will be issued scrubs at
orientation. Return to GME
Complete and return to GME– don’t forget to
circle coat size. You will be issued coats at
orientation. Return to GME
Complete. Sign. Return to GME.
Lab Coat Order Form
Malpractice Form
PLEASE RETURN IN THE SELF ADDRESSED ENVELOPE BY MAY 11, 2013
 All Forms listed on above (pages 4-5)
 Copy of current Alabama Medical License, Alabama Controlled Substance Certificate
and personal DEA (if you have more than 18 months of training)
 Copy of Medical School Diploma
 Copy of ECFMG (if applicable)
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.
IMPORTANT INFORMATION ON EMPLOYEE BENEFITS
Representatives from the UAB Benefits Department will be at orientation to review UAB
Benefits 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.
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POLICES AND MISC. INFORMATION YOU ARE REQUIRED TO REVIEW PRIOR TO ATTENDING
ORIENTATION
POLICIES AND MISC. INFORMATION TO
REVIEW
All must be reviewed in order to attend
orientation and begin training
ON THE GME WEBSITE
COMMENTS
AY 2014 GME Policy and Procedure Manual
You will receive a copy at orientation.
UAB Faculty and Staff Learning System
Instructions
Your user id and password are your Blazer ID
and password.
Oracle Self Service Applications (Instructions)
Gives employees access to view and change
personal information in the Administrative
Systems, view pay slips and manage direct
deposit account.
Lister Hill Library Information
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
Physician Resource Center
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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EDUCATION MODULES YOU ARE REQUIRED TO REVIEW PRIOR TO ATTENDING
ORIENTATION
All must be completed in order to attend
orientation and begin training
EDUCATION MODULES TO REVIEW
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
and password.
Confidentiality Agreement
Rules of Behavior for UABHS Information
Systems
HIPAA Privacy and Security
2013 Environment of Care
2013 Patient Safety Clinical Competency
2013 Joint Commission Medical Staff
Preparedness
2013 Corporate Compliance/HIPAA
Sleep Loss, Fatigue and Medical Training
AIDET Training
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