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… of --------. Further information in regards to office requirements may be obtained from -------- at ext. - ---. … or delegate to contact HelpDesk to confirm computing requirements. Cost sharing will be per PNAP agreement. Date … date is requested: Start date for new physician Special Requirements? Please note that this request will not be …
Revised: January 7/09 Space/Project Request Form General: The Space/Project Request Form is used for submitting facilities project requests. The form must be completed and signed by the relevant director before submission to Facilities Management. The Space/Project Request Form must be submitted for...
… of ----------. Further information in regards to the office requirements may be obtained from ------- at ext. ------. … or delegate to contact HelpDesk to confirm computing requirements. Cost sharing will be per PNAP agreement. Date … completion date is requested: Physician start date Special Requirements? Please note that this request will not be …
Revised Jan 7/08 Space/Project Request Form General: The Space/Project Request Form is used for making a facilities project requests. The form must be completed and signed by the relevant director before submission to facilities management. The Space/Project Request Form must be submitted for all re...
… scientist 1 Distributed Medical Education faculty member Requirements: Participants must… be identified by a leader … scientist 1 Distributed Medical Education faculty member Requirements: Participants must… be identified by a leader …
Talent Management Overview Participants: Approx. 10 people (Sample composition described below) 2 Senior or Chief Residents 2 Junior Faculty or Professional Staff Members 1 faculty member in the first or second year of a leadership position 1 mid- career faculty member in a new leadership position 1...
… FORMCHECKBOX 10.0 Satisfaction of the College’s requirements for continuing medical education FORMCHECKBOX … FORMCHECKBOX 10.0 Satisfaction of the College’s requirements for continuing medical education FORMCHECKBOX …
Extended probationary EVALUATION FORM PROFESSIONAL STAFF ASSOCIATE MEMBERS (This probation period is greater than 12 months from start of appointment and not to exceed 24 months of probationary period) Probationary Staff Member: Department: Probationary Start Date: Supervisor: Satisfactory Unsat...
… Asst. Are you able to meet all of the research space requirements of this position within your program’s existing … space? Are you able to meet all of the research space requirements of this position within your program’s existing … Educator or Scientist, does the candidate meet the specific requirements of that category: Yes No Clinical Service …
2014 Position Request / Candidate Review Impact Summary Form Page 1 Position Request / Candidate Review Impact Summary Form Please retain a copy of this form when you submit for a position request so that it can be used when submitting the candidate information. PART A POSITION REQUEST INFORMATION (...
… will begin January, 2015. I have read and understand the requirements, timelines and responsibilities of the Talent … will begin January, 2015. I have read and understand the requirements, timelines and responsibilities of the Talent …
2015-2016 Talent Management Application Description: The Talent Management Programis an opportunity for approximately 10 faculty members (clinical and basic science) and professional staff (midwives and dentists) to grow and develop with colleagues interested in leadership development. It provides t...
… in writing, that: (A) the applicant understands the requirements for accepting clinical, academic and … the Public Hospitals Act, and abide by and be guided by the requirements set out in the Hospital’s By-Laws, Rules and … file. The applicant may be exempted from the notice requirements if the - 12 - Chief of Department believes, …
LONDON HEALTH SCIENCES CENTRE CREDENTIALED PROFESSIONAL STAFF BY-LAWS Amended and Approved: June 29, 2015 TABLE OF CONTENTS ARTICLE 1 - DEFINITIONS AND INTERPRETATION ................................................................ 2 1.1 Definitions .....................................................
… in writing, that: (A) the applicant understands the requirements for accepting clinical, academic and … the Public Hospitals Act, and abide by and be guided by the requirements set out in the Hospital’s By-Laws, Rules and … file. The applicant may be exempted from the notice requirements if the Chief of Department believes, after …
ST. JOSEPHS HEALTH CARE, LONDON CREDENTIALED PROFESSIONAL STAFF BY-LAW AMENDED AND APPROVED BY THE ST. JOSEPHS HEALTH CARE SOCIETY: June 11, 2015 TABLE OF CONTENTS ARTICLE 1 - DEFINITIONS AND INTERPRETATION ................................................................ 2 1.1 Definitions .............
… Medicine Category Privileges Educational/Experience Requirements A All activities and procedures generally … as defined and supported by the Chief of the Department Requirements for B3: Physicians providing anesthesia care … Medicine Category Privileges Educational/Experience Requirements A All activities and procedures generally …
London Health Sciences Centre And St. Joseph's Health Care London Anesthesia and Perioperative Medicine Delineations Delineation of Procedural Privileges Department of Anesthesia & Perioperative Medicine Category Privileges Educational/Experience Requirements A All activities and procedures generall...
… and govern myself in accordance with the provisions and the requirements set out in the Public Hospitals Act of Ontario, … and govern myself in accordance with the provisions and the requirements set out in the Public Hospitals Act of Ontario, …
Application for Appointment To the Credentialed Professional Staff of London Health Sciences Centre (LHSC) and St. Josephs Health Care London (St. Josephs) DEMOGRAPHIC INFORMATION Last Name First Name and Init. Birth date (mm/dd/yyyy) Gender Birthplace Citizenship Business Name/Address Postal Code P...
… with the candidate to complete all hospital credentialing requirements, which includes the Health Review, and all … with the candidate to complete all hospital credentialing requirements, which includes the Health Review, and all …
Canadian Trained Professional Staff in an Academic Appointment New positions requires that Part A of the Position/Candidate Impact Summary Form be completed and request form submitted by Department to Medical Affairs for the Joint Professional Staff Human Resource Committee (JPSHRC) to Review. The A...
… NEUROSURGERY Category Privileges Educational/Experience Requirements A All activities and procedures generally … NEUROLOGY Category Privileges Educational/Experience Requirements A All activities and procedures generally … NEUROSURGERY Category Privileges Educational/Experience Requirements A All activities and procedures generally …
London Health Sciences Centre And St. Joseph's Health Care London Delineation of Procedural Privileges Department of Clinical Neurological Sciences NEUROSURGERY Category Privileges Educational/Experience Requirements A All activities and procedures generally performed by physicians certified in Neur...
… Surgery Category Privileges Educational/Experience Requirements A All activities and procedures generally … Surgery Category Privileges Educational/Experience Requirements A All activities and procedures generally …
London Health Sciences Centre And St. Josephs Health Care London Delineation of Procedural Privileges Department of Dentistry DENTISTRY Oral Maxillofacial Surgery Category Privileges Educational/Experience Requirements A All activities and procedures generally performed by licensed Oral Maxillofaci...
… radiology. Category Privileges Educational/Experience Requirements A All activities and procedures generally … radiology. Category Privileges Educational/Experience Requirements A All activities and procedures generally …
London Health Sciences Centre And St. Josephs Health Care London Delineation of Procedural Privileges Department of Diagnostic Radiology All members of the Department of Diagnostic Radiology must have their Fellowship in Diagnostic Radiology and accreditation in their appropriate subspecialty where ...
… Medicine Category Privileges Educational/Experience Requirements A All activities and procedures generally … Medicine Category Privileges Educational/Experience Requirements A All activities and procedures generally …
London Health Sciences Centre And St. Josephs Health Care London Delineation of Procedural Privileges Department of Emergency Medicine Category Privileges Educational/Experience Requirements A All activities and procedures generally performed by physicians certified in Emergency Medicine. Specialty...
… - GENERAL Category Privileges Educational/Experience Requirements A-FM The general scope of practice for a family … – OBSTETRICS Category Privileges Educational/Experience Requirements A-OBS The general scope of practice for a … NURSERY Category Privileges Educational/Experience Requirements A-NN The general scope of practice for a family …
London Health Sciences Centre And St. Josephs Health Care London Updated 2012 Delineation of Procedural Privileges DEPARTMENT OF FAMILY MEDICINE FAMILY MEDICINE - GENERAL Category Privileges Educational/Experience Requirements A-FM The general scope of practice for a family physician includes all ac...
… 9.0 Ethical judgement 10.0 Satisfaction of the College’s requirements for continuing medical education 11.0 Please … 9.0 Ethical judgement 10.0 Satisfaction of the College’s requirements for continuing medical education 11.0 Please …
FINAL PROBATIONARY EVALUATION FORM PROFESSIONAL STAFF ASSOCIATE MEMBERS Probationary Staff Member: Department: Probationary Start Date: Supervisor: Satisfactory Unsatisfactory 1.0 Clinical competence 2.0 Appropriate use of Hospital resources 3.0 Ability to work and relate to staff and leaders in a c...
… Hiring processes may differ depending on the position requirements (e.g. site and hours of work) as the … you will begin working with Human Resources to identify the requirements for the position and develop an internal job … involves preparation in terms of knowledge of the job requirements, a pre-planned format and semi-structure with …
London Health Sciences Centre and St. Josephs Health Care London A Guide to Secretarial Support Services For Credentialed Professional Staff Produced by Medical Affairs London, ON Revised: May 2014 London Health Sciences Centre and St. Josephs Health Care London Revised May 2014 Page 2 of 19 Table o...
… FORM FOR ALL MEDICAL STAFF Vaccination Recommendations/Requirements 1. Red Measles You require 2 doses of measles … current fit testing record along with your immunization requirements. • 3M model 1870/9210 • 3M model 8210 • 3M … they are signed by a physician or nurse) Immunization Requirements Vaccine/Titre Type Date yyyy/mm/dd Result Red …
Revised: 20140507 Page 1 of 5 GUIDELINES FOR COMPLETION OF CITY-WIDE HEALTH SCREEN FOR MEDICAL STAFF (MUST Provide Proof) Past LHSC/St. Josephs Record: Yes No Anticipated Start Date of Clinical Placement (YYYY/MM/DD): Anticipated End Date of Clinical Placement (YYYY/MM/DD): Please check off the ap...
… Records 2. Q – Should I complete all my health screening requirements prior to the commencement of my primary … specific information. Encouraged: to complete all health requirements prior to your start date. • Resident • Clinical … Fellows • Professional Staff MUST: complete all health requirements prior to start date. • Visiting Elective 3. Q – …
1 Occupational Health & Safety Services Questions and Answers - Health Screening Process 1. Q Where can I go to obtain documentation of my previous immunization, Tb testing & serology? A - Family doctor, medical school records, student health services, public health unit where you attended school, ...