Rotating Trainee Reference Document

Name of Hospital / General Information / Contact Person/PLA Information
Abbott Northwestern Hospital / Anne runs a report based off of the ABNW location code being in the name of the rotation.
Coordinatorsshould contact
Anne to inform her of the first day the resident will be at Abbott soshe may schedule systems training for the resident. / AnneKlinkhammer

(612)863‐4649
PLAContacts (Anne as above) Signer: Terry Rosborough, MD, Directorof Medical Education Signer: Penny Wheeler,MD Chief ClinicalOfficer Allina
ProgramsMUSTspeak with Terry Rosboroughbefore sending trainees toABNW Hospital
Children’s Hospital
Formstocompleteandreturn
Resident/Fellowsmustfollowthelinkbelowtocompletethe enrollmentforms:
/ Children’sdirects residents/fellows to the enrollment tothe left.
2016-2017 will use New Innovations for Hospital Onboarding. / Corrine Wilcox-Schowalter

612-813-6206
PLAContact
RalphNorusis
Phone:651‐220‐6133
Email:
Signer:Angela Goepferd, MD Directorof Medical Education Children’sHospitals &Clinics
345NorthSmith Avenue
St.Paul, MN55102
Signer:Phillip Kibort, MD
VicePresident MedicalAffairs
Children’sHospitals &Clinics
2525ChicagoAvenue South
Minneapolis,MN 55404
Fairview Hospital / Miragets information on all incoming residents and fellows from RMS at the beginning ofthe academic
year. / (612) 624‐0990
Signer:James Breitenbucher, MD, Vice President MedicalAffairs UMMC‐FairviewAdministration
2450Riverside Ave/M235
Minneapolis,MN 55454
GilletteHospital
Documents need to be reviewed and updated
RequiredRotationReading
WelcomeLetter
Personallearningobjectives
Map/Directionstohospital
CyberDOCSMedicalRecordViewerInstructions
Viewing Clinical Data inAffinity handout / Dianecollects demographic and rotational information via RMS.
2016-2017 will use New Innovations for Hospital Onboarding / Diane Swayzee

(651) 578-5098
PLAContact/Signer: StevenKoop,MD Directorof Medical Education
GilletteChildren’s Hospital
200East UniversityAvenue
St.Paul, MN55101
Name of Hospital / General Information / Contact Person/PLA Information
Health East
(St. Joe’s & St. Johns & Woodwinds)
If a contract exists between the program and Health East, the program is only required to send the following:
information:
  • Resident name
  • Type of resident
  • Rotation dates
  • Approximate number of hours
If no contract exists between the program and Health East, the following must be completed:
•Application for Educational Experience
•Background Privacy Notice
•Background Form
•Observorship Applications (if applicable) / Kevin Svenby

(651)326‐3791
PLAContact/Signer: Stephen Kolar, MD
SeniorVicePresident and Chief
MedicalOfficer
HealthEast
559CapitolBlvd
St.Paul, MN55103
Hennepin County Medical Center
  • Complete the photo id form
  • Email the completed form to:
/ HCMCobtains demographic and rotational information from RMS via a
Customreport. /
873‐3922
PLAContact/Signer: Howard Schur
Director‐ GME
MailCode 867A
701Park Ave
Minneapolis,MN 55415‐1829
Name of Hospital / General Information / Contact Person/PLA Information
Minneapolis VA Health Center
Uses RMS Onboarding checklist to distribute all requirements prior to the rotation start.
RequiredDocumentationtobringonfirstdayoforientation
  • OnephotoID(i.e.,driverlicense,militaryID,passport)andone non‐photo ID)i.e.,birthcertificate, socialsecuritycard,etc)
  • PermanentResidentCard(ifapplicable)
  • NPI#(NationalProviderIdentification Number).
/ Allpaperworkmustbe
completedand submitted4 weeks prior toyourdesired startdate.This enables HRto completenecessary requirements.
Fingerprintsare requiredfor all incomingtrainees. Pleasecall612‐467‐
2060toschedule fingerprints atleast4 weeks beforeyour desiredstartdate. / KaarnSpencer (Pathology andLab)

612-467-2088
MichaelFroats (Physical Medicine & Rehabilitation)

612-725-2044
Jay Stephenson (Psychiatry)

612-467‐1504
Darlene Dewaay (Primary Care)

612-467-4431
Judith Haswell (Imaging)
612-467-5033
Cheryl Schmitz (Specialty Care)

612-467-4551
PLAContact/Signer: Kent Crossley, MD
AssociateChief of Staff for Education
OneVeterans Drive
Minneapolis,MN 55417
Name of Hospital / General Information / Contact Person/PLA Information
ParkNicolletHospitalandClinics
Forms to complete and return:
  • Resident, Fellow, Medical/PA/NP/NM Student Application
  • Confidentiality Packet- Sign and return Page 7
  • Report Flu Vaccinations via survey monkey
/ 2016-2017 will use New Innovations for Hospital Onboarding. / JoEllynPilarksi (hospitals)

(952) 993-5135
BarbRicke (clinics)

(952)993‐6106
PLAContact/Signer: Steven Connelly, MD
Chief Medical Officer,
Park Nicollet Institute c/oKathie Radcliffe
3800Park Nicollet Blvd
Minneapolis,MN 55416‐2699
Name of Hospital / General Information / Contact Person/PLA Information
RegionsHospital
Formstocompleteandreturn
Welcome Letter
Photo ID Badge RequestForm
Resident Parking Form
Door Access Card Request Form
JointCommission MEMOand attestation form
**this form is required forsurgicalservices only** / Residents/Fellows
needtouse the login below toaccess the neededinformation: Loginto New Innovations InstitutionID= MMCGME
UserName=regions
Password=hospital
Allforms mustbe returnedtoRegions prior to beginning a rotation.
2016-2017 will use New Innovations for Hospital Onboarding / Michael Boland

(651)254‐2864
PLAContact/Signer: CarlPatow, MD Executive Director, HealthPartners c/oJoEllynPilarski
810034thAvenueS,
POBox 1309
Minneapolis,MN 55440

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