Welcome to the Bon Secours Charity Health System, Medical Staff Services Department. We sincerely hope that you have an enriching experience with us. Please make sure that all appropriate paperwork is completed as directed below. We look forward to meeting you.

*** ATTENTION CLINICAL ROTATION STUDENTS ***

All Clinical Rotation students must return the required paperwork to the Medical Staff Office 4 weeks prior to their rotation.  After the paperwork has been submitted, kindly contact the Onsite Clinical Director to discuss your start date. Training in the Epic system is also required, please make an appointment with Physician Support at 845-368-5969.

STEP 1
Observers, Interns & Clinical Rotation students, please review the following:

·         Code of Conduct

·         Catholic and Religious Directives


STEP 2
Observers, Interns & Clinical Rotation students, complete the following:

·        Request Form

·        Confidentiality Agreement

·        Health Assessment   

·        Verification of Orientation

Observers Only:

·        Professional Conduct Agreement

·        Parental Consent (if under 18 years old)

 

STEP 3
Interns and Clinical Rotation students ONLY, review and complete the following:

Clinical Rotations require a current health system agreement on file .

·    Orientation Module

·    Orientation Post Test

·    Orientation Answer Key

·    EMR Security Form – Clinical Rotation Students Only


STEP 4

Observers, Interns and Clinical Rotation students, gather the following documentation:

·   PPD Results (within one year)

·  If PPD positive, a Chest X-Ray report must be included.

·   Rubella Titre

·   Rubeola(Measles) Titre, if born after 1/1/57

·   Flu Vaccine administered after November 1st.

Note:  All Observers are required to submit 2 letters of recommendation from a non-family member.

 

 

STEP 5
Submit all completed paperwork and required documentation via email or fax to:


Contact the facility once ALL required documentation is complete:

Bon Secours Community Hospital

Rose Richter, Medical Staff Office Coordinator

Rose_Richter@bshsi.org

845-858-7100

 

Good Samaritan Hospital

Karen Stoohs, CPCS, CPMSM, System Manager, Medical Staff Services

Karen_Stoohs@bshsi.org


845-368-5470

 

St. Anthony Community Hospital

Angie Raines, CPCS, Medical Staff Office Coordinator

Angie_Raines@bshsi.org

845-987-5173

  

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