Information, Checklist, and FAQ for Outgoing Resident and Fellows

1. Complete the outgoing exit survey:  Exit Survey
2. Download and complete the signature form found here:  Outgoing Signature Form. Once complete, You will upload here. Signatures are required for the following items: Medical records clearance, linens, UH keys and ID Badges. Some signatures may not be obtainable until all clinical work has been completed for your program. 
3. Update your NPI & PECOS information:  Pecos Website
4. Important information about your Salud email account and Cerner/Citrix/Powerchart: Terminated house staff will lose access to these accounts the day after their last day of employment.: 
   1. Notify/inform personal and professional contacts of your impending status change and where/how you can be reached after your last day.
   2. Retain important personal emails/information by forwarding email(s) to another email account before you leave. There is no retrieving them once your employment is termed.
5. Update personal information such as address, phone number, email, and more via https://my.unm.edu. Login to MyUNM, then enter LoboWeb. Navigate to “Personal Information” to make updates. Future communications from UNM will be sent to the address on file under “Personal Information” within MyUNM including a COBRA enrollment packet and W-2 or other tax documentation (if applicable)
6. If you require access to your payroll and tax documents email pay@unm.edu

COBRA Continuation of group medical, dental, and vision coverage:

You may elect to continue coverage through COBRA. Following your employment termination date, a COBRA enrollment packet will be mailed to your address on file in the UNM system. Be sure to update your mailing address under “Personal Information” in https://my.unm.edu. Contact HR Benefits at 505-277-MyHR (6947) or HRBenefits@unm.edu for detailed information and premium cost. If you are moving into a faculty position at UNM Hospital or UNM, please contact your program for information on their benefit plans. Enrollment is not automatic. Your benefits end on the last day of the month in which employment ends. Rates are subject to change every academic year.

Disability Coverage:

You may elect to transition your disability coverage. To do so, please contact:

Geri Everett, CLU Disability Insurance Specialist HSAC/Health Sciences Assurance Consulting, INC. 2270 Montgomery NE Suite D #316 Albuquerque, NM 87112 Phone: (888) 978-8355 Cell: (505) 690-1240 Email: geri@hsac.com

DEA Number:

DEA numbers are institution specific and are only valid within the course and scope of your UNM HSC training. Upon graduation, it will no longer be valid. To register/purchase an un-restricted certificate or change your address on record, use this link:  http://www.deadiversion.usdoj.gov/

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   If you have questions you may contact the GME Office via GMEOffice@salud.unm.edu.

Proof of Professional Liability Coverage

While engaged in residency program activities, you were covered by the State of New Mexico Risk
Management Division, pursuant to the New Mexico Tort Claims Act, Section 41-4-1 et seq., NMSA 1978.
Insurance of the per occurrence type will be provided under that act. This did not extend to external
moonlighting activities. For claims history requests, please have hiring institution contact the GME
office at GMEOffice@salud.unm.edu.

Outstanding Accident Reports

In an effort to reduce on-site visits to the UNM Employee Occupation Health Services, this statement will be deemed sufficient in your exiting.

If you currently being treated or followed for a body fluid exposure or are currently being treated for a Workers Comp injury, please email HSC-EOHSforms@salud.unm.edu and we will advise you on follow up treatment.

At this time, we will not be offering exiting resident or fellows TB testing.

If you have questions or concerns, please contact EOHS at (505) 272-8043 Clinic or (505) 272-1515
Surge Office.