UNIVERSITY OF ILLINOIS MEDICAL CENTER AT CHICAGO (UIMCC)
REQUIRED ROTATOR PAPERWORK & INSTRUCTIONS
NOTE:  
•   THE ROTATOR MUST BRING A STATE ID, DRIVER'S LICENSE OR PASSPORT TO MEET UIC PHOTO ID OFFICE REQUIREMENTS. The Photo ID Office will NOT accept copies of these documents.
•   THE ROTATOR MUST RETURN ANY PREVIOUSLY-ISSUED UIC PHOTO IDs (I-cards) . If a previously issued photo ID has been lost or misplaced, the UIC Photo ID Office will charge the rotator a $20.00 replacement fee which can only be paid by cash or credit card. The Photo ID Office will not accept a check. The replacement fee is subject to increase and must be paid by the rotator.
NOTE:
•   COMPLETION OF ELECTRONIC MEDICAL RECORDS (EMR) TRAINING CAN TAKE UP TO 4 HOURS. The UIC GME Office will request EMR access for rotators once they have fully completed the application process.
NOTE:
•   THE ROTATOR MUST HAVE AN NPI NUMBER prior to the start of the UIMCC rotation. Rotators who do not have an NPI number should contact the program coordinator in the UIMCC department in which they will rotate. The coordinator can provide the NPI application instructions. It can take several weeks to receive an NPI number.
NOTE:
•   THE ROTATOR'S PROGRAM DIRECTOR MUST CONTACT THE APPROPRIATE UIMCC PROGRAM DIRECTOR TO ASCERTAIN IF THE UIMCC PROGRAM CAN ACCOMMODATE THE ROTATOR'S ROTATION.
Please call the GME Office registrar at 312-996-2933 if you have any questions about paperwork requirements or instructions. The following documents must be provided to the GME Office and requirements met PRIOR to the start of the resident's rotation at UIMCC.
1. NATIONAL PROVIDER IDENTIFIER (NPI NUMBER) must be provided before beginning the UIMCC rotation. See NPI Number for additional information.
2. OFFICIAL BUSINESS LETTER, ON THE LETTERHEAD OF THE ROTATOR'S CURRENT PROGRAM, ADDRESSED TO THE GME DIRECTOR AND SIGNED BY THE ROTATOR'S PROGRAM  DIRECTOR,

LISTING:
a. Rotator's Full Legal Name
b. Rotator's Social Security Number
c. Name of UIMCC Program where the rotation will take place
d. Start and End dates for the rotation
AND GUARANTEEING THE ROTATOR'S:
e. Salary
f. Health Insurance
g. Verification of Completion of HIPAA Training at the Rotator's Institution, and
h. Professional Liability Insurance Coverage*
This letter is required for ALL rotators. *However, Rotators from the following institutions do not need to include proof of Professional Liability Insurance Coverage in the letter:

Advocate Christ Medical Center
Advocate Illinois Masonic Medical Center (includes Metropolitan Group residents)
Advocate Lutheran General Hospital
Jesse Brown VA Medical Center
John H. Stroger Jr. Hospital of Cook County
Loyola University Health System
Mercy Hospital and Medical Center
3. COPY OF MEDICAL SCHOOL DIPLOMA and translation, if applicable, must be provided.
4. COPY OF CURRENT, VALID ILLINOIS MEDICAL LICENSE must be provided.
(Per the Illinois Department of Financial and Professional Regulation, licenses from other states or countries can NOT be accepted.)
5. COPY OF CURRENT, VALID ECFMG CERTIFICATE, if applicable, must be provided.
(Applicable only for foreign medical school graduates; must be current with "valid indefinitely" stickers, if required.)
6. RESIDENCY APPLICATION FORM, as well as additional forms listed below, must be completed in the GME Office. The application form can be provided only by the GME Office and must be fully completed with Medical School and Prior Training information.
NOTE:  ROTATORS must fully complete the following forms ANNUALLY. The forms are provided in the GME Office to ensure current forms will be submitted. All date fields must be entered in mm/dd/yyyy format:
a. Residency Application
b. Section 3 of the Information Services Request Form for Access to UIMCC Network or Applications
c. Registration Form for Resident Rotating to UIMCC; see #7 below.
d. Confidentiality Agreement
e. National Provider Identifier (NPI) Submission Form
f. Visitor Information section of I-card Campus ID Center Visitor Card Agreement Form
g. Verification of Rotation Time at UIMCC Form
7. The "REGISTRATION FORM FOR RESIDENT ROTATING TO UIMCC" MUST BE COMPLETED IN THE UIMCC DEPARTMENT WHERE YOU WILL BE ROTATING. THIS FORM REQUIRES THE SIGNATURE OF THE UIMCC PROGRAM DIRECTOR OR THE DEPARTMENT HEAD of the UIMCC program where you will rotate. Faculty members or designees are not authorized to sign the form. This form must be signed by the Program Director or Department Head, received in the GME Office, and accepted by the GME DIRECTOR before the application process can be finalized.
For additional information about rotations and rotator policies, see "GME Policy and Procedures: XVIII. Rotations and Electives."