Residency Manual

Appendix P:

Resident Orientation Plan Site Specific (Sample)

Resident_________________________

Program__________________________ Date____________

Please initial below to indicate that you have been given or completed the following: 1. A copy of or access to the Site’s Policies and Procedures Manual

_______initial

2. Clinical practice protocols

_______initial

3. Infection control

_______initial

4. Facility safety policies

_______initial

5. A copy of the Program’s

a. Curriculum

_______initial _______initial _______initial

b. Missions, Goals, and Objectives c. Advanced Competencies

6. Program requirements (specific for the site)

_______initial

7. Resident provided state optometry license from state(s) in which program is located (for SUNY, Fromer, Atlantic Physicians, EyeCare Associates, Flaum Institute & BronxCare based Programs) OR Provided a State optometry license (for VA or Womack Programs)

_______initial

_______initial

8. Instructions for activity log

_______initial

Please submit to Program Supervisor.

Program Supervisor Signature: ____________________________________ Date: __________

63