CANTON MEDICAL EDUCATION FOUNDATION
RESIDENT AGREEMENT OF APPOINTMENT
Canton Medical Education Foundation (CMEF) and Physician Name, ("Resident") enter into this Residency Agreement of Appointment ("Agreement") in Canton, Ohio, on Today's date.
IN CONSIDERATION OF THE FOLLOWING PROMISES, THE PARTIES AGREE THAT:
1. POSITION: The Resident is accepted into the Internal Medicine Training Program as post-
graduate year level PGY year.
2. QUALIFICATIONS: The Residents (or "housestaff physician") must meet one of the following
qualifications to be eligible for this training program:
A.) Graduate of medical school in the United States or Canada accredited by the Liaison
Committee on Medical Education (LCME).
B.) Graduate of a college of osteopathic medicine in the United States or Canada accredited
by the American Osteopathic Association (AOA).
C.) Graduate of medical school outside the United States and Canada who meets one of the
following qualifications:
1. Has received a currently valid certificate from the Educational Commission for Foreign
Medical Graduates (ECFMG) or
2. Has a full and unrestricted license to practice in an U.S. licensing jurisdiction.
D.) Graduate of medical school outside the United States and completed a Fifth Pathway
program provided by an LCME-accredited medical school.
3. TERM: This Agreement begins at 8:00 am July 1, 20__ and ends at 11:59 pm June 30, 20__.
4. RESIDENT'S RESPONSIBILITIES: The Resident shall devote full-time effort in performing
satisfactorily in all areas of the residency program including, without limitation, demonstrating
didactic and clinical competency and displaying appropriate, professional behavior. General
responsibilities are outlined in the Resident Physician Manual, which is attached as Exhibit A
and incorporated in this Agreement by reference. The Resident must also abide by the current
Human Resources and Hospital policies of each institution to which the Resident may rotate.
This includes all employee health and employment-related requirements of each institution,
including drug testing and criminal background checks. To the extent that these policies are
in conflict with, and/or inconsistent with Exhibits A and/or A-1, the Exhibits shall be
controlling. CMEF reserves the right to amend Exhibt A from time to time at its sole
discretion. The position of housestaff physician entails the provision of care commensurate
with the housestaff physician's level of advancement and competence, under the general
supervision of appropriately privileged attending teaching staff and includes:
Participation in the delivery of safe, effective and compassionate patient care;
Developing an understanding of ethical, socioeconomic and medical-legal issues that
affect graduate medical education and how to apply cost containment measures in the
provision of patient care;
assumption of responsibility for teaching and supervising other residents and students,
and participation in institutional orientation and education programs and other activities
involving the clinical staff;
is appointed or invited;
practices, procedures and policies of the institution, and those of its programs, clinical
departments and other institutions to which the housestaff physician is assigned,
including, among others, state licensing requirements for physicians in training, where
these exist;
Program; and
The Resident may not assign or delegate any of these responsibilities.
6. PROGRAM RESPONSIBILITIES: CMEF shall offer the Resident a postgraduate training
opportunity in a community hospital setting. CMEF agrees to provide the Resident the
following support, benefits and conditions of employment.
A.) Financial Support: See Exhibit A-1, attached hereto and incorporated into this Agreement
by reference.
The Resident shall receive an annual stipend in the amount of $Stipend, payable biweekly, and
an annual Education Allowance in accordance with the post-graduate year.
B.) Benefits: See Exhibit A. Benefits also include:
1. Sick Time, Bereavement Pay, Jury Duty Pay
2. Healthcare Insurance, Life Insurance, Short-Term Disability
3. Professional Liability Insurance
4. Vacation Time
5. Leave of Absence
6. On-Call Rooms, Meal Allowances, and Lab Coats
C.) Other Responsibilities and Policies: See Exhibit A regarding:
1. Duty Hours
2. Supervision
3. Harassment Policy
4. Physician Impairment
5. Promotion and Reappointment
6. Dismissal and Other Forms of Corrective Action
7. Grievance Process
8. Moonlighting
9. Reduction/Closure
10. Medical Services
11. Counseling/Psychological Services
D.) Resident Evaluations: As the position of housestaff physician involves a combination of
supervised and progressively more complex and independent patient evaluation and
management functions and formal educational activities, the competence of the housestaff
physician is evaluated on a regular basis. The residency program maintains a confidential
record of the Resident's evaluations.
6. CANCELLATION: Continuation and/or renewal of this Agreement are expressly conditioned
upon the Resident's satisfactory performance and behavior at all times. Failure by the
Resident to perform or behave satisfactorily at all times during the term of this Agreement shall
be just cause for dismissal of the resident from the CMEF Residency Training Program as
provided for in the Dismissal, Suspension, and Other Corrective Action Policy in Exhibit A.
Employment by CMEF is contingent upon an acceptable pre-employment physicial
examination including testing for substance abuse and a criminal background check in
accordance with Aultman Hospital's policies and procedures as agreed to by CMEF.
Consistent with the provisions in Exhibit A, a resident may be immediately suspended if he or
she is adversely influenced or impaired by alcohol or substance abuse. By signing this
Agreement, the Resident agrees that he or she will not, at any time while expected to perform
duties prescribed by this Agreement, be under the influence of or be impaired by alcohol and/or
substances of abuse. The Resident agrees to comply with the provisions of the Physician
Impairment Policy found in Exhibit A. The Resident, upon reasonable notice, may cancel this
Agreement at anytime. There shall be no liability for either party in the event of cancellation.
7. ENTIRE AGREEMENT: This Agreement, including Exhibits A and A-1, represents the entire
understanding of the parties and supersedes all other agreements or representations, oral or
written. It many not be changed, except in writing and signed by both parties.
_________________________________________ ___________________
Resident Date
By signing this Agreement, the Resident acknowledges that he or she has received, read, understands and accepts all terms described in this Agreement and in Exhibits A and A-1.
_________________________________________ ___________________
Program Director Date
_________________________________________ ___________________
Susan E. Mercer, M.D. Date
Designated Institutional Official
Attachments: Exhibit A - Resident Physician Manual
Exhibit A-1 - Resident Benefits Sheet