Equal Employment Opportunity (Eeo) Policy And Program Administration Form Sample


James J. Peters Veterans Affairs Medical
130 West Kingsbridge Road
Bronx, New York 10468
Dear Dr.
Upon the recommendation of the Dean’s Committee of the Mount Sinai School of Medicine of New York
University and of the House Staff Review Committee of the James J. Peters Veterans Affairs Medical Center, we are
pleased to offer you a PGY- position in Internal Medicine effective _____. This appointment is for the duration of
twelve months, unless sooner terminated and is subject to periodic review by the House Staff Review Committee.
This offer of appointment is subject to your passing the pre-employment physical examination. Graduates of
Foreign Medical Schools must have the standard Certificate of the Education Council for Foreign Medical
Graduates. Non citizens must submit a copy of a current H-1, J-1 (Exchange Visitor) or Immigrant Card (Alien
Registration). Your annual salary will be $____which will be received either from the New York Medical Alliance
and/or Bronx VA Medical Center.
Trainee shall devote professional time and effort effectively to perform duties assigned by the Trainee's Program
Director or designee, and agrees:
To perform satisfactorily the responsibilities and duties at the designated level of training, and such other
services as may be required in the training program at the designated level of training.
To comply with the administrative and professional policies, procedures, rules and regulations of Bronx
VA Medical Center, and the affiliated institution to which he or she is assigned. These policies may
change from time to time.
To develop a personal program of self-study and professional growth with guidance from the teaching staff.
To participate in safe, effective and compassionate patient care under appropriate supervision of senior
colleagues (residents and fellows) and attending physicians commensurate with the level of training.
To participate fully in the educational activities of the program, and as required, assume responsibility for
teaching and supervising other residents and students.
To participate, where appropriate, in institutional programs and activities involving the medical staff and
To participate, where appropriate, in institutional committees and councils, especially those that relate to
patient care review activities.
To comply with the infectious disease prevention policies of the affiliated hospitals.
To seek appropriate professional help and care in case emotional or physical problems arise which might
potentially affect the Trainee's ability to perform his or her obligations under this Agreement.
(10) To complete all records in a timely fashion.


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