AULTMAN HOSPITAL
RESIDENT AGREEMENT
AULTMAN HOSPITAL and Physician's Name, ("Resident") enter into this Residency Position Agreement ("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 Residency Training Program as post-graduate
year level PGY year.
2. QUALIFICATIONS: The Resident (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 a medical school outside the United States and Canada who meets on of the
following qualifications:
1. Has received a currently valid certificate from the Educational Commission for Foreign
Medical Graduates (ECMFG) 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 the 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, nicotine screening 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. Aultman Hospital reserves the right to amend Exhibit 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:
affect graduate medical education and how to apply cost containment measures in the
provision of patient care;
- Participation in the educational activites of the training program and, as appropriate,
assumption of responsibility for teaching and supervising other residents and students, and
participation in institutional orientation and education programs an other activities involving
the clinical staff;
- Participation on institutional committees and councils to which the housestaff physician is
appointed or invitied;
- Performance of all responsibilities and duties in accordance with the established 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;
- Participation in the evaluation of the quality of education provided by the Residency
Program; and
- Assistance in recruiting new residents to the Residency Program and institution.
The Resident may not assign or delegate any of these responsibilities.
5. PROGRAM RESPONSIBILITIES: Aultman Hospital shall offer the Resident a postgraduate
training opportunity in a community hospital setting. Aultman Hospital agrees to provide the
Resident the following support, benefits and conditions of employment.
E. Financial Support: See Exhibit A-1, attached hereto incorporated into this Agreement by
reference. The Resident shall receive an annual stipend in the amount of $stipend, payable
biweekly, and an annual Educational Allowance in accordance with the post-graduate year.
F. 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
G. 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
H. 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 Aultman Hospital Residency Training Program as provided
for in the Dismissal, Suspension, and Other Corrective Action Policy in Exhibt A. Employment
by Aultman Hospital is contingent upon an acceptable pre-employment physician examination,
including testing for substance abuse, nicotine screening and a criminal background check in
accordance with Aultman Hospital's policies and procedures. 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 may 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, understands and accepts all terms described in this Agreement and in Exhibits A and A-1.
_______________________________________ __________________
Program Director Date
_______________________________________ __________________
Designated Institutional Official Date
Attachments: Exhibit A - Resident Physician Manual
Exhibit A-1 - Resident Benefits Sheets