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Pre-Employment Requirements

Prior to beginning training as a new resident or fellow at Southern Illinois University School of Medicine there are several requirements that must be completed.  Each of the items below are a condition of employment and are stated in each contract.  The items below MUST be completed before a resident/fellow can start:

  • Pre-Employment Screening by their employing hospital
  • Background check by their employing hospital
  • Employing hospital’s required computer based learning (CBL) courses
  • Completed employment application/documents for their employing hospital
  • Valid visa and/or work authorization documents for their employing hospital
  • Valid Illinois Medical License
  • SIU School of Medicine required CBL courses
  • Signed contract
  • Passing USMLE/COMLEX scores
  • BLS/ACLS/ATLS/PALS/NRP certification (Springfield based residents)

Their employing hospital will send information about employment screening, work authorization documents, background checks, employment forms, benefits information and their online training requirements. 


At the beginning of their appointment the employing hospital will require that a health questionnaire be completed.  They must comply with the hospital’s policies concerning tuberculosis screening and immunizations, including measles, mumps, rubella, hepatitis B, and proof of Chickenpox disease, positive titer or vaccination.  This is required at the time of their initial pre-placement screening.


All incoming residents/fellows must pass a post-offer drug test as specified by the Affiliated Hospital's drug testing program as a prerequisite of employment.  The Physician shall not have the right to request for review his/her failure to successfully pass the post-offer drug test.


All residents and fellows must hold either an Illinois Temporary Medical License or an Illinois Permanent Medical License.  First year residents must apply for a temporary license.  This process takes approximately 8-12 weeks.  Information on how to complete the Illinois license application will be provided to all incoming trainees.    

Application for permanent licensure can be made after successfully passing Step 3 and completing 24 months of clinical training, but is not required by SIU School of Medicine and its affiliated hospitals.  After securing a permanent license, a physician may apply for a state controlled substance number and federal DEA number.


All residents at SIU School of Medicine are required to pass Steps I and II (CK and CS/CE and PE) of the United States Medical Licensing Exam (USMLE) or Comprehensive Osteopathic Medical Licensing Examination-USA (COMLEX) before beginning a PGY1 or PGY2 position. 

Residents transferring from another program to a residency at PGY3 level or higher or any fellowship program at SIU School of Medicine are required to have passed USMLE or COMLEX Step III prior to beginning their training.

Residents must pass USMLE or COMLEX Step III before progression to the PGY 3 year.  Assistance in the application process is provided by the Office of Graduate Medical Education.  To review this policy in its entirety, go to .


Each incoming resident and fellow is required by their employing hospital, Graduate Medical Education at SIU School of Medicine, and SIU HealthCare to complete online training modules.  These modules must be successfully completed before you will be able to begin your training.  Instructions on accessing these systems and completing these courses will be sent to each incoming resident/fellow. 

Your employing hospital will also require completion of online training courses. These are required to meet their Joint Commission requirements.  Your employing hospital will send you detailed instructions on these courses and how to access them.  As you continue your training, you will be required to complete the hospital’s online courses on an annual basis.


Memorial Medical Center and St. John’s Hospital mandate that residents and fellows be certified in Basic Life Support (BLS) and ACLS (PALS for Pediatrics).  Both certifications must be maintained throughout their residency regardless of specialty.  The hospitals usually offer ACLS classes the week before orientation. It is a pre-requisite to have a current BLS card to take the ACLS (PALS) course.  It is the responsibility of the resident/fellow to pay for initial BLS training.  The affiliated hospitals have agreed to pay for the initial ACLS (PALS) course and recertification for BLS/ACLS if it is completed at their employing hospital.  The training program may also require that you be certified in Neonatal Resuscitation Program (NRP) or Advanced Trauma Life Support (ATLS). 


Residents and fellows at SIU School of Medicine (Springfield) must be trained on utilization of the electronic medical records systems at Memorial, St. John’s, and SIU Medicine.  This entails three separate training sessions that will be scheduled by the program coordinator.  Internal Medicine (including prelims), Psychiatry, and OBGYN trainees must complete this training prior to June 25th.  These sessions will take 2 - 3 days.