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CREDENTIALING eCHECKLIST

Basic Sciences

Academic Year 2025-2026

PROGRAM POLICY

 

All Basic Sciences Credentialing documents must be submitted and have a status of current and complete AT LEAST 60 DAYS PRIOR to the start of the Basic Sciences Program semester. Students are responsible for submitting documents, renewals, and updates in ensuring a current and complete Basic Sicences Credentialing File throughout the Program.

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  • Submit the GME PHOTO as JPG ONLY**

  • ​Submit ALL other documents as PDFs ONLY

  • Submit each document Facing Right-Side Up

  • Submit each document with a Title as Specified

  • Documents must be submitted in proper Format and with Specified Titles to be accepted.

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1) COPY OF PASSPORT

Title the PDF: Lastname.Firstname - PASSPORT​​​​​​

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2) STUDENT VISA DOCUMENTS

COMPLETE the Student VISA Form

SUBMIT eCopies of All Documents to QUCOM PREP+

a) Student Visa Application Form H-2 (Certificate)

b) Original Birth Certificate or Notarized Copy of Birth Certificate

c) Two (2) Passport-sized photos

d) Application Fee​

Title the PDF: Lastname.Firstname - VISA DOCUMENTS​​​​​​​​​

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3) COPY OF GOVT-ISSUED ID

*COLOR Documents only

*COLOR GOVT-ISSUED ID (Passport or U.S. Driver's License).

*Non-U.S. residents must provide a color copy of Passport.

Title the PDF: Lastname.Firstname - OFFICIAL ID​​​

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4) CURRENT PHOTO ID

*For Official Student Digital ID and Campus Badges

*Forward-Facing with WHITE or LIGHT BEIGE Background

*Short, White, Student Lab Coat

*Professional Attire

*Clear and Current Photo Only

JPG ONLY**

Title the JPG: Lastname.Firstname - GME PHOTO

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​​​5) CURRENT-TO-DATE 2025 CV

*List current Medical School in the Education Section.

*Include all relevant updates.

Title the PDF: Lastname.Firstname - CV 2025

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6) HEALTH ASSESSMENT FORM

A completed Health Assessment Form from within the last one (1) year, prior to matriculation, must be submitted; or submit a completed QUCOM Health Assessment Form.

Download the Health Assessment Form (QUCOM)

*Print Form and take to Provider at Appointment.

*Form must be complete (write N/A for areas not applicable). Must include provider facility address and office stamp.

*Return the completed form via Form Instructions.

Title the PDF: Lastname.Firstname - HEALTH ASSESSMENT

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​​7) COVID-19 VACCINATION CARD

Full COVID-19 Vaccination is required.

*Must have a Completed Series:

*1 dose Johnson & Johnson; or 2 Doses (Pfizer-BioNTech, Oxford-AstraZeneca, Moderna, Sinopharm-BBIBP, and CoronaVac).

*Boosters are not required, but are encouraged.

Students with religious/medical condition preventing taking the vaccine must provide a letter from their religious leader (pastor, priest, etc) or physician on letterhead with contact information.

Title the PDF: Lastname.Firstname - COVID-19 VACCINATION CARD

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​​​​​​​​​​8) INFLUENZA VACCINATION (Seasonal Flu Shot)

*Must be Updated Every 1 Year.

Students with religious/medical condition preventing taking the vaccine must provide a letter from their religious leader (pastor, priest, etc) or physician on letterhead with contact information.

Title the PDF: Lastname.Firstname - FLU SHOT​​​​​

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​9) 10-PANEL DRUG SCREEN

Amphetamines

Methamphetamines

Barbiturates

Benzodiazepines

Marijuana/Cannabinoids

Cocaine

Opiates

Phencyclidine

Methadone

Propoxyphene

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*Must be Updated Every 1 Year.

*Must be Updated at least 30 Days Prior to Expiration.

*Urine or Blood is acceptable.

*Document cannot expire during a rotation or course of Programs.

Title the PDF: Lastname.Firstname - DRUG SCREEN

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​​10) IMMUNIZATIONS

 

​​​TDAP SERIES: Tetanus, Diphtheria, Pertussis​

*Vaccination must be no more than Ten (10) Years prior to matriculation.

*If TDAP Vaccination was more than 10 years ago, re-immunization is required.

*Must have had Booster within the Past 10 Years.

*Document cannot expire during rotation or Programs.​​​​​​​​​

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TITERS: (MMR, VAR, HEP B)​

Results must be within one (1) year prior to matriculation.​

Results MUST include Quantitative Results/Lab Values

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Measles: Quantitative Titers within one (1) year prior to matriculation must show numerical results of a POSITIVE IgG antibody.

*Student/Patient Name, Collection Date, and Numerical Results must appear on the report.

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MumpsQuantitative Titers within one (1) year prior to matriculation must show numerical results of a POSITIVE IgG antibody.

*Student/Patient Name, Collection Date, and Numerical Results must appear on the report.

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Rubella: Quantitative Titers within one (1) year prior to matriculation must show numerical results of a POSITIVE IgG antibody.

*Student/Patient Name, Collection Date, and Numerical Results must appear on the report.

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Varicella: Quantitative Titers within one (1) year prior to matriculation must show numerical results of a POSITIVE IgG antibody.

*Student/Patient Name, Collection Date, and Numerical Results must appear on the report.

 

HEP B: Quantitative Titers within one (1) year prior to matriculation must show numerical results of a POSITIVE surface antibody.

*Student/Patient Name, Collection Date, and Numerical Results must appear on the report.

Title the PDF: Lastname.Firstname - IMMUNIZATIONS

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11) PPD or QuantiFERON

A PPD or QuantiFERON is required.

*Must be Updated Every 1 Year.

*Must be Updated at least 30 Days Prior to Expiration.

*If a PPD or QuantiFERON is positive, then a Chest X-ray is additionally required.

*A Radiology report from the radiologist must be submitted (Documentation from only the primary care provider is not sufficient).

*Chest X-ray is Valid for 2 Years from Date of Service.

*Documents cannot expire during a rotation or course of Programs.

Title the PDF: Lastname.Firstname - PPD

Ttile the PDF: Lastname.Firstname - QUANTIFERON

Title the PDF: Lastname.Firstname - CHEST X-RAY

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12) YELLOW FEVER

Yellow Fever is currently optional.

Upload documentation if applicable.

Title the PDF: Lastname.Firstname - YELLOW FEVER​​​​​

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13) HEALTH INSURANCE CARD

Title the PDF: Lastname.Firstname - HEALTH INSURANCE
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14) BLS - BASIC LIFE SUPPORT

*Exclusively via American Heart Association®

*Verifiable via QR Code and Course Completion eCard.

*Must be Updated at least 30 Days Prior to Expiration.

*Document cannot expire during rotation or Programs.

Title the PDF: Lastname.Firstname - AHA-BLS

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15) ACLS - ADV CARDIOVASCULAR LIFE SUPPORT

*Exclusively via American Heart Association®

*Verifiable via QR Code and Course Completion eCard.

*Must be Updated at least 30 Days Prior to Expiration.

*Document cannot expire during rotation or Programs.

Title the PDF: Lastname.Firstname - AHA-ACLS

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16) PALS - PEDIATRIC ADVANCED LIFE SUPPORT

*Exclusively via American Heart Association®â€‹

*Verifiable via QR Code and Course Completion eCard.

*Must be Updated at least 30 Days Prior to Expiration.

*Document cannot expire during rotation or Programs.

Title the PDF: Lastname.Firstname - AHA-PALS

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17) HIPAA TRAINING FOR HEALTHCARE WORKERS

*Course: HIPAA Training for Healthcare Workers

*Exclusively via HIPAA+Exams

*Verifiable via 360Training Certificate eVerification.

*Must be updated at least 30 Days Prior to Expiration.

*Document cannot expire during rotation or Programs.

Title the PDF: Lastname.Firstname - HIPAA TRAINING​​

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18) OSHA BLOODBORNE PATHOGENS TRAINING

*Course: OSHA Blood Borne Pathogens Training for Healthcare
*Exclusively via HIPAA+Exams

*Verifiable via 360Training Certificate eVerification.

*Must be updated at least 30 Days Prior to Expiration.

*Document cannot expire during rotation or Programs.

Title the PDF: Lastname.Firstname - OSHA BBP TRAINING​

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19) INFECTION CONTROL IN HEALTHCARE

*Course: Infection Control and COVID-19 in Healthcare
*Exclusively via
HIPAA+Exams

*Verifiable via 360Training Certificate eVerification.

*Must be updated at least 30 Days Prior to Expiration.

*Document cannot expire during rotation or Programs.

Title the PDF: Lastname.Firstname - INFECTION CONTROL

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20) BACKGROUND CHECK

A Background Check is required annually.

*Must be Updated Every 1 Year.

*Must be Updated at least 30 Days Prior to Expiration.

*Document cannot expire during a rotation or course of Programs.

*Follow instructions on Background Check Site.

*NATIONAL BACKGROUND REPORT:​​

BACKGROUND CHECK for Canadian Students​

BACKGROUND CHECK for All Other Students​​​​​​

Title the PDF: Lastname.Firstname - BACKGROUND

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​​​​​​​​​21) VECHS FINGERPRINT - LEVEL II

To be implemented via American DataBank™ in Academic Year 2025-2026 (TBA)

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NOTE: Inquire with the QUCOM Administration (USA) for questions about required Professional Liability Insurances for Clinical Programs.

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NOTE: QUCOM secured an Institutional agreement with COMPLIO™ for all Credentialing, mandatory for all Queen's University College of Medicine students in Academic Year 2025-2026. Updates will post during the upcoming semester as to the transition.

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NOTE: For all correspondences relating to Clinical Rotations, Hospital policies and Queen's University College of Medicine policies require that students use the University-Issued Student Email Address. Documents in addition to those listed above may be requested and required, depending on the clinical site.​​​​​​​​​​​​​​​​​​​​​​​​​​

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