I. DEACTIVATION OF HOUSESTAFF

When a a resident (includes residents in sub-specialty programs, formerly referred to as "fellows") is completing his residency or terminating his training with us for other reasons, the Checklist provided below must be completed. If the resident is leaving at the end of the
fiscal year, he or she must be terminated on the Termination Dataset. If the termination other than 06/30/, the resident must be terminated via the
Form 255, with this checklist and coding information as indicated.

TERMINATION CHECKLIST REPORT: