Clinical Fellows

Clinical Fellow Applicants

This page is intended for clinical fellow applicants. All others should proceed to Medical and Affiliated Staff Applicants page.

All ACGME and NON-ACGME clinical fellows employed by either Yale New Haven Hospital or Yale University must complete a Clinical Fellow Application and be approved before beginning work in any capacity.

In order for YNHH to accurately track applications in process, each fellowship coordinator is required to submit the names of the clinical fellows who will be working in his/her respective department/section by e-mail to Karen Dumas or Susan Colavolpe-Muir. A confirmation e-mail will be sent acknowledging receipt of the notification. If you do not receive a confirmation within five business days, please contact the Medical Staff Administration at 203-688-2615.

Clinical Fellow Application Materials and Instructions

Application request

To apply for appointment as a clinical fellow, applicants must read the documents noted below and complete and submit all of the materials as indicated under Items to return.

Please note: Clinical fellow applicants may not begin working at YNHH in any capacity until notification is received from Medical Staff Administration. The YNHH Photo Identification office will be notified once approval has been granted.

Electronic submission of application materials is not available currently. All forms must be printed out, completed by the applicant and signed by the department. The completed hard copy must be returned to following address:

Yale New Haven Hospital 
Medical Staff Administration
20 York Street, Hunter 4 
New Haven, CT 06510 

For specific directions, please call 203-688-2615. Upon receipt of the application, the Fellowship Coordinator will be notified of any omitted or outdated documents. 

Complete, signed, dated clinical fellow application. Note: The bottom half of the form entitled "Recommendation for Appointment to the Clinical Fellow Staff" must be completed by the appropriate department/section chief.

CSR declaration

DEA declaration

Signed Clinical Fellow Authorization to Release Records and Information Form

Immunization Documentation Form, including evidence of PPD within the past 12 months

Hepatitis B Vaccine Declination (as applicable)

Copy of curriculum vitae

Adult Moderate Sedation.* If you are seeking privileges in moderate sedation, please:

  1. View the video, Sedation and Analgesia for non-Anesthesiologists
  2. Take the Post-Test. You must pass the test to be eligible for privileges.
  3. Provide proof of airway management in the form of a BLS, ACLS, or PALS certificate that is less than four years old.

    Additional reading/background materials:

*not applicable for physician applicants trained in anesthesiology, emergency medicine or critical care medicine.

Medical Staff Education (Mandatory Training) Instructions: Please visit the Yale CME website. Under "Online Learning", choose "YNHH Medical Staff Education" from the dropdown and click submit. Check the box next to "YNHH Medical Staff Education Course", you will be prompted to login, select "ok". If you do not already have an account, you will be required to set one up to complete the training. Once logged in, you will need to add the course to your cart and finalize the purchase (Note: There is no fee and you will earn 1 CME credit. Click on the link to view your course and then view the presentation and take the quiz. Once you have completed and passed the quiz, please complete the evaluation, print your certificate, and submit with your application.

Application for the Connecticut Controlled Substance Registration (This application should be submitted directly to the State of Connecticut)

National Plan and Provider Enumeration System (Access this site to apply for a NPI #)

Drug Enforcement Agency Website

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