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Schedule Request for Residents 2021-2022

  • Olive View Internal Medicine Residency
  • Announcement

Dear Residents,

Please complete this form to submit your requests for your block schedule for the 2021-2022 academic year.  We do our best to accommodate requests that impact your medical education, career, and significant personal life events.  Day-to-day scheduling will be arranged in the future by the Chief Residents (e.g. so please do not request specific weekends off unless it is your wedding).  Resident requests will be prioritized based on the order they are received.

The deadline for submission is March 17, 2021.

Required responses are marked “(required).” If you have any trouble with this form, please email Dr. Ta.

    First, let's update your information

    Has your home address changed?(required)

    Has your mobile phone number changed?(required)

    Is your OV Employee Health up to date?(required)

    Okay, let's get an update according to your level of training

    What will be your PGY level in the 2021-2022 academic year?(required)

    Have you completed Step 3? (required)

    Will your ACLS certification be expiring this year? (required)

    Have you received your California Medical License or Postgraduate Training License (PTL)? (required)

    Have you received your DEA License? (required)

    Are you considering subspecialty fellowship?

    Are you planning to apply for fellowship this year? (required)

    Which subspecialty?

    Have you been credentialed to work at the VA? (required)

    Now, let's consider some factors for scheduling

    For assignment(s) to Ronald Reagan rotations, which do you prefer? (response required)

    Do you have a preference for the site of Geriatrics? (response required)

    Please check which rotations you STILL NEED to rotate on:
    (because you've never been assigned or were on service for less than 5 working days)

    Do you anticipate any personal life events?
    (response optional but may help with planning)

    When do you expect this? Please add any additional comments.

    And finally, let's discuss some specific scheduling requests

    Remember, you will remain in the same Pod. Therefore your +1 Ambulatory weeks are set, and you can find out which weeks those are using the chart. Other rotations are generally 2-week blocks and should not overlap +1 Ambulatory weeks.

    Vacations and Electives: The Program will do its best to accommodate requests, and we will prioritize requests that impact your career path and completion of training. There will be a limit on the number of vacationers or electives in any given block, particularly November-January and April-May. Specific electives will be selected by the resident and coordinated with the Chief Residents.

    Ambulatory Weeks for 2021-2022

    Instructions:

    1. Identify your +1 Ambulatory weeks using the chart.

    2. Please specify your preference for your first and second vacation blocks (each two weeks).

    3. Specify any request for electives or other rotations (up to 3) and when you would prefer this to be scheduled.

    4. At the bottom, prioritize your requests (priority 1 = highest priority).

    Request A: Vacation 1

    Timing Option 1:
    Timing Option 2:
    Comment:

    Request B: Vacation 2

    Timing Option 1:
    Timing Option 2:
    Comment:

    Request C

    Rotation:

    Timing Option 1:
    Timing Option 2:
    Comment:

    Request D

    Rotation:

    Timing Option 1:
    Timing Option 2:
    Comment:

    Request E

    Rotation:

    Timing Option 1:
    Timing Option 2:
    Comment:

    Prioritize your requests

    Arrange the requests above from most to least important.

     

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