Schedule Request for Residents 2020-2021

Dear Residents,

Please complete this form to submit your requests for your block schedule for the 2020-2021 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 Sunday, March 15, 2020.

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

First, let's update your information

Your Name (required)

Your Email (required)

Has your home address changed?
No, my home address has not changed.Yes, my home address has changed in the past year.

Okay. If you do change your address, please update Gus and UCLA Payroll.

Please email Gus with your updated address if you haven't already. Also be sure to update your address with UCLA Payroll.

Has your mobile phone number changed?
No, my mobile number is the same.Yes, my phone number has changed in the last year.

Okay. If you do change your phone number, please update Gus.

Please email Gus with our updated phone number if you haven't done so already.

Is your OV Employee Health up to date?
Yes, it is up to date.No, I've been notified to update it.Unsure

Great. Remember, your employee health, including TB screening, needs to be updated every year. Employee Health will email you when your health clearance is up for renewal. Please respond to it promptly.

You must be cleared by Employee Health in order to work at Olive View. If Employee Health has emailed you, please schedule and follow through with an appointment promptly.

Employee Health will email you when your health clearance is up for renewal. Please respond to it promptly by scheduling an appointment.

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

What will be your PGY level in the 2020-2021 academic year? (required)
PGY-2PGY-3

Have you completed Step 3? (required)
Yes, I have taken and passed Step 3.Almost. I have taken Step 3 and am awaiting my score.No, I have not yet taken Step 3, but it is scheduled.No, I have not scheduled Step 3.

Great job! Please give Gus a copy of your score report if you haven't already.

Okay, please send Gus a copy of your score report when you receive it.

Good luck! If you are having any difficulty, please discuss with the Chief Residents.

That's a problem. Schedule your Step 3 immediately in coordination with the Chief Residents. You are required to take Step 3 before advancing to PGY-2, and your schedule requests will not be given priority.

Will your ACLS certification be expiring this year? (required)
It will be expiring soon.I am certified through June 2021.Unsure

Okay. Gus can help you get re-certified through the ACLS course. Be on the look out for additional information via email.

Great. Certification lasts for two years, and you will be expected to re-certify as a resident.

Check the certification date on your ACLS card. Certification lasts two years, so certification will usually expire during late PGY-2 year.

Have you received your California Medical License or Postgraduate Training License (PTL)? (required)
Yes, I have my medical license!Almost. I have submitted my application and am awaiting my license.Not yet. I have not yet submitted my application.

Excellent! If you haven't done so already, please notify Gus to update your credentials.

Don't wait too long! If you have not heard from the Medical Board of California, check the status of each part of your application and give the Board a call if there is any discrepancy or uncertainty about your status. You must have your full medical license or postgraduate training license (PTL) before starting PGY-3, and your schedule requests will not be given priority if you do not have your license.

That's a problem. It may take 3-6 months to receive your license. Current PGY-1's cannot legally work past June 30, 2020 without a postgraduate training license. Current PGY-2's cannot work past June 23, 2020 without a full medical license or postgraduate training license. Please get your papers together and submit your license application immediately. Notify the Chief Residents immediately, and ask for help! Your schedule requests will not be given priority if you do not have your license.

Have you received your DEA License? (required)
Yes. I have received my DEA license!Almost. I have submitted my application and am awaiting my DEA license.No. I have not yet submitted my application.

Nice! If you haven't done so already, please notify Gus to update your credentials. You must be signed up for Electronic Prescribing of Controlled Substances (EPCS) at Olive View - read these instructions (link here) and see Sheim in the Dept. of Med to start the process.

Okay. Please notify Gus to update your credentials when you receive your DEA number. You will also need to enroll in Electronic Prescribing of Controlled Substances (EPCS) at Olive View - read these instructions (link here) and see Sheim in the Dept. of Med to start the enrollment process.

Are you considering subspecialty fellowship?
Yes, I am considering fellowship.No, I am not currently considering fellowship.

Are you planning to apply for fellowship this year? (required)
Yes, I will be applying for fellowship.No, I will not be applying for fellowship.

Which subspecialty?

Have you been credentialed to work at the VA? (required)
Yes, I've completed fingerprinting, received my VA identification badge, and CPRS access!Working on it. I've been instructed to schedule fingerprinting and complete TMS training.Working on it. I've submitted my VA forms to Gus and am waiting to hear about fingerprinting or TMS training.No, I have not submitted my VA forms to Gus.

Perfect! You are set to rotate at the VA.

Okay, be sure to complete your TMS training and schedule your appointment for fingerprinting soon.

Please look out for more information. The next steps are to complete TMS training and get fingerprinted at the VA.

Submit your paperwork immediately! Your schedule requests will not be given priority if you have not been properly credentialed at the VA.

Now, let's consider some factors for scheduling

For assignment(s) to Ronald Reagan rotations, which do you prefer? (response required)
I prefer CCU over MICUI prefer MICU over CCUNo preference for assignment

Are you interested in the Ronald Reagan CCU rotation?
Yes

Are you interested in the Ronald Reagan MICU rotation?
Yes

Do you have a preference for the site of Geriatrics? (response required)
West LA VASanta MonicaEither West LA VA or Santa Monica

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)
Cards consultGI consultHeart stationHem-Onc consultHem-Onc WardID consultPulm consultRenal consultRheum consult

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

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.

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 during August January December. Vacation blocks requested in June and July are more likely to be assigned.

Ambulatory Weeks for 2020-2021

Instructions:

Identify your +1 Ambulatory weeks using the chart.
Please specify your preference for your first and second vacation blocks (each two weeks).
Specify any request for electives or other rotations (up to 3) and when you would prefer this to be scheduled.
At the bottom, prioritize your requests (priority 1 = highest priority).