Schedule Request for Interns 2021-2022

Dear Incoming Intern,

Please complete this form to submit your requests for the block (rotation) 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 (e.g. attending an important wedding) will be arranged in the future by the Chief Residents. Requests will be prioritized based on the order they are received.

Required responses are marked “required.” You will receive a confirmation email when the form has been submitted successfully. If you have any trouble with this form, try from a different device or location, otherwise please email Dr. Ta at vta@dhs.lacounty.gov.

The deadline for schedule requests is Sunday, April 4, 2021.

Let's start with your information

First and Last Name: (required)

Personal Email:(required)
Please use an email address that you will continue to use after graduating medical school. Medical school emails may be deactivated or are often left inactive or unchecked after graduation. You will be assigned a new work email once you start at Olive View.

Residency Track:(required)
CategoricalPreliminary

We'd like to learn more about you

...because you're here to be become an outstanding physician and we're here to help get you there. As part of our mentorship program, we'd like to gather some information that will help us pair you with a mentor during internship. Don't worry, nothing is set in stone. We know interests and future plans change, and you may seek additional mentors. But this will give us a start.

Hobbies and interests:(optional)

Important things in your life:(optional)

Career Plans: Which career paths are you most interested in?

Subspecialties:
Allergy/ImmunologyCardiologyCritical CareEndocrinologyGastroenterologyHematologyHospital MedicineInfectious DiseaseNephrologyOncologyPrimary CarePulmonologyRheumatology

Specialty and institution for PGY-2 training:

Other Interests:
Global HealthHealth AdministrationClinical InformaticsHealth Policy and AdvocacyMedical EducationPublic HealthQuality Improvement

Other

Now, let's consider some factors for scheduling

Do you have ACLS certification through next year (June 2021)?
(response required) ACLS is required for housestaff. It usually lasts two years, so you will need to be certified through June 2022. We will have ACLS training during orientation week.
Yes. I am certified through June 2022.No. I need ACLS training.

Do you have a preference for the clinic site of your panel of primary care patients?
(response required) A set number of interns will be assigned to each site, so we cannot guarantee your preference.
Either Olive View or Mid-ValleyOlive ViewMid-Valley

VA: Are you interested in the General Medicine Ward rotation at the West Los Angeles VA?
(response required) You would be assigned 2-4 weeks of wards at the VA to replace wards at Olive View. Assignments to VA may be given to anyone but will be preferentially given to those interested.
Very interestedSomewhat interestedNot interested at all

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

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

And finally, let's discuss some specific scheduling requests

We will continue with our 4+1 schedule, meaning your schedule will follow a pattern of a four-week rotation (or 2 two-week rotations) followed by one week of Ambulatory Medicine ("+1" or "Amb week") every fifth week.

These rotations will follow the block schedule that you can view here. The chart identifies the block starting dates for the entire academic year. The blocks generally start on Thursday and end on Wednesday, with the exception being the last block of the academic year.

Block Schedule Dates for 2021-2022

Vacation Request

Use this section to place your vacation requests. Each housestaff receives 4 weeks of vacation per year, split into 2 two-week blocks. Based on your vacation requests, you will be assigned to a Pod, which determines the assignment to +1 Amb week for the entire year and residency.

Please note that the number of vacationers during specific blocks will be limited, so please indicate if certain dates are very important (e.g. you're getting married). Thanksgiving, Christmas, New Years, and Memorial Day are very popular, but only a small number will get vacation during these times. Therefore we cannot guarantee vacation requests, but we will do our best to accommodate.

Instructions: Look at the available vacation blocks below. You will first choose the group, then choose your vacation preferences among those available within that group. Available blocks are subject to change. If you do not have specific vacation dates in mind, choose "Best Available" and we will schedule vacation blocks for you. We usually find vacation blocks that are spread apart.

Group A	Weeks 13-14: 9/16/21 - 9/29/21 Weeks 16-17: 10/7/21 - 10/20/21 Weeks 21-22: 11/11/21 - 11/24/21 Weeks 23-24: 11/25/21 - 12/8/21 Weeks 31-32: 1/20/22 - 2/2/22 Weeks 33-34: 2/3/22 - 2/16/22 Weeks 38-39: 3/10/22 - 3/23/22 Weeks 41-42: 3/31/22 - 4/13/22 Weeks 43-44: 4/14/22 - 4/27/22 Weeks 51-52: 6/9/22 - 6/23/22
Group B	Weeks 9-10: 8/19/21 - 9/1/21 Weeks 17-18: 10/14/21 - 10/27/21 Weeks 19-20: 10/28/21 - 11/10/21 Weeks 27-28: 12/23/21 - 1/5/22 Weeks 29-30: 1/6/22 - 1/19/22 Weeks 32-33: 1/27/22 - 2/9/22 Weeks 37-38: 3/3/22 - 3/16/22 Weeks 42-43: 4/7/22 - 4/20/22 Weeks 47-48: 5/12/22 - 5/25/22 Weeks 49-50: 5/26/22 - 6/8/22
Group C	Weeks 15-16: 9/30/21 - 10/13/21 Weeks 18-19: 10/21/21 - 11/3/21 Weeks 20-21: 11/4/21 - 11/17/21 Weeks 25-26: 12/9/21 - 12/22/21 Weeks 28-29: 12/30/21 - 1/12/22 Weeks 33-34: 2/3/22 - 2/16/22 Weeks 35-36: 2/17/22 - 3/2/22 Weeks 40-41: 3/24/22 - 4/6/22 Weeks 45-46: 4/28/22 - 5/11/22 Weeks 50-51: 6/2/22 - 6/15/22
Group D	Weeks 11-12: 9/2/21 - 9/15/21 Weeks 21-22: 11/11/21 - 11/24/21 Weeks 24-25: 12/2/21 - 12/15/21 Weeks 26-27: 12/16/21 - 12/29/21 Weeks 34-35: 2/10/22 - 2/23/22 Weeks 39-40: 3/17/22 - 3/30/22 Weeks 44-45: 4/21/22 - 5/4/22 Weeks 46-47: 5/5/22 - 5/18/22 Weeks 49-50: 5/26/22 - 6/8/22 Weeks 51-52: 6/9/22 - 6/23/22
Group E	Weeks 7-8: 8/5/21 - 8/18/21 Weeks 12-13: 9/9/21 - 9/22/21 Weeks 17-18: 10/14/21 - 10/27/21 Weeks 22-23: 11/18/21 - 12/1/21 Weeks 30-31: 1/13/22 - 1/26/22 Weeks 35-36: 2/17/22 - 3/2/22 Weeks 37-38: 3/3/22 - 3/16/22 Weeks 42-43: 4/7/22 - 4/20/22 Weeks 45-46: 4/28/22 - 5/11/22 Weeks 47-48: 5/12/22 - 5/25/22

First Set of Vacation Preferences

Select the group, then up to 4 options. We will try to assign two vacation blocks among this first set of preferences.

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Second Set of Vacation Preferences

Select a different group than above, then up to 4 options. We will use this set if we cannot accommodate your first set of preferences.

Group:

Option 1:
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Prioritize your requests

Arrange the requests above from most to least important (okay to leave blanks).

Once you click submit, please wait for the confirmation message to appear below before you navigate away from this page. You will receive a confirmation email.

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