Schedule Request for Interns 2023-2024

Dear Incoming Intern,

Please complete this form to submit your requests for the block (rotation) schedule for the 2023-2024 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. having a specific weekend off for someone else’s wedding) will be arranged in the future by the Chief Residents. Requests will be prioritized based on impact and 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 block calendar can be viewed here: Block Schedule Dates for 2023-2024.

The deadline for schedule requests is Sunday, April 30, 2023.

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

Are you in the joint UCLA Ophtho-Olive View Prelim Medicine track?
Yes

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)

High school of graduation:(optional; for informational purposes)

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

Subspecialties:
Allergy/ImmunologyCardiologyCritical CareEndocrinologyGastroenterologyGeriatricsHematologyHepatologyHospital MedicineInfectious DiseaseNephrologyOncologyPalliative Care MedicinePrimary CarePulmonologyRheumatologySleep Medicine

Specialty and institution for PGY-2 training:

Other Interests:
Clinical InformaticsEquity, Diversity, Inclusion and AntiracismGlobal HealthHealth AdministrationHealth Policy and AdvocacyMedical EducationPublic HealthQuality Improvement

Other

Now, let's consider some factors for scheduling

Do you have ACLS certification through next year (June 2024)?
(response required) ACLS is required for housestaff. It usually lasts two years, so you will need to be certified through June 2024. We will have ACLS training during orientation week.

Yes. I am certified through June 2024.No. I need ACLS training.

Do you have a preferred clinic site for your primary care continuity patients?
(response required) A set number of interns will be assigned to each site, so we cannot guarantee your preference. Olive View Clinic A is the hospital-based clinic. Mid-Valley is the outpatient center located in Van Nuys.

Either Olive View or Mid-ValleyOlive ViewMid-Valley

Ronald Reagan General Medicine Ward: Are you interested in the General Medicine Ward rotation at Ronald Reagan-UCLA Medical Center?
(response required) You would be assigned 2 weeks of wards at RR-UCLA to replace wards at Olive View. Assignments will be given to all categorical interns and may be given to any prelim intern but preferentially to those interested.

Very interestedSomewhat interestedNot interested at all

VA General Medicine Ward: Are you interested in the General Medicine Ward (GMED) 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

Ophthalmology Track

Ophtho track interns will each be assigned to a 6-week Ophtho block at Olive View and a 6-week Ophtho block at the West LA VA. When not on Ophtho block, your schedule will typically follow the 4+1 schedule with Internal Medicine.

Ophtho rotations and Ambulatory blocks (outpatient "+1" weeks) will be pre-scheduled according to the available options. Other clinical rotations (inpatient and medicine subspecialties) and vacation will be assigned thereafter. Rotations must fit into the two-week blocks outlined in black.

Ophthalmology Block Schedule Options

Instructions: Look at the available Ophtho block schedule options. Select up to 3 preferred schedules, from most to least preferred.

For Internal Medicine, we will continue with our 4+1 schedule, meaning your schedule will follow the 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 first and last blocks of the academic year.

Block Schedule Dates for 2023-2024

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. Vacation blocks cannot interfere with +1 Ambulatory blocks.

Please note that the number of vacationers during any given block 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: Choose your vacation preferences based on the available options. 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, usually spread apart as much as possible. Vacation blocks should not interfere with Ophtho or +1 Amb blocks.

Comments:

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.

Instructions: If you have specific vacation preferences, look at the available vacation blocks below. Then choose the group that best matches your preferences. 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	Vacation Block Options
Group A	Weeks 17-18: 10/12/23 - 10/25/23 Weeks 19-20: 10/26/23 - 11/8/23 Weeks 22-23: 11/16/23 - 11/29/23 Weeks 24-25: 11/30/23 - 12/13/23 Weeks 29-30: 1/4/24 - 1/17/24 Weeks 42-43: 4/4/24 - 4/17/24 Weeks 47-48: 5/9/24 - 5/22/24 Weeks 49-50: 5/23/24 - 6/5/24
Group B	Weeks 15-16: 9/28/23 - 10/11/23 Weeks 23-24: 11/23/23 - 12/6/23 Weeks 25-26: 12/7/23 - 12/20/23 Weeks 45-46: 4/25/24 - 5/8/24 Weeks 48-49: 5/16/24 - 5/29/24 Weeks 50-51: 5/30/24 - 6/12/24
Group C	Weeks 9-10: 8/17/23 - 8/30/23 Weeks 11-12: 8/31/23 - 9/13/23 Weeks 19-20: 10/26/23 - 11/8/23 Weeks 26-27: 12/14/23 - 12/27/23 Weeks 31-32: 1/18/24 - 1/31/24 Weeks 39-40: 3/14/24 - 3/27/24 Weeks 44-45: 4/18/24 - 5/1/24 Weeks 49-50: 5/23/24 - 6/5/24 Weeks 51-52: 6/6/24 - 6/19/24
Group D	Weeks 7-8: 8/3/23 - 8/16/23 Weeks 17-18: 10/12/23 - 10/25/23 Weeks 20-21: 11/2/23 - 11/15/23 Weeks 22-23: 11/16/23 - 11/29/23 Weeks 25-26: 12/7/23 - 12/20/23 Weeks 27-28: 12/21/23 - 1/3/24 Weeks 32-33: 1/25/24 - 2/7/24 Weeks 37-38: 2/29/24 - 3/13/24 Weeks 40-41: 3/21/24 - 4/3/24 Weeks 42-43: 4/4/24 - 4/17/24 Weeks 45-46: 4/25/24 - 5/8/24 Weeks 47-48: 5/9/24 - 5/22/24
Group E	Weeks 11-12: 8/31/23 - 9/13/23 Weeks 21-22: 11/9/23 - 11/22/23 Weeks 23-24: 11/23/23 - 12/6/23 Weeks 41-42: 3/28/24 - 4/10/24 Weeks 43-44: 4/11/24 - 4/24/24 Weeks 51-52: 6/6/24 - 6/19/24

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.

Group:

Option 1:
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Other/Comments:

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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Other/Comments:

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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