Schedule Request for Residents 2021-2022

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

Your Name (required)

Your Email (required)

Has your home address changed?(required)
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?(required)
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?(required)
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 2021-2022 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 2022.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!Not yet.

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. The postgraduate training license (PTL) is required within 180 days of starting residency in order to continue working in California. Please notify Gus immediately if you do not have your license. 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. In order to use your DEA license, 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.

Having a DEA license in order to prescribe controlled substances (not just opioids) is an expected part of training. Apply for your license as soon as possible and sign up for Electronic Prescribing of Controlled Substances (EPCS). The application is quick and free if you choose to practice within the scope of DHS.

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 and I have my VA identification badge.I've done the process but do not have my VA identification badge.Other reason I don't have my VA badge.

Perfect! You are set to rotate at the VA.

You need your VA ID badge to know credentialing is complete. Please notify Gus about your situation.

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.

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:

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).