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Resident Schedule Requests
This is the form that you can use to submit your requests for your Emergency Medicine rotations.  Requests must be made at least 6 weeks prior to the start of the block (8 weeks if you are rotating in the second half of a block).

You may request 2 days off for every 2-week rotation. You will be scheduled for 9 shifts per two week rotation. Shifts are 9 hours in length. We attempt to be equitable in the number of overnight and weekend shifts assigned.

Please also let us know which rotations you are doing immediately surrounding your ED month, so we may appropriately schedule your first and last shifts. Any didactic requirements (board review, retreats, etc.) that you expect to attend must also be submitted prior to the start of the rotation.

Please contact Julie_Mendez@rush.edu or Dr. Hexom at braden_hexom@rush.edu for any questions.
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Email *
Name (Last, First) *
Which service are you from? *
Block Number you are rotating in the Emergency Department? *
Request 1
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Request 2
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Request 3
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Request 4
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For this block, is there a day (or two) of the week you would prefer to have off each week INSTEAD of having golden weekends? (Ie. weeknight sports league you would like to compete in, significant other has specific weekday off that you would like to match, you teach a class outside of residency). If so, please explain below and we will try our best to accommodate this request.
Are there additional didactic requirements you will have during this rotation?
Prior to to starting in the ED, what rotation are you coming FROM? *
When you finish in the ED, what rotation are you going TO? *
A copy of your responses will be emailed to the address you provided.
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