PGY-2 Selective Request Form
PGY-2s: Use this form to indicate your SELECTIVE choice
Submission deadline (non-negotiable): 30 days prior to start date
*failure to adhere to this deadline may result in your selective being scheduled as an EM block
Please consult the Resident Handbook for information about each Selective option, such as learning objectives, schedule, etc.
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Block and Dates of Selective
2a: 7/5- 7/18
2b: 7/19- 8/1
My Selective choice is:
Ophthalmology (at Cornell)
Orthopedics (at Columbia)
Radiology (at Cornell)
Ultrasound (at Columbia)
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