DEPARTMENT OF INTERNAL MEDICINE LAS VEGAS:

FORMS AND DOCUMENTS

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TIMESHEETS (or TIME TRACKING RELATED):

• NEWLY REVISED: FORM VA - RESIDENT VA TIMESHEET BLANK 2009-2010

• NEWLY REVISED: GME DUTY LOCATION TIMESHEET November 2009

• GME DUTY LOCATION TIMESHEET Instructions ONLY

• NEW IM FORM - RESIDENT Request for Leave or Change to Schedule

• NEW FORM - Resident Request for Unpaid Leave

TRAINING or CREDENTIALING RELATED:

NEW! (For ALL rotations at VA LOCATIONS): Resident/Student/Intern Processing - VA Southern Nevada Healthcare System

• (The above LINK redirects to the VA's website with all pertinent forms and instruction needed to begin credentialing for rotations spent at VA including ENDOCRINOLOGY, GERIATRICS and PULMONARY)

ACLS Recertification Classes Dates

BLS Recertification Classes Dates

MISCELLANEOUS:

Patient Photographs Authorization Form

Biographic Information Form for Website

Resident Release Form for Media Recording     

NEW!: Int Med - Photo Roster 2009-2010

Vacation, Elective, and Selective Request Form (ALSO INCLUDES INFO BELOW:)

•           APPENDIX A - Block Dates and Weeks for July 2009 - June 2010

•           APPENDIX B - Available Electives and Selectives for July 2009 - June 2010

PGY3 Checklist

Elective Choices 2008-2009