Call Schedule Report Period 1 July 1, 2012 – July 25, 2012

Call Schedule Report
Schedule Due Date: Aug. 8, 2012
Family Medicine Rotation:
Site(s):
Resident:
Period 1
July 1, 2012 – July 25, 2012
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Preceptor’s Name (Please Print):
Designation:
Preceptor’s Signature:
INSTRUCTIONS TO RESIDENT AND ATTENDING:
1) enter resident name and site name into each applicable date box for resident scheduled to be “on call”.
2) on last day of rotation
a) The Attending/Chief Resident/Program Director verifies actual hours worked for each resident in applicable date box and “initials”.
b) The Attending/Chief Resident/Program Director signs bottom of call schedule report.
c) FAX the signed-off CALL SCHEDULE REPORT to WRHA-PARIM at 940-1792 and PARIM at 787-2692
or SCAN and e-mail to [email protected] and [email protected]
d) To submit call hours worked when at least 1 of 4 hours worked is past midnight the Resident completes PARIM home call conversion form online at: http://www.parim.org/?page_id=256
A Resident who is scheduled for Home call but is required to work in the hospital during the call for more than four (4) hours, of which more than one (1) full hour is after midnight and before 0600 hours shall be remunerated at
the rate applicable to In-Hospital call.
Effective the date of ratification of this Agreement a Resident who is scheduled for Home call on a weekend or a designated recognized holiday but is required to work in the hospital during the call for more than twelve (12)
hours shall be remunerated at 75% of the rate applicable to the In-Hospital call.
NB. If call pay does not appear on paystub 6 weeks after the rotation is completed, resolve by contacting PARIM office (ph 787-3673; fax 787-2692; [email protected])
Call Schedule Report
Schedule Due Date: Sept. 5, 2012
Family Medicine Rotation:
Site(s):
Resident:
Period 2
July 26, 2012 – August 22, 2012
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
26
27
28
29
30
31
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
Preceptor’s Name (Please Print):
Designation:
Preceptor’s Signature:
INSTRUCTIONS TO RESIDENT AND ATTENDING:
1) enter resident name and site name into each applicable date box for resident scheduled to be “on call”.
2) on last day of rotation
a) The Attending/Chief Resident/Program Director verifies actual hours worked for each resident in applicable date box and “initials”.
b) The Attending/Chief Resident/Program Director signs bottom of call schedule report.
c) FAX the signed-off CALL SCHEDULE REPORT to WRHA-PARIM at 940-1792 and PARIM at 787-2692
or SCAN and e-mail to [email protected] and [email protected]
d) To submit call hours worked when at least 1 of 4 hours worked is past midnight the Resident completes PARIM home call conversion form online at: http://www.parim.org/?page_id=256
A Resident who is scheduled for Home call but is required to work in the hospital during the call for more than four (4) hours, of which more than one (1) full hour is after midnight and before 0600 hours shall be remunerated at
the rate applicable to In-Hospital call.
Effective the date of ratification of this Agreement a Resident who is scheduled for Home call on a weekend or a designated recognized holiday but is required to work in the hospital during the call for more than twelve (12)
hours shall be remunerated at 75% of the rate applicable to the In-Hospital call.
NB. If call pay does not appear on paystub 6 weeks after the rotation is completed, resolve by contacting PARIM office (ph 787-3673; fax 787-2692; [email protected])
Call Schedule Report
Schedule Due Date: Oct. 3, 2012
Family Medicine Rotation:
Site(s):
Resident:
Period 3
August 23, 2012 – September 19, 2012
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
23
24
25
26
27
28
29
30
31
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
Preceptor’s Name (Please Print):
Designation:
Preceptor’s Signature:
INSTRUCTIONS TO RESIDENT AND ATTENDING:
1) enter resident name and site name into each applicable date box for resident scheduled to be “on call”.
2) on last day of rotation
a) The Attending/Chief Resident/Program Director verifies actual hours worked for each resident in applicable date box and “initials”.
b) The Attending/Chief Resident/Program Director signs bottom of call schedule report.
c) FAX the signed-off CALL SCHEDULE REPORT to WRHA-PARIM at 940-1792 and PARIM at 787-2692
or SCAN and e-mail to [email protected] and [email protected]
d) To submit call hours worked when at least 1 of 4 hours worked is past midnight the Resident completes PARIM home call conversion form online at: http://www.parim.org/?page_id=256
A Resident who is scheduled for Home call but is required to work in the hospital during the call for more than four (4) hours, of which more than one (1) full hour is after midnight and before 0600 hours shall be remunerated at
the rate applicable to In-Hospital call.
Effective the date of ratification of this Agreement a Resident who is scheduled for Home call on a weekend or a designated recognized holiday but is required to work in the hospital during the call for more than twelve (12)
hours shall be remunerated at 75% of the rate applicable to the In-Hospital call.
NB. If call pay does not appear on paystub 6 weeks after the rotation is completed, resolve by contacting PARIM office (ph 787-3673; fax 787-2692; [email protected])
Call Schedule Report
Schedule Due Date: Oct. 31, 2012
Family Medicine Rotation:
Site(s):
Resident:
Period 4
September 20, 2012 – October 17, 2012
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
20
21
22
23
24
25
26
27
28
29
30
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
Preceptor’s Name (Please Print):
Designation:
Preceptor’s Signature:
INSTRUCTIONS TO RESIDENT AND ATTENDING:
1) enter resident name and site name into each applicable date box for resident scheduled to be “on call”.
2) on last day of rotation
a) The Attending/Chief Resident/Program Director verifies actual hours worked for each resident in applicable date box and “initials”.
b) The Attending/Chief Resident/Program Director signs bottom of call schedule report.
c) FAX the signed-off CALL SCHEDULE REPORT to WRHA-PARIM at 940-1792 and PARIM at 787-2692
or SCAN and e-mail to [email protected] and [email protected]
d) To submit call hours worked when at least 1 of 4 hours worked is past midnight the Resident completes PARIM home call conversion form online at: http://www.parim.org/?page_id=256
A Resident who is scheduled for Home call but is required to work in the hospital during the call for more than four (4) hours, of which more than one (1) full hour is after midnight and before 0600 hours shall be remunerated at
the rate applicable to In-Hospital call.
Effective the date of ratification of this Agreement a Resident who is scheduled for Home call on a weekend or a designated recognized holiday but is required to work in the hospital during the call for more than twelve (12)
hours shall be remunerated at 75% of the rate applicable to the In-Hospital call.
NB. If call pay does not appear on paystub 6 weeks after the rotation is completed, resolve by contacting PARIM office (ph 787-3673; fax 787-2692; [email protected])
Call Schedule Report
Schedule Due Date: Nov. 28, 2012
Family Medicine Rotation:
Site(s):
Resident:
Period 5
October 18, 2012 – November 14, 2012
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
5
6
7
8
9
10
11
12
13
14
Preceptor’s Name (Please Print):
Designation:
Preceptor’s Signature:
INSTRUCTIONS TO RESIDENT AND ATTENDING:
1) enter resident name and site name into each applicable date box for resident scheduled to be “on call”.
2) on last day of rotation
a) The Attending/Chief Resident/Program Director verifies actual hours worked for each resident in applicable date box and “initials”.
b) The Attending/Chief Resident/Program Director signs bottom of call schedule report.
c) FAX the signed-off CALL SCHEDULE REPORT to WRHA-PARIM at 940-1792 and PARIM at 787-2692
or SCAN and e-mail to [email protected] and [email protected]
d) To submit call hours worked when at least 1 of 4 hours worked is past midnight the Resident completes PARIM home call conversion form online at: http://www.parim.org/?page_id=256
A Resident who is scheduled for Home call but is required to work in the hospital during the call for more than four (4) hours, of which more than one (1) full hour is after midnight and before 0600 hours shall be remunerated at
the rate applicable to In-Hospital call.
Effective the date of ratification of this Agreement a Resident who is scheduled for Home call on a weekend or a designated recognized holiday but is required to work in the hospital during the call for more than twelve (12)
hours shall be remunerated at 75% of the rate applicable to the In-Hospital call.
NB. If call pay does not appear on paystub 6 weeks after the rotation is completed, resolve by contacting PARIM office (ph 787-3673; fax 787-2692; [email protected])
Call Schedule Report
Schedule Due Date: Dec. 26, 2012
Family Medicine Rotation:
Site(s):
Resident:
Period 6
November 15, 2012 – December 12, 2012
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
1
2
3
4
5
6
7
8
9
10
11
12
Preceptor’s Name (Please Print):
Designation:
Preceptor’s Signature:
INSTRUCTIONS TO RESIDENT AND ATTENDING:
1) enter resident name and site name into each applicable date box for resident scheduled to be “on call”.
2) on last day of rotation
a) The Attending/Chief Resident/Program Director verifies actual hours worked for each resident in applicable date box and “initials”.
b) The Attending/Chief Resident/Program Director signs bottom of call schedule report.
c) FAX the signed-off CALL SCHEDULE REPORT to WRHA-PARIM at 940-1792 and PARIM at 787-2692
or SCAN and e-mail to [email protected] and [email protected]
d) To submit call hours worked when at least 1 of 4 hours worked is past midnight the Resident completes PARIM home call conversion form online at: http://www.parim.org/?page_id=256
A Resident who is scheduled for Home call but is required to work in the hospital during the call for more than four (4) hours, of which more than one (1) full hour is after midnight and before 0600 hours shall be remunerated at
the rate applicable to In-Hospital call.
Effective the date of ratification of this Agreement a Resident who is scheduled for Home call on a weekend or a designated recognized holiday but is required to work in the hospital during the call for more than twelve (12)
hours shall be remunerated at 75% of the rate applicable to the In-Hospital call.
NB. If call pay does not appear on paystub 6 weeks after the rotation is completed, resolve by contacting PARIM office (ph 787-3673; fax 787-2692; [email protected])
Call Schedule Report
Schedule Due Date: Jan. 23, 2013
Family Medicine Rotation:
Site(s):
Resident:
Period 7
December 13, 2012 – January 9, 2013
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
5
6
7
8
9
Preceptor’s Name (Please Print):
Designation:
Preceptor’s Signature:
INSTRUCTIONS TO RESIDENT AND ATTENDING:
1) enter resident name and site name into each applicable date box for resident scheduled to be “on call”.
2) on last day of rotation
a) The Attending/Chief Resident/Program Director verifies actual hours worked for each resident in applicable date box and “initials”.
b) The Attending/Chief Resident/Program Director signs bottom of call schedule report.
c) FAX the signed-off CALL SCHEDULE REPORT to WRHA-PARIM at 940-1792 and PARIM at 787-2692
or SCAN and e-mail to [email protected] and [email protected]
d) To submit call hours worked when at least 1 of 4 hours worked is past midnight the Resident completes PARIM home call conversion form online at: http://www.parim.org/?page_id=256
A Resident who is scheduled for Home call but is required to work in the hospital during the call for more than four (4) hours, of which more than one (1) full hour is after midnight and before 0600 hours shall be remunerated at
the rate applicable to In-Hospital call.
Effective the date of ratification of this Agreement a Resident who is scheduled for Home call on a weekend or a designated recognized holiday but is required to work in the hospital during the call for more than twelve (12)
hours shall be remunerated at 75% of the rate applicable to the In-Hospital call.
NB. If call pay does not appear on paystub 6 weeks after the rotation is completed, resolve by contacting PARIM office (ph 787-3673; fax 787-2692; [email protected])
Call Schedule Report
Schedule Due Date: Feb. 20, 2013
Family Medicine Rotation:
Site(s):
Resident:
Period 8
January 10, 2013 – February 6, 2013
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
4
5
6
Preceptor’s Name (Please Print):
Designation:
Preceptor’s Signature:
INSTRUCTIONS TO RESIDENT AND ATTENDING:
1) enter resident name and site name into each applicable date box for resident scheduled to be “on call”.
2) on last day of rotation
a) The Attending/Chief Resident/Program Director verifies actual hours worked for each resident in applicable date box and “initials”.
b) The Attending/Chief Resident/Program Director signs bottom of call schedule report.
c) FAX the signed-off CALL SCHEDULE REPORT to WRHA-PARIM at 940-1792 and PARIM at 787-2692
or SCAN and e-mail to [email protected] and [email protected]
d) To submit call hours worked when at least 1 of 4 hours worked is past midnight the Resident completes PARIM home call conversion form online at: http://www.parim.org/?page_id=256
A Resident who is scheduled for Home call but is required to work in the hospital during the call for more than four (4) hours, of which more than one (1) full hour is after midnight and before 0600 hours shall be remunerated at
the rate applicable to In-Hospital call.
Effective the date of ratification of this Agreement a Resident who is scheduled for Home call on a weekend or a designated recognized holiday but is required to work in the hospital during the call for more than twelve (12)
hours shall be remunerated at 75% of the rate applicable to the In-Hospital call.
NB. If call pay does not appear on paystub 6 weeks after the rotation is completed, resolve by contacting PARIM office (ph 787-3673; fax 787-2692; [email protected])
Call Schedule Report
Schedule Due Date: Mar. 20, 2013
Family Medicine Rotation:
Site(s):
Resident:
Period 9
February 7, 2013 – March 6, 2013
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
1
2
3
4
5
6
Preceptor’s Name (Please Print):
Designation:
Preceptor’s Signature:
INSTRUCTIONS TO RESIDENT AND ATTENDING:
1) enter resident name and site name into each applicable date box for resident scheduled to be “on call”.
2) on last day of rotation
a) The Attending/Chief Resident/Program Director verifies actual hours worked for each resident in applicable date box and “initials”.
b) The Attending/Chief Resident/Program Director signs bottom of call schedule report.
c) FAX the signed-off CALL SCHEDULE REPORT to WRHA-PARIM at 940-1792 and PARIM at 787-2692
or SCAN and e-mail to [email protected] and [email protected]
d) To submit call hours worked when at least 1 of 4 hours worked is past midnight the Resident completes PARIM home call conversion form online at: http://www.parim.org/?page_id=256
A Resident who is scheduled for Home call but is required to work in the hospital during the call for more than four (4) hours, of which more than one (1) full hour is after midnight and before 0600 hours shall be remunerated at
the rate applicable to In-Hospital call.
Effective the date of ratification of this Agreement a Resident who is scheduled for Home call on a weekend or a designated recognized holiday but is required to work in the hospital during the call for more than twelve (12)
hours shall be remunerated at 75% of the rate applicable to the In-Hospital call.
NB. If call pay does not appear on paystub 6 weeks after the rotation is completed, resolve by contacting PARIM office (ph 787-3673; fax 787-2692; [email protected])
Call Schedule Report
Schedule Due Date: Apr. 17, 2013
Family Medicine Rotation:
Site(s):
Resident:
Period 10
March 7, 2013 – April 3, 2013
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1
2
3
Preceptor’s Name (Please Print):
Designation:
Preceptor’s Signature:
INSTRUCTIONS TO RESIDENT AND ATTENDING:
1) enter resident name and site name into each applicable date box for resident scheduled to be “on call”.
2) on last day of rotation
a) The Attending/Chief Resident/Program Director verifies actual hours worked for each resident in applicable date box and “initials”.
b) The Attending/Chief Resident/Program Director signs bottom of call schedule report.
c) FAX the signed-off CALL SCHEDULE REPORT to WRHA-PARIM at 940-1792 and PARIM at 787-2692
or SCAN and e-mail to [email protected] and [email protected]
d) To submit call hours worked when at least 1 of 4 hours worked is past midnight the Resident completes PARIM home call conversion form online at: http://www.parim.org/?page_id=256
A Resident who is scheduled for Home call but is required to work in the hospital during the call for more than four (4) hours, of which more than one (1) full hour is after midnight and before 0600 hours shall be remunerated at
the rate applicable to In-Hospital call.
Effective the date of ratification of this Agreement a Resident who is scheduled for Home call on a weekend or a designated recognized holiday but is required to work in the hospital during the call for more than twelve (12)
hours shall be remunerated at 75% of the rate applicable to the In-Hospital call.
NB. If call pay does not appear on paystub 6 weeks after the rotation is completed, resolve by contacting PARIM office (ph 787-3673; fax 787-2692; [email protected])
Call Schedule Report
Schedule Due Date: May 15, 2013
Family Medicine Rotation:
Site(s):
Resident:
Period 11
April 4, 2013 – May 1, 2013
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
1
Preceptor’s Name (Please Print):
Designation:
Preceptor’s Signature:
INSTRUCTIONS TO RESIDENT AND ATTENDING:
1) enter resident name and site name into each applicable date box for resident scheduled to be “on call”.
2) on last day of rotation
a) The Attending/Chief Resident/Program Director verifies actual hours worked for each resident in applicable date box and “initials”.
b) The Attending/Chief Resident/Program Director signs bottom of call schedule report.
c) FAX the signed-off CALL SCHEDULE REPORT to WRHA-PARIM at 940-1792 and PARIM at 787-2692
or SCAN and e-mail to [email protected] and [email protected]
d) To submit call hours worked when at least 1 of 4 hours worked is past midnight the Resident completes PARIM home call conversion form online at: http://www.parim.org/?page_id=256
A Resident who is scheduled for Home call but is required to work in the hospital during the call for more than four (4) hours, of which more than one (1) full hour is after midnight and before 0600 hours shall be remunerated at
the rate applicable to In-Hospital call.
Effective the date of ratification of this Agreement a Resident who is scheduled for Home call on a weekend or a designated recognized holiday but is required to work in the hospital during the call for more than twelve (12)
hours shall be remunerated at 75% of the rate applicable to the In-Hospital call.
NB. If call pay does not appear on paystub 6 weeks after the rotation is completed, resolve by contacting PARIM office (ph 787-3673; fax 787-2692; [email protected])
Call Schedule Report
Schedule Due Date: June 12, 2013
Family Medicine Rotation:
Site(s):
Resident:
Period 12
May 2, 2013 – May 29, 2013
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
Preceptor’s Name (Please Print):
Designation:
Preceptor’s Signature:
INSTRUCTIONS TO RESIDENT AND ATTENDING:
1) enter resident name and site name into each applicable date box for resident scheduled to be “on call”.
2) on last day of rotation
a) The Attending/Chief Resident/Program Director verifies actual hours worked for each resident in applicable date box and “initials”.
b) The Attending/Chief Resident/Program Director signs bottom of call schedule report.
c) FAX the signed-off CALL SCHEDULE REPORT to WRHA-PARIM at 940-1792 and PARIM at 787-2692
or SCAN and e-mail to [email protected] and [email protected]
d) To submit call hours worked when at least 1 of 4 hours worked is past midnight the Resident completes PARIM home call conversion form online at: http://www.parim.org/?page_id=256
A Resident who is scheduled for Home call but is required to work in the hospital during the call for more than four (4) hours, of which more than one (1) full hour is after midnight and before 0600 hours shall be remunerated at
the rate applicable to In-Hospital call.
Effective the date of ratification of this Agreement a Resident who is scheduled for Home call on a weekend or a designated recognized holiday but is required to work in the hospital during the call for more than twelve (12)
hours shall be remunerated at 75% of the rate applicable to the In-Hospital call.
NB. If call pay does not appear on paystub 6 weeks after the rotation is completed, resolve by contacting PARIM office (ph 787-3673; fax 787-2692; [email protected])
Call Schedule Report
Schedule Due Date: July 10, 2013
Family Medicine Rotation:
Site(s):
Resident:
Period 13
May 30, 2013 – June 30, 2013
Sunday
June 30
Monday
Tuesday
Wednesday
Thursday
May 30
June 30
Friday
30
May 31
Saturday
31
June 1
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
Preceptor’s Name (Please Print):
Designation:
Preceptor’s Signature:
INSTRUCTIONS TO RESIDENT AND ATTENDING:
1) enter resident name and site name into each applicable date box for resident scheduled to be “on call”.
2) on last day of rotation
a) The Attending/Chief Resident/Program Director verifies actual hours worked for each resident in applicable date box and “initials”.
b) The Attending/Chief Resident/Program Director signs bottom of call schedule report.
c) FAX the signed-off CALL SCHEDULE REPORT to WRHA-PARIM at 940-1792 and PARIM at 787-2692
or SCAN and e-mail to [email protected] and [email protected]
d) To submit call hours worked when at least 1 of 4 hours worked is past midnight the Resident completes PARIM home call conversion form online at: http://www.parim.org/?page_id=256
A Resident who is scheduled for Home call but is required to work in the hospital during the call for more than four (4) hours, of which more than one (1) full hour is after midnight and before 0600 hours shall be remunerated at
the rate applicable to In-Hospital call.
Effective the date of ratification of this Agreement a Resident who is scheduled for Home call on a weekend or a designated recognized holiday but is required to work in the hospital during the call for more than twelve (12)
hours shall be remunerated at 75% of the rate applicable to the In-Hospital call.
NB. If call pay does not appear on paystub 6 weeks after the rotation is completed, resolve by contacting PARIM office (ph 787-3673; fax 787-2692; [email protected])