resident shift card

1. Default Section

	PGY 1	PGY 2	PGY 3
Resident's name	Name Resident's name PGY 1	PGY 2	PGY 3

	MM		DD		YYYY
Date	Date of shift Date Month	/	Day	/	Year

	Area
Area of ED in which resident worked	Area Area of ED in which resident worked Area

Please describe 1-2 things that the resident did well on shift (the more specific the description, the better)

Please describe 1-2 things the resident could do to improve his/her performance on shift (the more specific the description, the better)