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EM Senior (PGY3) Resident Info

This survey is for EM Senior Residents only. If you are a from Stroger, or an off-service rotator, please go to www.rushemergencymedicine.org/evaluations and choose the appropriate evaluation form.

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* Last Name

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* First Name

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* Shift date

Date

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* Attending Name (Last Name, First Initial)

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* In which zone did you just work?

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