EM Resident (PGY3) Resident Info

This survey is for EM PGY3s only. If you are an EM Intern, 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 / Time

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* Attending Name (Last Name, First Initial)

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* ED Site

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