Saskatchewan Electives Support Program Application Survey

Program Information

Interested in exploring new communities in Saskatchewan? The Saskatchewan Electives Support Program can help you cover costs for travel and accommodations and keep you focused on making the most out of your elective.

The Saskatchewan Elective Support Program, offered by Saskatchewan Health Authority in partnership with the Saskatchewan Medical Association (SMA), is available to offset travel and accommodation expenses for residents pursuing electives in eligible communities throughout Saskatchewan.

Pursuing electives in new communities not only aids in gaining new skills; it also provides exposure to the benefits of establishing practice in different communities throughout the province.

If you are a University of Saskatchewan (USask) resident physician or an out-of-province specialist resident physician the Saskatchewan Elective Support Program may be for you!

1.First Name:(Required.)

2.Last Name:(Required.)

3.Email Address:(Required.)

4.Phone Number:(Required.)

5.Mailing Address:(Required.)

6.City/Town:(Required.)

7.Province(Required.)

8.Postal Code:(Required.)

9.University of Medical Degree:(Required.)

10.University of Residency:(Required.)

11.Program/Specialty(Required.)

12.Program Year:(Required.)

13.Expected Year of Residency Completion:(Required.)

ELECTIVES INFORMATION

14.Intended Community:(Required.)

15.Preceptor:(Required.)

16.Course Elective:(Required.)

17.Date (start):(Required.)

Date

SuSunday

MoMonday

TuTuesday

WeWednesday

ThThursday

FrFriday

SaSaturday

18.Date (end):(Required.)

Date

SuSunday

MoMonday

TuTuesday

WeWednesday

ThThursday

FrFriday

SaSaturday

19.I will be travelling to/from my elective community by:(Required.)

20.Are you a Return of Service agreement holder with the province of Saskatchewan?(Required.)

21.I have not/will not be receiving funding to cover electives reimbursed under this program from any other source:(Required.)

22.Any Additional Notes or Comments:

23.DISCLOSURE (please read and check to acknowledge each statement)(Required.)

I understand that this program supports electives, not clinical rotations, in Saskatchewan communities.

I understand that I will be required to complete a five to ten minute evaluation prior to reimbursement. This will be used for program improvements and to assess the impact of the elective(s).

I understand and agree to provide confirmation of electives (e.g. preceptor confirmation) prior to reimbursement as stipulated in the program parameters.

I understand and agree to provide accommodation and travel receipts prior to reimbursement as stipulated in the program parameters.

I understand and consent that my name, email, program and elective may be shared with SMA, other Provincial health care organizations, and community representatives to administer this program, offer community exposure and discuss potential career options.

I agree that SHA/SMA reserve the right to change, amend, modify, suspend or terminate all or any part of this program, without notice. In the event of any adjustment to this program, all approved applications prior to the change(s) will be honored.

I understand and consent that my information may be shared with the Saskatchewan Healthcare Recruitment Agency for recruitment purposes.

24.By typing your signature below, I hereby certify that all information and statements made in this application are true and complete to the best of my knowledge and belief.(Required.)

Thank you for applying to the Saskatchewan Electives Support Program! Your application is in the adjudication process, you will be contacted when a decision has been made.

Application approval may be subject to budgetary limitations. In that event, applications will be prioritized as follows:
* Resident physicians that hold a return of service agreement with the province of Saskatchewan;
* Royal College specialists and sub-specialists that are identified as a provincial priority based on the conditions at the time of application;
* Rural and regional electives for specialties with service delivery outside of Saskatoon, Regina and Prince Albert.