WHERE TO SEND YOUR PAPER FORMS

A. Ob/Gyn Residents

1. All Education Forms and Rounds evaluations may be printed and sent in inter-hospital mail to

Susanne Deakin
Dept. of Ob/Gyn
LHSC-VH, B2-404

or fax to 519-646-6177.

2. Academic Enrichment Fund forms should be sent in inter-hospital mail to

Vicki Douvalis

Dept of Ob/Gyn
LHSC-VH, B2-404
or fax to 519-646-6177

B. Family Medicine Residents

Return all completed forms to Dr. Kirby's Office (LHSC-VH, B2-454) by evaluation day.

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FORMS: RESIDENTS

A. Ob/Gyn Residents

• Daily Resident Perfomrance Evaluation
• Request for Leave of Absence (PDF)
• Applicaiton information and form for travel funds from Schulich Post-grad Office (this is a Schulich form not a Dept form)
• Certification of Ultrasound Assessment of Fetal Wellbeing

B. Family Medicine Residents

• Evaluation Form-of Seminars (PDF)
• Evaluation Form-of Consultants (PDF)
• Resident Evaluation Form (PDF)

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FORMS: FACULTY

• Daily Resident Performance Evalution Form (PDF)
• Grand Rounds Evaluation Form (PDF)
• Grand Rounds Evaluation Form (Electronic)
• CanMeds format In-Training Evaluation of Residents Form (PDF)
• AEF Travel Fund Instructions and application form (PDF)
• AEF Travel Fund Instructions and application form (WORD)
• AEF: Project Fund Application form (PDF)
• AEF: Project Fund Application form (WORD)
• OMA-OPIP plan (Policy No. 50131)
• UWO HCSA (Policy No. 150033)
  

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FORMS: GRADUATE STUDENTS

• Applications Guidelines and Form for Obstetrics & Gynaecology Graduate Scholarships (OGGS)

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