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Extra-Hospital Rotation

Please list below all house officers on your service who were not actively participating in clinical work at NCBH during the current month. This list should include all house officers on extra-hospital rotation and study programs, clinics, drs. offices, locum tenems, LOA's, research, etc. See the guidelines for graduate medical education (GME) rotations with any questions. Please submit the form to the Medical Staff Office by the end of this month. If you have no one to list, please indicate and submit. If you have more rotating residents than the form allows, please complete multiple forms.


 

Your Name:  
Your Email:  
Program:  
Rotation Month  

Name Time away from
Institution (date)
Location
Inclusive of clinics,
drs offices, locum
tenems, LOA's Research)
Please specify
Bill to:
If applicable

 


 

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Winston-Salem, NC 27157

The information on this Website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified healthcare provider. If you have a medical problem or a health-related question, consult your physician or call Health On-Call at 336-716-2255 or 1-800-446-2255.

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Last Modified: 11/6/2007