Call Switch Request Form Name * Required The requested call switch is less than 48 hours from the time of this request. * RequiredYesNopeIf the answer is yes, you may not complete this form online. Please contact the Program Coordinator to complete a paper form before switch can be approved.The call switch will not create a violation of ACGME Program Requirements * RequiredYesNoVI.F.7. Maximum In-House On-Call Frequency Residents must be scheduled for in-house call no more frequently than every third night (when averaged over a four-week period). (Core)Resident providing post-call coverage, chief resident, attendings on call both days, and attendings whose services are affected by post call coverage have ALL BEEN NOTIFIED AND AGREE WITH CHANGE. * RequiredYesNoResident is assuming responsibility to notify all affected parties PRIOR TO online request. Date that I am currently scheduled for call * Required Resident who will be on call for me instead on above date * Required New call date that I will be assuming * Required
