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VACATION / PROFESSIONAL LEAVE REQUEST APPLICATION FORM Name PGY Level Date Request absence From To Reason for absence Vacation Conference Name Date Location Other please specify Vacation Days taken to date Professional Leave days taken to date Number of days remaining for this academic year Vacation Professional NOTE Vacation/Professional Days cannot be carried forward to the next academic year. Resident s signature Date Chief Resident of Rotation s name and signature Rotation Supervisor s name and signature Program Director s approval Resident Entitlement 20 working days 4 weeks paid vacation 7 working days professional/educational leave Paid leave for taking exams e*g* Royal College LMCC ECFMG Statutory holidays New Year s Day Easter Friday Victoria Day Dominion Day August Civic Holiday Labor Day Thanksgiving Day Christmas Day Boxing Day Two 2 floating holidays Other religious holidays as approved by the University. Mail or Fax completed form to Mary Miceli 92 College Street Toronto M5G 1L4 FAX 416-978-8350 TEL 416-978-6830 Department of Obstetrics and Gynaecology University of Toronto DEPARTMENTAL GUIDELINES FOR VACATION/PROFESSIONAL LEAVES Resident can EXPECT - 7 days professional leave in full or in parts Only one week vacation at a time 5 weekdays plus 1 weekend or 2 weekends if all hospital/service needs are met Maximum of 2 weeks for extenuating circumstances which must be approved by Chief Resident Rotation Supervisor and Dr. Shapiro. NEVER confirm any travel plans etc* without final approval of vacation If possible Chief Resident can try to accommodate 1-2 days floating statutory or Professional days to a week of vacation* AGAIN never assume request will be granted* Conflicts of leaves requests should be directed to Dr. Resident s signature Date Chief Resident of Rotation s name and signature Rotation Supervisor s name and signature Program Director s approval Resident Entitlement 20 working days 4 weeks paid vacation 7 working days professional/educational leave Paid leave for taking exams e*g* Royal College LMCC ECFMG Statutory holidays New Year s Day Easter Friday Victoria Day Dominion Day August Civic Holiday Labor Day Thanksgiving Day Christmas Day Boxing Day Two 2 floating holidays Other religious holidays as approved by the University. Mail or Fax completed form to Mary Miceli 92 College Street Toronto M5G 1L4 FAX 416-978-8350 TEL 416-978-6830 Department of Obstetrics and Gynaecology University of Toronto DEPARTMENTAL GUIDELINES FOR VACATION/PROFESSIONAL LEAVES Resident can EXPECT - 7 days professional leave in full or in parts Only one week vacation at a time 5 weekdays plus 1 weekend or 2 weekends if all hospital/service needs are met Maximum of 2 weeks for extenuating circumstances which must be approved by Chief Resident Rotation Supervisor and Dr. Mail or Fax completed form to Mary Miceli 92 College Street Toronto M5G 1L4 FAX 416-978-8350 TEL 416-978-6830 Department of Obstetrics and Gynaecology University of Toronto DEPARTMENTAL GUIDELINES FOR VACATION/PROFESSIONAL LEAVES Resident can EXPECT - 7 days professional leave in full or in parts Only one week vacation at a time 5 weekdays plus 1 weekend or 2 weekends if all hospital/service needs are met Maximum of 2 weeks for extenuating circumstances which must be approved by Chief Resident Rotation Supervisor and Dr. Shapiro. NEVER confirm any travel plans etc* without final approval of vacation If possible Chief Resident can try to accommodate 1-2 days floating statutory or Professional days to a week of vacation* AGAIN never assume request will be granted* Conflicts of leaves requests should be directed to Dr.

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