12.07.2015 Views

Rota Design for 2009 - North Western Deanery

Rota Design for 2009 - North Western Deanery

Rota Design for 2009 - North Western Deanery

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STAGE 1cEducational approval <strong>for</strong> proposed change in work patternNHS <strong>North</strong> WestProposed work pattern <strong>for</strong> the ................. [insert grade]........ [insert specialty] .................at ................. [insert hospital]12345678910Monday Tuesday Wednesday Thursday Friday Saturday SundayAnticipated band of rota (subject to confirmation):Number of doctors on rotaType of working patternExpected implementation date[Insert band here][Insert number here][Insert work pattern][Insert date here]Declaration (to be completed by delegated authority of the dean)I confirm that the above rota meets educational and training requirements <strong>for</strong> junior doctors’ training atthis grade within this specialty.Signature………………………………………………………Date………………………Name………………………………………………………....Position………………………………………………………..26

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