Montefiore Medical Center

Albert Einstein College of Medicine

Department of Family & Social Medicine
Residency Program in Social Medicine-Family Medicine Track
Elective/Off Site Elective-Approval Form

Resident Full Name: Joshua Yap PGY Level 1 2 3 4

Elective Information (Please type/print legibly):

Type/Name of Elective: _____High volume abortion training in hostile environment___________

Location of Elective: Texas Dates: _2____ to ___27__ Cycle: _7B-8A____

Supervisor: Robin Wallace, MD /Marji Gold, MD / Kristie Monast

Phone Number: Email: rwallacep@gmail.com kmonast@midwestaccessproject.org

Goals:
1. Advance skills in abortion care
2. Exposure to second term abortions
3. Understand nuances in abortion care in an hostile environment

Knowledge & Skills to be acquired:

1. Advance skills in abortion care
2. Exposure to second term abortions
3. Understand nuances in abortion care in a hostile environment
4. possible exposure to vasectomies

Weekly Schedule: Make sure your schedule is duty hours compliant Work
Hours
Monday 8-4 8
Tuesday 8-4 8
Wednesday 8-4 8
Thursday 8-4 8
Friday 8-4 8
Saturday
Sunday

XNot on sick call XNot on cross coverage

Reviewed by Team Leader/Advisor:

Approved  Not Approved 

Signature of Program Director, Date