Report An Issue These hotline forms will allow current residents and fellows, external rotating residents and fellows, students, faculty and other staff to submit reports on a variety of GME related issues in a secure and confidential environment. These issue types include: Duty Hours: Use for reporting issues related to duty hour noncompliance issues. Problematic areas include number of duty hours per week, continuous hours worked, days free from responsibilities, on-call frequency, being pressured into noncompliance and more. Unprofessional Behavior: Use for reporting issues related to unprofessional behavior, whether with a chair, program director, associate program director, faculty member, program coordinator, resident, fellow, student or otherwise. Call Room: Use for reporting issues related to call rooms that require attention, such as cleaning, supplies, linens, pest management, maintenance, food service and IT support. General Concerns: Use for reporting all other issues. Issue Type Duty Hours Unprofessional Behavior Call Room General Concerns Legend * - This icon indicates that a field is required. */* and */* - These icons indicate that either one or the other marked fields must be checked/filled. Follow-up/feedback * Would you like someone to follow-up or provide feedback regarding your concern? Select one: Yes, I would like someone to follow-up or provide feedback regarding my concern. No, I do not want someone to follow-up or provide feedback regarding my concern. First Name * Last Name * Email * Role * Select a Role Resident Resident (External) Fellow Fellow (External) Student Faculty Other Staff PGY Level * Program * Select a Program Anesthesiology Cardiac Electrophysiology Cardiology Child & Adolescent Psychiatry Cytopathology Emergency Medicine Endocrinology Gastroenterology Head & Neck Oncologic Surgery Hemaology/Oncology Hospice and Palliative Medicine Infectious Disease Internal Medicine Interventional Cardiology Interventional Radiology-Independent (ESIR) Interventional Radiology-Integrated Medical Oncology Nephrology and Hypertension Neurology OB/GYN Ophthalmology Oral & Maxillofacial Surgery Orthopaedic Surgery Pathology Pediatrics Pediatric Emergency Medicine Pediatric Endocrinology Pediactric Forensics (Child Abuse) Pediatric Hematology/Oncology Pediatric Infectious Disease Psychiatry Pulmonary Critical Care Medicine Radiology Rheumatology Surgery Surgical Critical Care Transfusion Medicine Urology Vascular/Interventional Radiology Vascular Neurology Other/Program Not Listed We apologize for the missing program. Please type your program in the field below. Other Program * Duty Hours */* Problematic Area(s): Check all that apply: Number of duty hours per week Continuous hours worked Days free from responsibilities On-call frequency Pressured into noncompliance Other Please detail your problematic area: Other * Unprofessional Behavior */* Complaint is Regarding: Check all that apply: Chair Program Director or Associate Program Director Faculty Member Program Coordinator Resident/Fellow Student Other Please detail who your complaint is regarding: Other * Details and Information * Please provide additional details and information regarding your issue: 0/3000 My fields are filled by you, my guest... but now it's time for the robot's test! * Math CAPTCHA Math CAPTCHA - Please solve the following: 9 + 1 = * Submit Please use the following form to submit your issue report. Note: The form is located on the infonet (UF Health Jacksonville's Intranet), which can only be accessed from a computer on the UF Health Jacksonville campus or via VPN. Report a call room issue For Current Residents and Fellows Resident Corner For External Residents and Fellows