Submit your Anonymous comments about Duty Hour violations or Patient Safety (e.g. fatigue, hand-off issues, "near-miss" events.) Complete the form below and click the "Submit by E-mail" button in the top right hand corner.

Please be sure to include the Location, Date and Time of the event. Your comments will be sent to a General GME E-mail box.

By submitting your comments via this form we can ensure your anonymity as it will not be sent from a specific E-mail address and will not be traceable to any one person.

Location:
Date: Time:
Comments: