LETTER OF APPOINTMENT

5.1 The hospital shall send a Letter of Appointment, with a duplicate, to all persons appointed to the housestaff, as per Form A which forms a part of this Agreement.

Form A

To (name of resident): Pursuant to your appointment to (name of hospital) for the period from the __ day of ___________, 20__ to the ____ day of_______________, 20__ as a (classification) we wish to advise you that the standard terms and conditions of your employment are contained in an Agreement with PAIRO (the "standard agreement") for 2008-2011. Copies of that Agreement may be obtained from the hospital office or the local PAIRO representative. You may inquire (at the local hospital office) to determine if there are any variations from the standard agreement at this hospital. The annual association dues of PAIRO, or an equivalent amount, shall be collected by payroll deduction from the salaries of all residents, including yourself, and shall be forwarded to PAIRO on your behalf. The dues will be deducted at the rate of 1.6%, or in such other amount as is determined by PAIRO pursuant to its bylaws. All residents are entitled to membership in the Professional Association of Internes and Residents of Ontario. Should you wish not to belong to PAIRO, you must notify the local hospital accordingly, and not later than July 15th, but in any event, dues or an equivalent amount are payable by all residents. Further details are contained in Article 6 of the standard agreement. It is a condition of your employment that you complete a duplicate copy of this letter AND RETURN THE SAME TO THE HOSPITAL before commencing employment. Please attend to this matter forthwith. I hereby agree to the terms set out above.

DATE:

SIGNED: (Hospital Representative)

DATE:

SIGNED: (Resident)

5.2 It is agreed that the Letter of Appointment sent out to all housestaff by the hospitals shall be in the standard form as found in Article 5.1 of this Agreement and shall not be altered in any way without the mutual agreement of PAIRO and Hospital representatives. Local working conditions affecting residents must be outlined in a separate exchange of correspondence and these local conditions shall not, in any way, detract from the benefits available to residents as outlined in this Agreement.

5.3 Variations from the PAIRO-CAHO Agreement at any hospital can only be made where agreed to by the provincial PAIRO Board of Directors and the Hospital.