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Off-Site Rotations

The GMEC endorses residents' rotations to off-site U.S. and international locations to gain additional, specific educational experiences. It is the policy of the GMEC through the GME office to assure that residents enrolled in Emory University School of Medicine continue to receive stipends, benefits and ACGME-compliant educational experiences when they participate in non-Emory affiliated rotations. It is also the policy of the GMEC through the GME office to follow all guidelines established by the University regarding international travel. Program Directors are obligated to notify the GME Office when they contemplate sending a resident to a non-Emory affiliated rotation.

Certifying Boards:
Program Directors should notify their certifying boards to obtain prospective approval of the rotation. Program Director also should assure that the rotation is for the educational advancement of the resident.

GME OFFICE:

  1. Notify the GME office in writing or by email of the intent to assign a resident to a non-Emory rotation.
  2. Notify the GME office of the source of funding for stipends, benefits and malpractice insurance, and assure the GME office that the resident has housing.
  3. Assure the GME office that the off-site rotation will comply with ACGME guidelines regarding duty hours.
  4. Assure the GME office that the resident's absence will not place Emory's residents at jeopardy for excessive work.
  5. Complete and send the GME office the attached Master Affiliation Agreement for non-Emory Facilities and Academic Agreement signed by the Program Director. [Agreement templates attached as attachment B]
  6. Notify the GME office of the change in deployment. Residents cannot rotate to off-site locations and continue to receive hospital-related stipends. Residents cannot rotate to other locations during vacation, because vacation days are paid for by hospitals in the Emory system. Be prepared to pay for the rotation out of departmental funds.
  7. Assure the GME office that the Program Director will receive evaluations of the resident's performance and of the rotation.
  8. Assure the GME office that the resident has received appropriate vaccinations and travel advice for international rotations [resident must sign release form for international electives- [Attachment C]
  9. Inform the resident of the procedure for reporting work-related injuries. If Emory University is paying the stipend, then Emory covers the resident's workers compensation. If the non-Emory location is paying the stipend, then Emory will not cover the resident's workers compensation. If an Emory resident is injured in a work- related incident, the resident should seek medical attention and initial treatment from the hospital associated with the rotation. The resident must report the injury within 48 hours to the Emory Program Director and the Nurse Case Manager in Employee Health Services/Workers Comp at Emory University (404-686-7780); Payment for services provided cannot be made until this step is completed. The Nurse Case Manager will advise the resident and the Program Director.
  10. The GME office will consider approving off-site rotations only with the approval of the Chair of the department.
  11. The GME office will not pay for state licenses or permits outside of the guidelines found in the House Staff Policy and Procedure Manual and therefore will not pay for state licenses or permits required for non-Emory rotations.

Please use the attached memo [Attachment A] to address these issues. You may return the memo, Master Affiliation Agreement and Academic Agreement by email to mbond@emory.edu, or by hard copy to: Office of GME, Attention: Assistant Dean for GME, 327 SOMB.

Attachments

Attachment A - Memo to the GME Office

Attachment A.1 - Program Letter of Agreement

Attachment B - MASTER AFFILIATION AGREEMENT EMORY RESIDENTS/FELLOWS RECEIVING CLINICAL EXPERIENCE AT NON-EMORY AFFILIATED HOSPITAL

Attachment C - For International Rotation
THE SCHOOL OF MEDICINE AT EMORY UNIVERSITY RELEASE, COVENANT NOT TO SUE, AND WAIVER