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All graduate medical education training programs sponsored by UPHS must have the
appropriate rotation agreements in place for UPHS residents rotating outside of UPHS to
participating institutions and for trainees in other institutions’ programs rotating into UPHS.
Such “rotation agreements” must be negotiated through the UPHS Office of Graduate
Medical Education and approved by the Associate Dean for GME/ UPHS Designated
Institutional Officer (“Associate Dean for GME”). Such agreements with participating
institutions must comply with ACGME common program requirements, the program
specialty’s program requirements and must also meet UPHS contractual expectations. The
expectation includes that UPHS-based residents rotating to a non-UPHS site will have their
salary, benefits and professional liability insurance provided by the non-UPHS institution
accepting the resident. Exceptions to this expectation may be made if the outside rotation is
deemed critical to the UPHS training program. UPHS will determine on a case-by-case basis
whether trainees rotating into UPHS from another United States based training program will
have their salary, benefits and professional liability insurance provided by the sending
institution or by UPHS. Consideration will be given to whether the trainees rotating from
outside programs are deemed critical to patient care at UPHS or to UPHS the training program.
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