Policies,Administrative,UWHC,Department Specific,Graduate Medical Education (GME)

Resident Off-site Elective Rotations (43.15)

Resident Off-site Elective Rotations (43.15) - Policies, Administrative, UWHC, Department Specific, Graduate Medical Education (GME)


Administrative Manual
Nursing Manual
Other Graduate Medical Education Manual
Policy #:43.15
 Original
Page 1
Of 2
Title: Resident Off-site Elective Rotations

GMEOC Policy: Resident Off-site Elective Rotations
UW Hospital and Clinics
Effective Date: 2013-10-23
To establish the requirements for off-site elective rotations for UWHC residents.

II. PERSONS AFFECTED: GME programs and Residents

A. Resident is intended to include all residents and fellows in ACGME accredited training programs.
B. Program(s) will refer to ACGME-accredited program(s).

A. UWHC acknowledges that there may be legitimate needs for elective off-site rotations in cases where the
resident cannot obtain necessary training in an area of specific interest that are required in the program
requirements, within the UW Health system. Rotations will only be considered if they offer an experience that is
not available at UW Health.
B. These rotations must be reviewed and approved by the Program Director and the Designated Institutional
Official for GME. All off-site elective required materials will be collected by the UWHC program and approved by
the program director before being submitted to the UWHC GME office for review and approval.
C. Rotations must be clinically and educationally sound and provide experience not available at UW Health.
Preference will be given to those electives within other ACGME-accredited programs and/or provide superior
educational quality. Rotations must have:
1. competency based goals and objectives and a defined curriculum
2. an appropriately trained faculty supervisor on site as defined in ACGME program requirements
3. written evaluations that are returned to the home program
D. Program Directors should notify their RRC and Board to obtain prospective approval of the rotation, if required.
Observerships will not be approved as off-site elective rotations. Under no circumstances will an outside elective
rotation extend the original length of training.
E. Rotations cannot be for planned job/fellowship searches, interviews, auditions or personal reasons such as
location of family or friends.
F. Program Directors must assure the GME Office that allowing the off-site elective for one resident will not
negatively impact other residents in the program, specifically that they will not be placed at jeopardy for excessive
work/duty hours.
G. A program letter of agreement (or a document covering the same information) is required by UWHC for all
elective off-site rotations. UWHC policy requires:
1. The PLA must use UWHC’s legal name, the University of Wisconsin Hospitals and Clinics Authority.
2. PLAs must be signed by the UWHC Program Director, the UWHC DIO, and the UWHC President and
If the institution to which the resident is rotating requires UWHC GME to sign an affiliation agreement, the GME
office will submit it to the UWHC legal department for review.
H. The schedule for review and approval of off-site elective resident rotations will be announced by the GME
office on an annual basis. In no case, will rotations be reviewed less than 90 days prior to the start of the rotation.
I. UHWC stipends will not routinely continue for individual elective off-site rotations therefore stipends and
benefits must be paid for by the accepting site or out of departmental funds. Global Health rotations will be funded
according to the approved budget for the year. Funding for resident stipends and benefits must be identified on
the rotation application and in the Program Letter of Agreement. UWHC will not fund travel, lodging, state licenses
or permits for off-site rotations. Programs are responsible for providing complete and accurate billing information
to the GME office no less than 45 days prior to the start of the rotation.

Administrative Manual
Nursing Manual
Other Graduate Medical Education Manual
Policy #:
 Original
Page 2
Of 2
Title: Resident Off-site Elective Rotations

J. Only residents with full WI Medical licenses will be eligible for elective off-site rotations. Malpractice coverage
will be provided by UWHC for approved off-site rotations within the state of Wisconsin. Malpractice for rotations
outside the state of Wisconsin must be provided by either the receiving site (preferred) or be individually reviewed
and approved for coverage by UWHC.
K. The number of off-site elective rotations (national and international) that will be approved is limited. No
resident will be allowed more than one such rotation during their training.

A. There are three different types of elective rotations.
-Global Health rotations
-Elective rotations set up by programs that may be selected by program residents.
-Unique individual elective rotations
B. The current schedules, requirements and documentation for application and approval of each type of elective
is maintained on the UWHC MedHub website.

This Policy creates no rights, contractual or otherwise. Statements of policy obtained herein are not made for the
purpose of inducing any person to become or remain an employee of UWHC, and should not be considered
"promises" or as granting "property" rights. UWHC may add to, subtract from and/or modify this Policy at any time.
Nothing contained in this Policy impairs the right of a non-represented employee or UWHC to terminate the
employment relationship at-will.

ACGME Institutional Requirements (www.acgme.org)
ACGME Policies and Procedures Manual (www.acgme.org)
ACGME Common Program Requirements (www.acgme.org)
Bylaws, Rules and Regulations of the Medical Staff of the University of Wisconsin Hospital and Clinics

Sr. Management Sponsor: Susan L. Goelzer, MD, Designated Institutional Official
Author: Director of GME and Medical Staff Administration
Review/Approval Committee: Graduate Medical Education Oversight Committee 2013-10-23


Susan L. Goelzer, M.D., M.S.
Professor of Anesthesiology, Internal Medicine and Population Health Sciences
Senior Medical Director for GME/Designated Institutional Official
Associate Dean for Graduate Medical Education