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Resident and Fellow Policy Manual

Special Electives:

If a resident in a SMH-sponsored program wants to arrange for an elective experience at another hospital which is not already part of the curriculum of his/her program, the resident’s program director should make all arrangements (in writing) for that experience including:

  • educational objectives of the special elective
  • documentation of supervising physician(s)
  • work schedule with specific start and end dates
  • salary and malpractice coverage while away (continued by SMH)

There should be a written request to the hosting institution, and written acceptance from the hosting program.  Upon request, the GME Office will provide the program with Office of Counsel written agreement "shells" that can be customized for this purpose.  Dr. Hartmann as DIO (designated institutional official) will be the final signature.  Originals of any agreements will be sent to the program as the GME Office will keep a copy.  In addition, all special electives must be clearly documented on the Department’s resident rotation schedule.  The resident’s time during the special elective will be declared for GME reimbursement by the hosting institution, not by SMH. 

The principal reason for scheduling an away elective is that the University of Rochester Medical Center cannot provide the same opportunity here per the ACGME.  Only send trainees away from the home institution if we cannot provide the experience.