Medical College of Georgia
School of Medicine
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Attachment B: |
(4 page PDF file)
Medical College of Georgia
Graduate Medical Education Policies and Procedures
Office of Primary Responsibility: Graduate Medical Education
No. HS 5.0
House Officer Rotation
1.0 Purpose
To define the procedures to govern situations where House Officers leave MCG
premises for clinical educational experiences and for non MCG House Officer
physicians who come to MCG for educational experiences.
2.0 Procedure
This policy does not apply to medical students applying for elective
rotations at the Medical College of Georgia. All questions regarding medical
student rotations should be referred to the Office of the Associate Dean for
Curriculum 1-3218.
Medical students or college students applying for Observerships at the Medical College of Georgia need to contact Risk Management 1-7475.
2.1 For MCG Graduate Medical Education House Officers Performing Off-Site Rotations:
2.1.1 Clinical Educational Experiences which last for thirty days or less and are not to be repeated:
2.1.2 A Letter of Agreement is required. Process must be started at least 30 days prior to the start of the clinical educational experience. The Graduate Medical Education Office must have a copy of each clinical rotation on file in the GME Office.
2.1.3 The Letter of Agreement is initiated by the Department Chairperson or Program Director of the House Officers Program, forwarded to the Senior Associate Dean for Graduate Medical Education and VA Affairs and Dean of the School of Medicine for signatures (Attachment A is an example letter of agreement which should be used as a guideline). The GME Office will obtain required signatures and return original to the Department.
2.1.4 If verification of adequate malpractice insurance coverage for the House Officer is required by the off-site facility, arrangements should be made through the Legal Office (1-4018).
2.1.5 A House Officer who desires to perform an in state/out-of-state rotation is responsible for determining whether or not he/she must obtain a medical license in the state where the rotation is to be performed. If a license is required, the House Officer is responsible for obtaining the license BEFORE performing the rotation.
2.1.6 J visa holders must contact Graduate Medical Education Office before the rotation starts to ensure ECFMG is notified of the clinical rotation.
2.1.7 International clinical rotations require the signature of the Vice President of Finance on a travel request in addition to other guidelines stated above.
2.2 Clinical Educational Experiences which last for more than thirty days, or last for thirty days or less but will be repeated throughout the year or annually:
2.2.1 An Affiliation Agreement is required between MCG and the other Institution and a copy on file in the Graduate Medical Education Office.
2.2.2 The Affiliation Agreement should be routed through MCG's contract routing process for review and signature by the President. For information on the Affiliation Agreement form and information regarding this process, contact the Legal Office at extension 1-4018.
Please note: This process requires four to eight weeks for completion.2.2.3 A House Officer who desires to perform an in state/ out-of-state rotation is responsible for determining whether or not he/she must obtain a medical license in the state where the rotation is to be performed. If a license is required, the House Officer is responsible for obtaining the license BEFORE performing rotation.
2.2.4 International clinical rotations require the signature of the Vice President of Finance on a travel request in addition to other guidelines stated above.
2.2.5 J visa holders must contact the Graduate Medical Education Office before the rotation starts, to ensure ECFMG is notified of the clinical rotation.
2.3 For Non MCG Graduate Medical Education House Officers Performing Rotations at MCG:
2.3.1 Clinical Educational Experiences which last for thirty days or less and are not to be repeated:
2.3.2 Non MCG House Officers will be allowed to participate in clinical educational experiences (rotations) at MCG Health Inc. Rotations will be limited to a period of 30 days unless justification is submitted for special circumstances. Any clinical educational experience that is to be repeated by another non-MCG House Office from the same sending Institution will require an Affiliation Agreement and verification of professional liability coverage. A copy of the Letter of Agreement and additional required paperwork must be on file in the Graduate Medical Education Office prior to start of clinical rotation. (Attachment B is an example letter of agreement which should be used as a guideline).
2.3.3 A Letter of Agreement between a Program Training Director at the sending Institution and a Program Training Director at MCG is the initial step in the approval process. The process is completed with approved signatures from the Senior Associate Dean for Graduate Medical Education and VA Affairs, Chief Medical Officer of MCGHI, Director of Risk Management, and Program Training Directors from the sending and receiving Institutions (Attachment B is an example letter of agreement which can be used as a guideline by the other facility).
2.3.4 Requirement of Negative PPD or Negative Chest X-Ray – The Non MCG House Officer must present written documentation of a negative PPD test (Mantoux testing) within the last six-months, or present written documentation that a PPD test has been performed by MCG Health, Inc.’s Employee Health Services prior to the signing of the Agreement. It will be the responsibility of the receiving Program to assure that the PPD test is read within the appropriate time period and that the test result is negative. If the test result is positive, the House Officer will not be allowed in a clinical service area until given approval by Employee Health Services with appropriate documentation of current health status.
There may be additional testing needed by MCGHI Employee Health for the House Officer to be approved for a rotation at MCG.
2.3.5 For Non MCG House Officers, the receiving Program is responsible for ensuring the following is complete prior to the rotation. See Clinical Rotations Checklist
Signed “Letter of Agreement”
Certificate of malpractice insurance attached to the “Letter of Agreement”
Criminal Background form
Valid unrestricted GA medical license or Residency Training Permit required for any clinical rotation at MCG Health Inc
Employee Health requirement(s)
ID Badge
Access to 9th floor (if needed)
Signed Drug Screen form
Signed Confidentiality Statement
Verification of successful completion of MCGHI Right to Know and HIPPA training
HQ Physician number
Access and training to PowerChart and WebBrowser
Copy of all required paperwork on file in Graduate Medical Education Office.
2.4 Clinical Educational Experiences which last for more than thirty days, or last thirty days or less but will be repeated throughout the year or annually:
2.4.1 Affiliation Agreement is required between MCG and the sending Institution. MCG's standard Affiliation Agreement for House Officers Elective Rotation must be used.
2.4.2 The Affiliation Agreement should be routed through MCG's contract routing process for review and signatures by the Senior Associate Dean for Graduate Medical Education and VA Affairs, Dean of the School of Medicine, and Chief Medical Officer of MCGHI. For information on the Affiliation Agreement form and information regarding this process, contact the Legal Office at extension 1-4018. Please note: This process requires four to eight weeks for completion.
2.4.3 Requirement of Negative PPD or Negative Chest X-Ray – The Non MCG House Officer must present written documentation of a negative PPD test (Mantoux testing) within the last six-months, or present written documentation that a PPD test has been performed by MCG Health, Inc.’s Employee Health Services prior to the signing of the Agreement. It will be the responsibility of the receiving Program to assure that the PPD test is read within the appropriate time period and that the test result is negative. If the test result is positive, the House Officer will not be allowed in a clinical service area until given approval by Employee Health Services with appropriate documentation of current health status.
There may be additional testing needed by MCGHI Employee Health for the House Officer to be approved for a rotation at MCG.
2.4.4 For Non MCG House Officers, the receiving Program is responsible for ensuring the following is complete prior to the rotation. See Clinical Rotations Checklist.
Signed “Letter of Agreement”
Certificate of malpractice insurance attached to the “Letter of Agreement”
Criminal Background form
Valid unrestricted GA medical license or Residency Training Permit required for any clinical rotation at MCG Health Inc
Employee Health requirement(s)
ID Badge
Access to 9th floor (if needed)
Signed Drug Screen form
Signed Confidentiality Statement
Verification of successful completion of MCGHI Right to Know and HIPPA training
HQ Physician number
Access and training to PowerChart and WebBrowser
Copy of all required paperwork on file in Graduate Medical Education Office
2.5 Academic Observerships must adhere to MCGHI Policy 15.03 which may be found at http://www.hi.mcg.edu/aboutus/PDFPolicies/15_03_r1.pdf
Effective Date: 7/1/03 Revision/Review Date: 7/03 10/07