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Residents In This Section

Inbound Resident Rotators

I. Purpose of Policy

The GME Office and the Graduate Medical Education Committee (GMEC) endorse inbound resident rotations for trainees from other institutions to gain additional, specific educational experiences at Dartmouth-Hitchcock (D-H). It is the policy of the GMEC through the GME Office to ensure that the educational environment of the Mary Hitchcock Memorial Hospital (MHMH) Accreditation Council for Graduate Medical Education (ACGME) ACGME-accredited residency and fellowship programs not be compromised, and that inbound residents receive ACGME-compliant educational experiences when they participate in MHMH rotations.

II. Policy Scope

The policy applies to all residents rotating inbound from other ACGME-accredited programs at other institutions to any Mary Hitchcock Memorial Hospital (MHMH) ACGME-accredited residency and fellowship programs.

III. Definitions

Resident: Any physician in an accredited graduate medical education program, including interns, residents, and fellows.

Inbound Rotator: A resident or fellow from a non-MHMH ACGME-accredited training program rotating through an MHMH ACGME-accredited program.

Inbound Rotator Registration: Application format and procedures made to MHMH by an inbound rotator.

Program Letter of Agreement (PLA): A contract between the inbound rotator’s home institution and MHMH.

IV. Policy Statement


  • The completed application packet must be submitted to the GME Office for review and approval 90 days prior to the expected start date of the rotation.

  • All Inbound Rotators must complete the Inbound Rotator Application form that includes the following information:
    • Full name with identifying credentials
    • Current mailing address, phone number, and email address
    • Date of birth
    • Social Security Number (identify either US or Canadian)
    • Citizenship status
    • Exact start and end dates for all medically related training from the start of medical school through the start of the visiting rotation with D-H, and include name of medical school and all prior residency/fellowship training facility names
    • Name of home institution and program
      • Name of Program Director and contact information
      • Name of Program Coordinator and contact information
      • Name of DIO and contact information

  • The following documentation must be included with the application
    • Current BLS certification
    • Proof of current immunizations
    • Copy of insurance card to document Personal Health Insurance.
    • Certificate of Insurance from home institution for Professional Liability Insurance
    • Letter signed by current program director attesting to current residency status and verifying good standing
    • Proposed curriculum for the rotation with the name of the D-H supervising physician, description of training, competency-based learning objectives, and performance evaluation methods
    • ECFMG certificate if graduate of foreign medical school
    • Copy of Visa or Green Card if foreign national

  • Written PLA must be in place to document and define the relationship between MHMH and the other institution or organization.

  • At no time will an inbound rotator be allowed to commence a D-H rotation without a completed, current PLA on file in the GME Office.

New Hampshire Licensure

  • The inbound rotator must have a current New Hampshire Physician Training License effective for the rotation participation dates.

Learning Environment and Patient Safety

  • To ensure the quality of the D-H learning environment and ensure patient safety, the inbound rotator
    • Must participate in the standard D-H general orientation and any other program orientation that may be required
    • Be trained in the use of eD-H
    • Must consent to a criminal background check and pass a drug screening prior to start of rotation

Program Responsibilities

  • The program hosting the visiting resident must submit a Visiting Resident Registration form to the GME Office at least 90 days prior to the proposed rotation

GME Office Responsibilities

  • NH Training License Application processing
  • Occupational Medicine Screening
  • Visitor Orientation, eD-H training, pager, TDX code and computer access
  • Prepare and coordinate the execution of a Program Letter of Agreement

Observational Training

  • The Office of Clinical Affairs handles Observation Privileges for inbound residents or fellows.

D-H Policy ID: 11266