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Inbound Resident Rotators

I. Purpose of Policy

To define the responsibilities of Inbound Rotators when applying for a rotation to an Accreditation Council for Graduate Medical Education (ACGME)-accredited graduate medical education (GME) program at Dartmouth-Hitchcock (D-H).

II. Policy Scope

The policy applies to all Inbound Rotators, GME Office staff and to ACGME-accredited training program leadership at D-H.

III. Definitions

Resident: Any physician in an ACMGE-accredited graduate medical education program including Residents and Fellows.


Inbound Rotator: A Resident from an external ACGME-accredited training program rotating through an ACGME-accredited graduate medical education program at D-H.


Program Letter of Agreement (PLA): A contract between the Inbound Rotator’s home institution and Mary Hitchcock Memorial Hospital (MHMH).


IV. Policy Statement

  1. Inbound Rotator Responsibilities
    • Completion of Registration & Supporting Documents
      • Complete the Visiting Resident/Fellow Elective Rotation form and submit it, and the supporting documents, directly to the GME program hosting the Inbound Rotator for review and approval at least 120 days prior to the expected start date of the rotation.
      • The registration form includes the following information:
        • Full name with identifying credentials
        • Current mailing address, phone number, and email address
        • Date of birth (DOB)
        • 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, including the name of the medical school and all prior residency/fellowship training facility names.
        • Name of home institution and program.
          1. Name of Program Director and contact information
          2. Name of Program Coordinator and contact information
          3. Name of Designated Institutional Official (DIO) and contact information
      • The following documentation must be included with the application:
        • Current Basic Life Support (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
        • Educational Commission for Foreign Medical Graduates (ECFMG) certificate, if graduate of foreign medical school
        • Copy of Visa or Green Card, if foreign national

    • Additional Responsibilities:
      • The Inbound Rotator must also:
        • Have a current New Hampshire Physician Training License effective for the entirety of the rotation participation dates.
        • Participate in the standard D-H general orientation and any other program orientation that may be required.               
        • Be trained in the use of the Electronic Medical Record system (eD-H).
        • Consent to a criminal background check and pass a drug screening prior to start of rotation.

  2. Program Responsibilities
    • The program hosting the Inbound Rotator must submit the completed Visiting Resident/Fellow Elective Rotation form and supporting documents to the GME Office at least 120 days prior to the proposed rotation.
    • The program must contact the Medical Staff Office if observation privileges will be required for an Inbound Rotator.

  3. GME Office Responsibilities
    • Process NH Training License Application for the Inbound Rotator
    • Prepare and coordinate the execution of a Program Letter of Agreement
      • A written PLA must be in place to document and define the relationship between Mary Hitchcock Memorial Hospital (MHMH) and the Inbound Rotator’s home 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.
    • Submit a Person of Interest form to Occupational Medicine for the Inbound Rotator
    • Schedule visitor orientation and eD-H training
    • Provide a pager, TDX code and computer access


D-H Policy ID: 11266

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