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Restrictive Covenant Policy

I. Purpose of Policy

The purpose of this policy is to ensure that the Graduate Medical Education Committee (GMEC) is providing appropriate oversight regarding the use of restrictive covenants in trainee agreements per Accreditation Council for Graduate Medical Education (ACGME) Institutional Requirements.

II. Policy Scope

The policy applies to all ACGME-accredited residency and fellowship programs at Dartmouth- Hitchcock D-H.

III. Definitions

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


Restrictive Covenant:   A non-competition guarantee


IV. Policy Statement

  • The ACGME specifically prohibits the use of restrictive covenants in trainee agreements.
  • Neither the Sponsoring Institution nor any of its ACGME-accredited training programs may require residents to sign a non-competition guarantee.


D-H Policy ID: 11315

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