Restrictive Covenant Policy

I. Purpose of policy

The use of Restrictive Covenants may not be included in Accreditation Council for Graduate Medical Education (ACGME)-accredited residency and fellowship program trainee agreements at Dartmouth-Hitchcock (D-H).

II. Policy scope

The policy applies to Graduate Medical Education staff and Program Directors for ACGME-accredited residency and fellowship programs at D-H.

III. Definitions

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

Restrictive Covenant: A non-competition guarantee in which an employee agrees not to enter into or start a similar profession or trade in competition against the employer.

IV. Policy statement

  • The ACGME specifically prohibits the use of Restrictive Covenants in trainee agreements.
  • Neither Mary Hitchcock Memorial Hospital (MHMH) as the Sponsoring Institution, nor any of its ACGME-accredited training programs, require that a Resident sign a Restrictive Covenant.

V. References

ACGME Institutional Requirements. (2018). Retrieved from

D-H Policy ID: 11315