GME Policy and Procedure
XVIII.  Rotations and Electives
Rotations
Electives
Outside Participants in UIC GME Programs
Observers
Billing for Resident Rotations
  
18.1 Rotations
A. Any University of Illinois resident assignments to rotations at other institutions must meet the educational needs of the trainee. It is the responsibility of the Program Director to confirm that an in-force affiliation agreement exists with the other institution, and that ACGME standards including supervision, working hours, and safety are followed. Such assignments, when performed at a formally affiliated hospital on a regular basis, will be referred to here as "rotations".
B. Program Directors will report rotation assignments in writing to the Office of Graduate Medical Education on a timely basis. The GME Office may prescribe the form of the schedule and the amount of detail to ensure that proper reporting, e.g. for Medicare reimbursement, is accomplished.
  
18.2 Electives
A. University of Illinois residents may with the Program Director's permission participate in training programs outside of the University of Illinois affiliated hospital system. These assignments, when performed outside the system and on an irregular basis, will be referred to as "electives".
B. While it is within the Program Director's discretion to allow electives, the appropriate justification should be to provide training experience not available in the University of Illinois system.
C. Program Directors will report all elective activity to the Office of Graduate Medical Education with detail as to the dates and location of the assignment. This may be done on the rotation schedule.
D. Program Directors may not certify malpractice coverage for the resident's participation in the elective. This must be done through the University Risk Management Office.  The GME Office will handle all requests for malpractice certification.
  
18.3 Outside Participants in UIC GME Programs
A. Program Directors may at their discretion allow residents from other programs to participate in aspects of the University's program. Rotations into UIC programs must  be described in a written affiliation agreement with the resident's originating institution, unless such assignments occur less than once per year.  All outside participants must provide appropriate documentation prior to beginning clinical training activities.
B. Documentation
The following documents must be provided to the GME Office prior to the resident's start:
1. A residency application or a form issued by the GME Office to collect needed information on the resident.
2. Copy of in-force Illinois medical license (other state licenses will not be accepted).
3. Copy of ECFMG certificate, if applicable.
4. Unless the resident is under contract to an institution holding a major affiliation with the UIC College of Medicine, the resident must provide a letter from the institution guaranteeing salary, health insurance, and professional liability insurance coverage.
C. Residents from major affiliates need not provide item #4, provided that a signed Program Addendum is in place for the rotation. When regularly scheduled rotations from major affiliates are planned, Program Directors may have the residents complete the "Appointment" form at the beginning of the year, and send the material to the GME Office. In that case, outside resident assignments should be clearly indicated on the Program's rotation schedule.  
  
18.4 Observers
A. An observer is defined as someone who accompanies UIC faculty or residents at a clinical function but does not participate in a patient's care.
B. No physician trainee under contract anywhere as a resident or fellow may be brought into a UIC-COM sponsored program as an observer. They must be treated as an outside participant in a UIC program, and follow all procedures described above.
C. Physicians participating in research projects that do not involve human subjects are exempt from this rule.
D. This policy does not apply to medical students. However, any medical student participating in any clinical program must be registered with the UIC College of Medicine prior to their participation.
  
18.5 Billing for Resident Rotations
A. Except in circumstances where a written agreement provides, the UIC College of Medicine will not reimburse other institutions for their residents while assigned to a UIC hospital.
B. All requests for reimbursement for UIC residents rotating to other institutions will be done through the GME Office. No clinical department may bill for residents assigned to other institutions without the written permission of the Associate Dean for Graduate Medical Education.

        
Policy and Procedure     XVIII. Rotations and Electives
Approved: December 20, 1993
Joint Committee on Graduate Medical Education
Reviewed:     February 28, 1997 GMEC
May 12, 2000 GMEC