Resident Agreement of Appointment Policy

I. Purpose of policy

The purpose of this policy is to define the responsibilities for appointment and reappointment of Residents participating in Accreditation Council for Graduate Medical Education (ACGME)-accredited residency and fellowship programs at Dartmouth-Hitchcock (D-H).

II. Policy scope

The policy applies to Residents, Program Directors, and Program Coordinators of ACGME-accredited residency and fellowship programs and to Graduate Medical Education (GME) Office staff at D-H.

III. Definitions

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

IV. Policy statement

Responsibility
- Annual Program Responsibilities:
  - Appoint/reappoint each Resident participating in the training program via the Residency Management System, MedHub.
    - Program Director co-signature on the Agreement of Appointment in MedHub.
  - Update Resident status in the ACGME Accreditation Data System (ADS).
  - Submit the completed Medical Director Letter to the GME Office for all Residents appointed/reappointed/terminated.
  - Submit a completed Resident Credential Verification Letter (RCVL) to the GME office for all Residents rotating at the VAMC.
- Annual GME Office Responsibilities:
  - Complete the Resident Agreement of Appointment to include the following information:
    - Resident name
    - Program/level of training
    - Duration of appointment
    - Stipend
  - GME Director co-signature on the Agreement of Appointment.
  - Submit the Medical Director Letter to Medical Staff Office.
- Annual Resident Responsibilities:
  - Review and sign the Agreement of Appointment.
Agreement of Appointment
- All training programs must ensure that each Resident has a current, signed Agreement of Appointment on file in MedHub.
- Failure or refusal by the Resident to sign the Agreement of Appointment may result in:
  - Loss of pay
  - Loss of clinical privileges
  - Cancellation of training licensure

D-H Policy ID: 11265