Medical College of Wisconsin Affiliated Hospitals, Inc.
OFFSITE ELECTIVE ROTATIONS
MCWAH acknowledges that there may be a legitimate need for elective rotations in cases where housestaff cannot obtain training in a specific area of interest within a MCWAH facility. The housestaff must be licensed for professional liability insurance coverage, must be in good standing in his or her training program and the rotation must be less than six months duration.
ELECTIVE ROTATIONS WITHIN THE UNITED STATES, CANADA & THE US TERRITORIES
1. Housestaff and Program Directors should complete and submit the "Request for Resident Rotation" form to the Designated Institutional Official (DIO) and Executive Director of MCWAH at least 60 days prior to the offsite rotation.
2. Funding of offsite elective rotations must be secured for the rotation to be approved. MCWAH will confirm financial approval of the elective rotation from the affiliated hospital and/or the MCW Department supporting the elective rotation. Elective rotations to clinics or physician offices do not require prior approval regarding financial support.The “Request for Resident Rotation” form for international rotations must be submitted prior to the academic year in which the rotation will occur (see below).
3. The PLA should include the supervising physician at the elective rotation site and clearly state the learning objectives of the rotation. The template, Program Letter of Agreement for Elective Rotations, should be used.
4. Housestaff must have a Wisconsin License in order to do an out-of-state offsite elective rotation because of Wisconsin statutory law and professional liability insurance limitations.
5. Elective Rotations must be less than 6 months in duration as the State of Wisconsin must remain the principal place of practice to qualify for the Wisconsin Injured Patients and Families Compensation Fund coverage.
6. The MCWAH DIO & Executive Director will review the request and approve or deny the elective rotation in a timely manner.
GLOBAL HEALTH ROTATIONS
PREREQUISITES FOR GLOBAL HEALTH ROTATION
1. The housestaff must hold a Wisconsin medical license. A temporary educational permit is not sufficient.
2. The housestaff must be in good standing in his or her training program.
3. The rotation may be no more than one month in duration.
4. Housestaff must submit his or her request for the global rotation prior to the start of the next academic year.
Each year the affiliated hospitals will inform MCWAH of the number of FTEs that they will support during the next academic year.
Housestaff and Program Directors should submit a letter of request stating:
The educational benefits and goals of the rotation
The involvement of the housestaff in global health
The quality of the educational experience
The level of on-site supervision
The involvement of MCW faculty
3. A completed “Request for Elective Rotation” form and a Program Letter of Agreement for Elective Rotations (PLA) should accompany the request letter.
4. Prior to the start of the new academic year, the MCWAH DIO & Executive Director shall review all requests for global rotations and will approve the global health rotations based on the reasons given in the letter requesting the global rotations.
5. It is the responsibility of the housestaff to ascertain information regarding the status of the country where they intend to travel and other relative information regarding safety from the US State Department website. This information may be obtained at http://travel.state.gov/travel/cis_pa_tw/cis_pa_tw_1168.html. Housestaff should check for health related advisories on the Centers for Disease Control (CDC) website at http://wwwnc.cdc.gov/travel/. Housestaff should obtain information from MCWAH on benefits and insurance related to international practice and travel.
6. If the global health rotation is approved, residents will be required to participate in the MCW Global Health Program’s pre-elective education and comply with its recommendations:
a. Participate in a mandatory pre-elective, in-person 90 minute seminar on the “ethics of short-term electives” prior to travel (this session will typically occur twice annually on the first Thursday (5:30-7pm) in August and October; facilitated by MCW faculty members Dr. Thomas May, Bioethics and Medical Humanities and Dr. Nicole St Clair, Pediatrics.
b. Complete the following two, 20 minute on-line courses and provide the test results showing satisfactory completion:
c. Sign a professionalism agreement related to their conduct abroad.
d. Attend the international travel clinic and follow all advised travel precautions.
e. Review the US State Department Country Report website for travel advisories and CDC website for health related advisories.
f. Register with the US Embassy prior to travel.
g. Designate persons both at the elective site and in the US who may be contacted in the event of an emergency.
h. Complete all necessary paperwork and provide all necessary documentation prior to travel (including a copy of their passport, travel itinerary, medical evacuation insurance card, and emergency contact form).
i. Ensure that their clinical obligations will be covered in their absence.
7. Upon completion of the rotation, residents will be required to:
a. Submit a copy of the evaluation from their on-site supervisor to their residency Program Director and the MCWAH Office.
b. Complete and provide a case log to their Program Director.
c. Complete and provide a written reflection of the rotation to the Global Health Program (if applicable for travel scholarship funder).
d. Meet with their MCW Faculty Mentor for debriefing and feedback regarding the rotation.
e. Visit the international travel clinic for any follow-up care.
f. Identify an opportunity to present about the elective at a departmental educational activity (case report, journal club, grand rounds, noon conference, etc.).
8. The MCWAH DIO & Executive Director may consider global health rotation requests at other times during the academic year at his/her discretion.
This revised policy was approved by the MCWAH Graduate Medical Education Council on June 17, 2013. The original policy was approved on December 12, 2005 and revised by the MCWAH Graduate Medical Education Council on December 10, 2007 and July 18, 2011.