III.        Graduate Medical Education Institutional Agreements with Participating Institutions

Programs sponsored by MSU/CHM involving teaching hospitals or health systems affiliated with the College shall be governed by written affiliation agreements, letters of agreement, and/or bylaws of community corporations of MSU/CHM and each Major Participating Institution. Master Affiliation Agreements will exist with those Participating Institutions where MSU/CHM sponsored residency programs take place.  Essential elements of the institutional agreements will specify

• Identification of the officials at the participating institution or facility who will assume administrative, educational, and supervisory responsibility for the resident(s);
• The educational goals and objectives to be attained within the participating institutions;
• The period of assignment of the residents to the participating institution, the financial arrangements, and  details for insurance and benefits
• The participating institution's responsibilities for teaching, supervision, and formal evaluation of the residents' performances;
• The policies and procedures that govern the resident’s education while rotating to the participating institution.
• The processes by which budgetary decisions are made including the roles of Liaison Committees if appropriate.
• Such affiliation agreements or contracts may contain a “termination clause.” Any such statement must recognize the MSU/CHM GMEC policy that residency program closure must not affect the resident’s ability to complete a residency program.  Therefore, the Program Director together with the Director of Medical Education (DME) of the Participating Institution must arrange for the resident(s) to transfer to another ACGME accredited program, or must conclude the program for the residents in training.