What are the rules about sub-specialty electives?

[RussianJoo]

So everyone knows that to be licensed you have to do green booked rotations and that green booked means that you do a rotation at a hospital that has a residency program in that rotation. But what's the rule for doing a rotation in a sub-specialty? do you need that hospital to have a fellowship for that rotation to be green booked? or will it count as long as there are residents rotating there. For example I want to do a peds endocrinology rotation. The rotation is done at an out patient clinic but there are pediatric residents that do their endocrine elective there. Will this rotation count as green booked or will I have licensing issues in the future. Same goes for an ICU rotation, there is no ICU fellowship, but there are residents from medicine, and surgery that rotate through the ICU, will that ICU rotation fall under either the internal medicine or surgery reisdency and thus be green booked?

thank you in advance for your replies.

[rubensmadder]

i believe you will have licensing issues in New York, as this state requires all your rotations to be green book by specialty, meaning they have to have a residency or fellowship in that field. I spoke to the New York Education Board since I was in a similar situation as you, and they said that if only residents rotated thru that subspecialty then the elective must be labeled "Internal Medicine elective"..i believe in your case for peds endo it should be called "Pediatrics elective". I'm not sure what other states require though.

[RussianJoo]

i believe you will have licensing issues in New York, as this state requires all your rotations to be green book by specialty, meaning they have to have a residency or fellowship in that field. I spoke to the New York Education Board since I was in a similar situation as you, and they said that if only residents rotated thru that subspecialty then the elective must be labeled "Internal Medicine elective"..i believe in your case for peds endo it should be called "Pediatrics elective". I'm not sure what other states require though.

Thank you for the reply. The paper will say "pediatrics" which there is an acgme approved residency for, and i'll user their acgme number on my transcript. So the licensing board will think I did a 1 month elective in pediatrics but in reality i'll be doing a 1month elective in pediatric endocrinology. this is all possible since the hospital has a pediatric residency and their residents rotate through that pediatric endocrynology elective. Same will go for my ICU elective it will count as 1 month internal medicine elective.