What are greenbook rotations?

[romdoc]

what's is a green book rotation?

[Nimitt]

Green book rotation is a rotation that has a ACGME approved residency in that rotation. For instance, if you want to do a medicine core clerkship then it has to be in a hosptial where they have a ACGME approved IM residency program (which tells everyone that this place is a teaching hospital...whether the attendings or residents teach or not is another story!).
This is important for licensing because several if not all states require that your 3rd year core rotations be done at ACGME approved programs.

[romdoc]

thanks. Nimitt

[edoki]

Thanks indeed

[grace]

Originally Posted by Nimitt

Green book rotation is a rotation that has a ACGME approved residency in that rotation. For instance, if you want to do a medicine core clerkship then it has to be in a hosptial where they have a ACGME approved IM residency program (which tells everyone that this place is a teaching hospital...whether the attendings or residents teach or not is another story!).
This is important for licensing because several if not all states require that your 3rd year core rotations be done at ACGME approved programs.

Does this apply to elective rotations as well? Say you want to do a Cardiology elective; does the hospital need to have an ACGME approved Cardiology residency or will one in IM suffice, since Cardiology is under the IM umbrella?

[julestx]

For Texas, anyways, it has to have its own program in every single rotation. This is for fmg's. So if you're checking into it for your choice State's licensure rules/regs...make sure you check for their policies on fmgs specifically. Also, osteopathic programs count in most cases.

[Clinical Director]

It is very difficult to define Green Book Rotations as many states have different criteria in order to recognize rotations done as international medical "students" in the U.S. The word "Green Book" comes from the book called "Green Book", which is the paper version of www.acgme.org. This is where all ACGME approved residency programs are listed.

Another factor that will affect your candidacy for specific clinicals is whether you're a medical student or a graduate. Please use caution to distinguish yourself as an International Medical Graduate (IMG) or an International Medical Student (IMS) when looking for clinicals. By mistake, we classify ourselves as IMG, eventhough we may still be medical students.

The most important thing you should be concerned about is licensure and the ability to practice medicine (not just residency) in the U.S. For this reason, we have formulated the following definition:

Green Book Rotations – unofficial - are clinical clerkships conducted in a hospital with at least one residency program, or one of their satellite clinics, or in a facility with an ACGME listed affiliation with a medical school that offers that residency (since they will most likely send those residents and their medical students to their affiliate sites). The same teaching institution’s GME office, or a representative of the GME office for the non-LCME program must document and supervise these very same rotations. Students must have officially been accepted at that institution prior to rotation start date, gone through orientation, and carry appropriate identification. Personally setting up rotation with attending, even those who are employed by residency programs, will not guarantee “rotation verification” for IMG licensure. Many states (i.e. Georgia) require this for both Cores and Electives... so its safe to account for all rotations. For example, Greenville Hospital, a minor affiliate of X School of Medicine who rotates their Psychiatry residents and students at Greenville Hospital, AND who will verify your rotations (not just the attending signature on evaluation) will suffice for most clinical rotation criteria section of IMG licensure.

This is completely different for International Medical Graduates, as they don't need to have their clinicals verified. As a matter of fact, an entirely different universe of rules and regulations (both documented and verbal) apply to this set of individuals who have already graduated from a non-U.S. medical school, not done residency in the U.S., have no U.S. medical license and need to fulfill the various residency program's U.S. clinical experience requirements before they can apply. These sub-set of doctors need to make sure that they abide specifically know each states medical board rules when it comes to clinicals, and not be engaged in the practice of medicine without a license. I'll go as far as saying that they shouldn't even wear a white lab coat (short or long) when in clinicals, not call their clinicals "rotations" or "externships" or "clerkships".

Certainly, there are variations to this definitions and parameters. However, we at AmeriClerkships have expanded and propose to change the term of "Greenbook Rotations" to "Verifiable Rotations". In 2007/8, there are 20 states that will qualify IMG rotations done in the U.S., and most-all will want to see the GME/MSO's seal and verification of the rotation. Basically, if the hospital doesn't officially know you're there, they won't seal and verify the rotation.

You might have also heard about Blue Book Rotations – unofficial; we speculate this to refer to conducting any core or elective rotation in a hospital who possesses the ACGME status for a Family Practice residency program. This is for the international medical student (IMS) to practice medicine in the not-so-difficult states. Once again, this is used by only a couple of caribbean medical schools. I don't necessarily agree with this since there is only one state (California) that allows for required green book rotations to be done in FP residency programs... not all states do this.

Hope this helps. Feel free to contact me with any questons that you might have.
Dr. Mizani

[drfisher]

How does one arrange one's own rotations at these hospitals? If all of my rotations are at a "green book" hospital will this satisfy that area of licensure?

Thanks

[drfisher]

Forgot to ask, where can I download a copy of the green book?

[studentMD]

u cant download a copy of the greenbook.. its 1397 pages

u can buy it from ie amazon
its actual name is graduate medical education directory.. theres a new copy each yr..

or u can visit ur medical school library.. they should have a copy there..
and often times the hospital library will also have a copy..