Yes, it must be a formal agreement of affiliation. The hospital must recognize your school as one of it's affiliates. It's NOT enough to just have a "contract" to train students for purely liability reasons.
Formal affiliation often means school having appointed clincal faculty members at the hospital, employing school DME's (Director of Med Ed)... etc.
Jean Luc Picard
Academic Hospitalist/Asst. Professor of Medicine, Star Fleet Medical, Earth, United Federation of Planets
Tactical Physician, Metro ESU/SWAT
In Glock, We Trust... Everyone Else... Keep Your Hands Where I Can See Them.