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Thread: What is a Greenbook rotation?

  1. #1
    sreec is offline Super Moderator 536 points
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    What is a Greenbook rotation?

    The point of this thread is so I can link it to my signature and never again have to define the term 'greenbook rotation'.

    A greenbook rotation is one that either has or is affiliated with an ACGME-residency program in the same field as the rotation. The reason for the term 'green book' is because the ACGME publishes a list of these accredited residency programs in a book that happens to be green. This list is also available for free on their website - ACGME Accredited Program and Institutional Listing - Public Access.

    There are several reasons to choose Greenbook rotations.

    The most important I think is the ability to practice in the maximum number of states. The VMD user Dakota, who is an AUA grad, posted the following:
    Quote Originally Posted by Dakota

    States that may prove to be difficult regarding "GREEN" rotations are California, Delaware, Conn, Georgia (all including electives), Illinois, Michigan, New Mexico, New York, Oklahoma, Utah, Virginia, and Kansas (15 year rule). Tennessee and Nevada should probably be put in this list as well.

    States that aren't as difficult, with regards to "GREEN" rotations are Arizona, Colorado, Florida, Pennsylvania, Indiana, Iowa, Maine, Louisiana, Maryland, Mississippi, Missouri, Montana, Nebraska, North Carolina, North Dakota, Ohio, Rhode Island, South Carolina, South Dakota, Texas (be ready to fight), Vermont, West Virginia, Wisconsin, and Wyoming.

    The statutes of each state are readily available for everyone to read---just takes a while to get through them all.

    State Medical Boards, Physician Licensing Boards, State Boards of Medicine Directory
    Also very important is that a greenbook rotation is almost always affiliated with an academic program in the subject - which means that you'll have lectures and actually learn something.

    There are certain hospital administrators and even AUA employees who think, quite incorrectly, that a program is "Green book" if it is affiliated with a Family Medicine residency program. I have personally called the Michigan State Medical Board and they have told me that this is not true. The only state I know of which allows these 'Blue Book' rotations, as they are referred to, is California. And, AUA students can't practice there anyway.

    The above stuff about Greenbook rotations applies to the core rotations. There are only two states that require Greenbook electives, that I know of, and those are TX and PA. I think that you should do Green electives as well, simply because it is a better learning experience. Take advantage of the fact that AUA students can do 3 months of rotations in hospitals not affiliated with the school to schedule these Greenbook electives.

    Finally, you need to be able to independently verify the greenbook status of any given rotation - otherwise you will be mislead. For example, if you want to check if your Internal Medicine rotation at Harbor Hospital is Greenbook, go to

    1. Go to ACGME Accredited Program and Institutional Listing - Public Access,
    2. Click on Accredited Programs (left column)
    3. Select "Internal Medicine" and "Maryland"
    4. You'll see Harbor Hospital on the list

    Now here's the tricky part. How do you verify that a hospital without a Greenbook rotation is affiliated with one that is? That's the case with Ob/Gyn at Harbor Hospital.

    1. Call Harbor Hospital and ask them exactly how the Ob rotation is Green
    2. They will tell you that it is through the University of Maryland
    3. Go to ACGME Accredited Program and Institutional Listing - Public Access
    4. Click on Accredited Programs (left column)
    5. Select "Obstetrics and Gynecology" and "Maryland"
    6. Click on View Details to the left of "University of Maryland"
    7. You'll see Harbor Hospital if you scroll all the way down

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    Last edited by sreec; 10-25-2008 at 06:43 PM.
    MerlinDoc85 and daryaa like this.


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    dj230 is offline Junior Member 512 points
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    Hi Chimonze!

    Could you please PM me? I had a couple of questions I'd like to ask you about the anesthesiology match process and your experience at JPH.

    Thank you.

  3. #82
    Elezabeth is offline Newbie 511 points
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    I said a few posts ago that I would delve into the subject of green book rotations, so here I am. For the third and fourth year of medical school, students have to do their core and elective clinical rotations at hospitals. If you're a medical student in the US, you have the luxury of having a teaching hospital right in the vicinity of your school.Caribbean students, however, spend the last two years of med school in the US rotating at different hospitals across the country that are affiliated with the Caribbean school. When you do rotate, you want to make sure the clerkships you're doing are greenbook.

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    Med_Data is offline Junior Member 510 points
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    If you haven't seen it already: please check out the main USMLE Step 1 Forum to express your opinion and help future medical students! Thank you!

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    KateHoll is offline Junior Member 510 points
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    This is a very interesting topic for me.

  6. #85
    callumporter is offline Junior Member 510 points
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    "Green-Book rotations" are presented by a clinical science program accredited by ACGME. These rotations are usually related to the Teaching Hospitals with residency rotation programs which can be Pediatrics, Surgery, OB/GYN, Internal and Family Medicine, etc. The main purpose of such hospitals is teaching young medical students who want to gain new experience and become top specialists in the future. Interns, residents and fellows are the main representatives of such rotations. If you're applying to a clinic or hospital with no residency programs, then these rotations are called Blue-Book.

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