Program Letter of Agreements

Program Letters of Agreement (PLA)

PLAs and External Rotation Agreements are defined by the ACGME as, “written documents that address GME responsibilities between an individual accredited program and a site other than the sponsoring institution.” As the University of Florida is the sponsoring institution, the following is required for all accredited programs:

A. The University of Florida has Master Affiliation Agreements with the following sites:

  • UF Health – Shands,

1) Shands Teaching Hospital and Clinics, Inc. (“SHANDS”),

2) Shands Jacksonville Medical Center, Inc., and,

3) all subsidiary organizations and facilities listed below:

  • Shands Rehab Hospital
  • Shands at VISTA
  • Shands Children’s Hospital at the University of Florida
  • Community Care Physicians at Crown Point
  • Shands Medical Group of Live Oak
  • Family Health at West Oaks
  • Florida Surgical Center
  • Park Avenue Imaging Center
  • Shands Rehab Center at Medical Plaza
  • Shands for Kids at Shands Rehab Center at Magnolia Park
  • Shands Rehab Center at Magnolia Park
  • Shands Rehab Center at Shands at UF
  • Shands Rehab at the Orthopaedic Sports Medicine Institute
  • Florida PsychCare
  • Ayers Surgery Center
  • Shands Medical Group of Starke

If you have UF resident/fellow rotations at any of the above listed UF Health – Shands sites, use the following template:

1. Program-Letter-of-Agreement-Template-for-UF at UF-Health-Shands as of 4-9-2015

The University of Florida also has Master Affiliation Agreements with:

  • North Florida/South Georgia Veterans Health System,

  • Orlando Health, Inc.,

  • Sacred Heart Health System, Inc., and,

  • Naval Hospital, Jacksonville, Florida (only for Community Health and Family Medicine, Obstetrics and Gynecology, Ophthalmology, Pediatrics).

If you have UF resident/fellow rotations at any of the above listed sites, use the following template:

2. Program-Letter-of-Agreement-Template-for-OTHER sites with MAA as of 4-9-2015

Please note: if there are any modifications to any UF agreements, additional time will be needed for review and approval by UF Contracts and Risk Management

  • Please allow a minimum of 30 days for UF templates without any changes.
  • Please allow a minimum of 60-90 days for UF templates with changes or non-UF forms.
  • Please allow a minimum of 90 days for rotations that require out of state licenses.

B. UF residents/fellows rotating at sites NOT listed in Section A

For all other UF resident/fellow experiences not listed in section A, please use this template::

    OR

Non-UF residents/fellows rotating in Gainesville:

Please note: if there are any modifications to any UF agreements, additional time will be needed for review and approval by UF Contracts and Risk Management

  • Please allow a minimum of 30 days for UF templates without any changes.
  • Please allow a minimum of 60-90 days for UF templates with changes or non-UF forms.
  • Please allow a minimum of 90 days for rotations that require out of state licenses

C. Resources; the following links will assist you in completing agreements:

Look up legal entity of non-governmental, institutional names:

Requesting Self Insurance Program (SIP) Estimates and payment information for visiting residents/fellows from other institutions:

  • Contact:  Self Insurance Program Estimate Request   (email).  Please list “Estimate Request” in the subject line.  The specialty and rotation dates are required for the estimate, note them in your request.  Please enter the estimate amount received in the designated fillable section of the template.

  • SIP Payments (check or money order, payable to UF Self Insurance Program) should be sent to:

    UF JHMHC Self-Insurance Program, Attn: Insurance Services, P.O. Box 112735, Gainesville, FL 32611-2735

Courtesy Appointments or Non-UF Visiting Residents/Fellows:  please click on the following link and follow the steps:   External-non-UF-Residents-or-Fellows-Onboarding-Process

For any questions, please contact Diana Morris 352-594-5097

This page was last updated on 9/18/2017