TABLE.

Graduate Medical Education Reimbursement

Activity	Centers for Medicare & Medicaid Services	Department of Veterans Affairs
Full-time rotation	100% resident effort Based on rotation requirements 1 resident cannot be > 1 FTE	100% resident effort Based on rotation requirements 1 resident cannot be > 1 FTE
Part-time rotation	Time at qualified settings/total time at all participating sites	Time at Department of Veterans Affairs facility/total time at all participating sites
On-call activities	Not reimbursable 1 resident cannot be > 1 FTE	Not reimbursable 1 resident cannot be > 1 FTE
Didactics	Included if occurs in a qualified setting	Occurs in a patient care setting Scheduled in advance Necessary to perform Department of Veterans Affairs duties Required of all residents in program
Orientation	Only if necessary for employment	Required to perform Department of Veterans Affairs duties ≤ 2 d
Research	Normally included for DGME in hospital if part of program Included for indirect medical education funding in hospital if it involves individualized patient care	Approved by designated education officer Accreditation requirement Required of all residents in program Benefits veterans Shared proportionally with academic affiliate
Leave	Vacation, sick leave, and other approved leave Not reimbursed if it prolongs regular length of the program	Based on the affiliate leave policy Maximum allowable: Annual leave, 30 d; sick leave, 15 d; meeting/conferences, 5 d; exam leave, 2 d

Abbreviations: DGME, direct graduate medical education funding; FTE, full-time equivalent.