Internal Medicine or Pediatrics Global Health Pathway Residents

1. Complete all required documents as directed by your program/pathway director.
2. Send the following to your program/pathway director:
   • Signed Code of Conduct
   • Completed Health and Safety Quiz; please complete this quiz after reviewing the Health and Safety Video
3. Review any program-specific pre-departure materials (if available).
4. Discuss the need for local medical licensure with your UCLA faculty supervisor and begin the application process if necessary.
5. Visit UCLA Occupational Health or your primary care/travel medicine provider for a pre-travel visit at least 2–3 months prior to departure.
   • The potential need for Post Exposure Prophylaxis (PEP) should be discussed at this visit.
6. Review GHP's PEP Protocol.
7. Register your trip with UC Travel (this will ensure you are covered by the CHUBB - AXA Global Travel Assistance).
8. Register your trip with the State Department’s Smart Traveller Enrollment Program (STEP).

Note: if you are traveling through an official global health pathway or track to a rotation site where residents within your specialty travel regularly, your program/pathway director will work directly with the Global Health Program (GHP) and GME for approval. (If you have any questions or are unsure if your planned elective rotation is part of a pathway or track, please email GMEGlobalHealthApp@mednet.ucla.edu.

1) Residency PD (or designee) obtains Global Health AA Template + PLA template and fills in the highlighted sections for both documents. The documents can be accessed on the GME Policies and Procedures webpage under the 'Global Health Electives' dropdown.

2) Residency PD signs PLA

3) Residency PD (or designee) sends PLA and AA to international institution for review and signature

• If international institutions request edits to AA or PLA, ask them to "track changes" for any language they would like to amend.
  • PD (or designee) must then send proposed changes to Jane Boubelik, Chief Counsel, UCLA Health Sciences Office of Legal Affairs who will assist in amending the document

4) Upon receiving the returned signed PLA and AA from the international institution, program coordinator completes visual compliance and residency PD (or designee) contacts Morgan Fultz in the Dean’s Office to secure the signature of Dr. Soohoo, the Associate Dean for Graduate Medical Education on the PLA, and Drs. Dubinett and Fan on the AA. For questions regarding visual compliance, please contact: export.controls@research.ucla.edu. 

5) Morgan Fultz will send fully executed copies to the Global Health Program, Program Director and Program Coordinator, Marie Hugley in the GME Office and Kathryn Paul in VP Fan’s office.

6) Program Director (or designee) receives fully executed AA/PLA and sends to international institution:

• AA + PLA will need to be renewed every 5 years

• Travel to regions or countries designated as Level 4 by the US State Department is not permitted.
• Travel to regions or countries designated as Level 3 by the US State Department will be approved on a case-by-case basis.
  • If you are traveling to a Level 3 country or region, please fill out the Travel Health and Safety Briefing request form to set up a briefing with Risk Management prior to travel.
  • Download the "Safety and Emergency Preparedness Agreement" to be signed after Risk Management meeting.
    • Questions can be directed to GMEGlobalHealthApp@mednet.ucla.edu.