The ACGME requires a Program of Agreement (PLA) for each participating program and site if the order is made for a month or more. Affiliation Agreement (AA): an agreement required for rotations of thirty days or more; rotations required for all residents of a given program; and/or rotations to connected websites, which are hospitals or similar companies. Master Affiliation Agreement (MAA): an agreement that is concluded by the GME office to conclude an interconsectual agreement between the programs, as defined by the ACGME. . Clinical rotation: an educational activity involving direct or indirect responsibilities in patient care. Please follow these policies when preparing your PLA: Addendum: Regular AA or MMA updates established. Before submitting a new PLA, the application for authorisation below must be submitted to Cherie Lewis. Once approved, you will be informed by the GME office of the measures to be taken. Program Letters of Agreement (PLA): a contract between Mary Hitchcock Memorial Hospital (MHMH) and a national educational institution that is not related to D-H. . .