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Green Book Elective Rotation means that while you are med school you do clinical rotations (clerkships) in an ACGME accredited hospital department.
For example, you go for IM rotation in an IM department that has an ACGME accredited IM residency program.

Blue Book Elective Rotation means that you do it in a department that has family medicine residency covering all, for example you do your IM rotation in a department that has FM (but not IM) ACGME accredited residency program.

The issue is important only for Caribbean medical students, it's not relevant to other IMGs.

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Green Book Elective Rotation means that while you are med school you do clinical rotations (clerkships) in an ACGME accredited hospital department.
For example, you go for IM rotation in an IM department that has an ACGME accredited IM residency program.

Blue Book Elective Rotation means that you do it in a department that has family medicine residency covering all, for example you do your IM rotation in a department that has FM (but not IM) ACGME accredited residency program.

The issue is important only for Caribbean medical students, it's not relevant to other IMGs.

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Is it the rotation that has to be ACGME certified... or the residency program you are at that is ACGME certified???
 

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Is it the rotation that has to be ACGME certified... or the residency program you are at that is ACGME certified???
Your core (not elective) clinical rotation must be in a hospital that has an ACGME certified program. This is of course if you do your core clinical rotation in USA, but if you do it in other countries then that rule does not apply to you.
 
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