The support limits a multi-year public relations process to reduce the need to negotiate and renegotiate agreements for short-term and supervised training experiences, which pose a relatively low risk to all parties involved. An important part of the third and fourth year of medical school is the opportunity to learn in a clinical environment. The AAMC Uniform Clinical Training Affiliation Agreement was designed to: Rotations of medical residents are essential for medical education. According to ACGME, residents now turn to more than 5,000 participating sites each year. In a 2016 survey, about half of diOs at AAMC member institutions indicated that negotiations on rotation agreements for local residents delayed rotations. Consistent application of the AAMC Uniform Clinical Training Affiliation Agreement through the implementation of an implementation letter by the faculty of medicine and the host clinical institution saves time, reduces costs, and standardizes expectations. . . .