Program Letters of Agreement (PLAs)

**NEW** - A Step-by-Step Guide to Program Letters of Agreement

We have created a step-by-step guide to the entire PLA process, from start to finish. The guide includes links, references, and common roadblocks. Please start your process by following this guide. If you have other questions or concerns, please reach out to Savannah Thibodeaux (sthib6@lsuhsc.edu)

View and download herePLA Guide

NEW ORLEANS and BATON ROUGE Clinical Sites:

Baton Rouge General Signatory

**Send to Jennifer Burch (jen652@brgeneral.org) as APPROVER, prior to routing to Dr. Banda.

Venkat Banda, MD (ven572@hmgphysicians.com)
DIO

LCMC System Hospital's Signatory

All LCMC hospitals: Children's Hospital New Orleans, Touro Infirmary, East Jefferson General Hospital, University Medical Center New Orleans, West Jefferson Medical Center, Tulane Lakeside, Tulane Lakeview, Tulane University Hospital & Clinic will use the following process:

As of October 2023, LCMC will not use Adobe Sign. However, you will still use it to obtain the other required signatures. Instead of routing to Chris O'Neill and Dr. McGoey, add Savannah as an Approver. Savannah will obtain the LCMC signatures and distribute the fully executed agreements when completed. 

Adobe Sign Recipients:

  1. Signature of Program Director
  2. Approval of GME - Savannah Thibodeaux (sthib6@lsuhsc.edu)
  3. Signature of Site Director
  4. Signature of DIO - Dr. Engel (lengel@lsuhsc.edu)
  5. Approval of GME - Savannah Thibodeaux (sthib6@lsuhsc.edu) 




LCMC Contacts (not recipients on Adobe Sign!):

Chris O'Neill (christopher.oneill@lcmchealth.org
Contracts Administrator, LCMC Health

Dr. Robin McGoey (Robin.Mcgoey@lcmchealth.org)
Chief Academic Officer, LCMC Health

Leonard J. Chabert Medical Center Signatory

Brent A. Hemelt, MD (v-bhemelt@ochsner.org)
Medical Director LJCMC

Fernis Leblanc, CEO (fernis.leblanc@ochsner.org)
Ochsner Bayou Region

Ochsner Clinic Foundation - Jefferson Highway Signatories

**In Adobe Sign, after Savannah, list Michelle Davis (michelle.davis@ochsner.org) as APPROVER. Then continue on to the site director, Dr. Engel, and the contacts below:

Rajiv Gala, MD (rgala@ochsner.org)
Designated Institutional Official
Graduate Medical Education
Ochsner Clinic Foundation

Ronald Amedee, MD (ramedee@ochsner.org)
Dean Medical Education
Graduate Medical Education
Ochsner Clinic Foundation

Ochsner Clinic Foundation - Baptist Signatories

**In Adobe Sign, after Savannah, list Michelle Davis (michelle.davis@ochsner.org) as APPROVER. Then continue on to the site director, Dr. Engel, and the contacts below:

Rajiv Gala, MD (rgala@ochsner.org)
Designated Institutional Official
Graduate Medical Education
Ochsner Clinic Foundation

Ronald Amedee, MD (ramedee@ochsner.org)
Dean Medical Education
Graduate Medical Education
Ochsner Clinic Foundation

Ochsner Clinic Foundation - Kenner Signatories

**In Adobe Sign, after Savannah, list Michelle Davis (michelle.davis@ochsner.org) as APPROVER. Then continue on to the site director, Dr. Engel, and the contacts below:

Rajiv Gala, MD (rgala@ochsner.org)
Designated Institutional Official
Graduate Medical Education
Ochsner Clinic Foundation

Ronald Amedee, MD (ramedee@ochsner.org)
Dean Medical Education
Graduate Medical Education
Ochsner Clinic Foundation

Our Lady of the Lake Signatory

After Dr. Engel, route to:

Christi Pierce (christi.pierce@fmolhs.org)
VP Quality and Academic Affairs
Our Lady of the Lake

Slidell Memorial Hospital

**In Adobe Sign, after Dr. Engel, list Gil Ganucheau (Gilbert.Ganucheau@slidellmemorial.org) as APPROVER. Then list the following:

Sandy Badinger (sandy.badinger@slidellmemorial.org)
Chief Executive Officer
Slidell Memorial Hospital

CC Linda Hughes (Linda.Hughes@slidellmemorial.org) so she will receive a final copy.

VA Medical Center Signatory

After Dr. Engel, route to:

Irene Grundy, MD (irene.grundy@va.gov)
Acting Associate Chief of Staff for Education (ACOS-E)
and Designated Education Officer (DEO)
VA Medical Center

Woman's Hospital Signatory

**In Adobe Sign, after Dr. Engel, list Hope Price (hope.price@womans.org) as APPROVER. Then list the following:

Rene Ragas, FACHE (rene.ragas@womans.org
Chief Executive Officer
Woman's Hospital

LAFAYETTE Clinical Sites:

Ochsner Lafayette General Medical Center Signatory

**Send to Carnesiha Walker (carnesiha.walker@ochsner.org) as APPROVER to review prior to routing to the Site Director.

Ziad Ashkar, MD (ziad.ashkar@ochsner.org)
Designated Institutional Official
Ochsner Lafayette General Medical Center

Ronald G. Amedee, MD (ramedee@ochsner.org)
Dean of Medical Education
Ochsner Clinic Foundation

Ochsner-UHC Signatory

Send to Danielle Doucet (ddouc4@lsuhsc.edu ) as APPROVER, before routing to Dr. Falterman and Dr. Amedee.

Ronald G. Amedee, MD (ramedee@ochsner.org)
Dean of Medical Education
Ochsner University Hospital and Clinics

James B. Falterman, Jr., MD (jfalte@lsuhsc.edu)
Designated Institutional Official
Ochsner University Hospital and Clinics

Reminders and Templates:

From April 18, 2022 forward, digital signatures may be obtained for PLAs. Adobe Sign licenses must be obtained through LSU in order to complete this process. If you do not have a license, you can request access here.

Things to Remember:

  • Site specific Goals & Objectives must be included. These can be a separate document added in Adobe Sign or attached to the PLA. Please only include the goals and objectives for that specific site (i.e. do not include CHNOLA objectives on a Touro PLA)
  • Make sure you identify the location of your program, (Ex. LSU School of Medicine Anesthesiology Program - BR), throughout your PLA. 
  • Before initiating in Adobe Sign, please name your document with your program name and the name of the site. For example: “Internal Medicine – EJGH” 


Adobe Sign → Adobe Sign Instructions

Order for execution (unless otherwise noted)

1 - Program Director

2 - GME approver (Savannah Thibodeaux, sthib6@lsuhsc.edu ) 

3 - Site Director

4 - Lee Engel, MD, PhD, DIO (lengel@lsuhsc.edu)

5 - Approver (if listed)

6 - Hospital signature(s) - see listing below

Questions regarding Adobe Sign or digital PLAs should be directed to Savannah Thibodeaux in the GME office.

PLA Templates

For All LCMC sites (UMCNO, Touro, Children's, EJGH, West Jeff, Tulane, Tulane Lakeside, Tulane Lakeview)
LCMC ACGME Letter of Agreement 2023


For all Ochsner locations:
Ochsner ACGME Letter of Agreement 2023


For the VA:
VA Letter of Agreement 2023
VA PLA Addendum June 2023 (do not use until further notice)

For Woman's Hospital (Baton Rouge):
Woman's Hospital PLA Template - Revised 2023.docx

For all other clinical sites, use the following:
Generic ACGME Letter of Agreement 2023 

LAFAYETTE-BASED PROGRAMS

Digital Signatures

From April 18, 2022 forward, digital signatures may be obtained for PLAs. A wet signature is still acceptable, however, refrain from copying or scanning the digital signature. Adobe Sign licenses must be obtained through LSU in order to complete this process. If you do not have a license, please contact the GME office.

Site specific Goals & Objectives must be included. These can be a separate document added in Adobe Sign or attached to the PLA.

Also, make sure you identify the location of your program, (Ex. LSU School of Medicine Anesthesiology Program - LAF), throughout your PLA.

Order for execution

1 - Program Director

2 - Approver (if listed)

3 - Site Director

4 - Dr. James B. Falterman, Jr., MD, DIO (jfalte@lsuhsc.edu)

5 - Hospital signature(s)

**CC Danielle Doucet (ddouc4@lsuhsc.edu)  when you initiate a PLA. This will ensure that the GME office will receive a fully executed copy of the PLA when complete.


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