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The ACGME does not recognize co-sponsorship of residency training programs. It mandates that one sponsor assumes the ultimate "educational" responsibility for the accredited programs. The ACGME seeks assurance that the sponsoring institution ensures that adequate financial support exists for the residents to fulfill the responsibilities of their educational program. The sponsoring institution is held accountable for funding, including ensuring that funding sources do not have an adverse impact on the residents' educational program. The Sponsoring Institution must maintain oversight of financial or other resident support issues.

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