| Time | Events | 
      
        | 0 | Meet with local    experts at host institution | 
      
        | 1 month | Select several    international partner institutions to contact | 
      
        | 3 months | Determine final    choice for partner institution based on ABROAD** considerations | 
      
        | 5 months | Send champion from    home institution to international location to explore opportunity | 
      
        | 6 to 12 months | Create proposal,    goals and objectives, and letter of agreement | 
      
        | 13 months | Obtain GME approval    for rotation | 
      
        | 14 months | Submit rotation    request to ACGME*** | 
      
        | 20 to 22 months | Receive response    from ACGME | 
      
        | 24 months | Begin to solicit    applications from residents and funding support; work on securing housing    options for participants | 
      
        | 26 to 30 months | First resident    begins exchange at international program | 
    
    * Note: Only valid for U.S.-based training programs