COMDTINST 6400.1A
8 NOV 1994
Affiliations with externs and their institutions can assist Coast Guard health care providers in
staying current and challenging their profession, and to a limited extent, helping the clinic
increase the quantity of service it provides.
a.
Operations.
(1)
Authorization to provide living quarters and subsistence to externs working at
clinics is contained in 5 USC 5351. Authorization to use appropriated funds to
carry out this program is contained in 5 USC 5351. For purposes of this program,
the student- employee's stipend is equal to the value of accommodations (quarters
and subsistence).
(2)
Quarters provided at government expense are the responsibility.of the unit and
charged against the AFC-30 account.
(3)
The use of government funds for travel expenses associated with the externship is
not authorized.
(4)
Externs shall be Subsisted in Coast Guard dining facilities. Such subsistence shall
be treated as reimbursable issues and paid by the unit AFC-30 account citing this
instruction as authority. Units without Coast Guard dining facilities must contract
for this service from unit AFC 30 funds.
(5)
Restricted exchange privileges are granted to externs for the purchase of: health and
comfort items; books; educational Supplies and materials; food and snack items for
on-premises or daily consumption; and personal services such as laundry and dry
cleaning, barber/beauty shop services, tailoring, shoe repair, and guest house
accommodations. The purchase of other merchandise (including tax-free tobacco
products, alcoholic beverages, and uniform articles), and the patronage of
commissaries, are not authorized. Coast Guard Exchange System (CGES) club
privileges may be extended at the discretion of the commanding officer,
b.
Affiliation Agreements.
(1)
All academic institutions (AI) participating in SEP must have a signed affiliation
agreement (see enclosure (1)) on file with Commandant (G-KOM), Draft affiliation
agreements shall be sent to the cognizant MLC for legal and health and safety
reviews. The MLC reviewed document will be returned to the unit for review and
discussion with the AI. Following the unit and AI review, the signed
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