Institutional information: An accredited residency program must operate under the authority and control of a single sponsoring institution, and that institution must document its commitment to provide the necessary educational, financial, and human resources to support GME. (See IR . and IR .) Master affiliation agreements are legal documents between the institution that sponsors the program(s) and Review Committee-approved participating sites to which the residents rotate for required educational experiences. They must be renewed every five years and must exist between the sponsoring institution and all major participating sites. (See IR .) Master affiliation agreements are typically handled through the.