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Approval limits a multi-year information process to reduce the need to negotiate and renegotiate short-term supervised training experience agreements, which pose a relatively low risk to all parties involved. The more institutions that use the single agreement, the more time each saves. Insert your institution`s name into our registration today by sending an email to firstname.lastname@example.org. AURRA contains general legal terms and is managed as a PDF document on the AAMC website. It is designed to be integrated by reference to a program contract letter (or other agreement) signed by the sponsoring institution and the participating website. For those who need to amend or add provisions because of unique state requirements or for other reasons, the PLA may be amended to reflect these provisions.