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ACGME trainees should be in the MedHub feed and automatically added to the Hydra database if their start date in MedHub is within 180 days and the MedHub/GME program code is associated with a program that rotates at ZSFG.  If they are missing from the report, it may be due to a missing GME program code or that code may not be associated as rotating through ZSFG.  In those cases, we would need to either associate the program code with ZSFG, or manually add the trainee if they are a one-off from that training program.  You can also click here to download the latest version of the ZSFG Hydra database manual add template.  Please follow the instructions on the template to export the completed template file as a CSV and email to  

If the trainee is completely missing from MedHub, the trainee administrator (TA) will need to work with the UCSF Graduate Medical Education (GME) office to get them into MedHub.