BACKGROUND: While resident interest in global health education has increased, the administrative demands of providing a meaningful and safe international experience have also grown. In 2012, the Department of OBGYN at the Medical College of Georgia (MCG) established a global women’s health program, including an international rotation. METHODS: After constructing a program outline, identifying stakeholders, establishing educational goals and objectives, and determining available resources, an educational program in global women’s health was developed. Barriers related to finance, educational structure, and personal/professional liabilities were resolved. ACGME requirements were reviewed, including: 1) supervision; 2) establishment of competency-based goals and objectives; and 3) evaluation. A program letter of agreement was signed with the international practice site. RESULTS: Since program inception, 88% of eligible residents (16 of 18) have completed the educational modules and international rotation, averaging 4 weeks abroad. Educational goals and objectives are based on epidemiology related to global health and disease-specific clinical practice. Residents complete online modules and participate in weekly departmental conferences via videoconference. Residents log procedural data and duty hours while abroad. A competency-based evaluation is completed by the supervising physician. The average cost per resident for travel, insurance, and housing is $2,416, paid by the department. The supervising physician is compensated by the department. MCG pays resident salary and benefits while abroad. DISCUSSION: As popularity for global health education has grown, the administrative requirements have become prescriptive to ensure a meaningful educational experience.