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Fellowship (medicine)
Medical training following postgraduate
Medical training following postgraduate
A fellowship is the period of medical training in the United States and Canada that a physician, dentist, or veterinarian may undertake after completing a specialty training program (residency). During this time (usually more than one year), the trainee is known as a fellow or fellow physician. Fellows are capable of acting as an attending physician or a consultant physician in the specialist field in which they were trained, such as internal medicine or pediatrics. After completing a fellowship in the relevant sub-specialty, the physician is permitted to practice without direct supervision by other physicians in that sub-specialty, such as cardiology or oncology.
United States
In the US, the majority of fellowships are accredited by the Accreditation Council for Graduate Medical Education ("ACGME") or, to a lesser extent, the American Board of Physician Specialties in select states. There are fellowship programs that are not ACGME accredited, yet are well received, given the importance of being a Board-Certified Physician in a primary specialty, where a Fellowship is often more based on demand and research productivity.
Requirements
In general, ACGME accredited programs require completion of ACGME-accredited, RCPSC-accredited or CFPC- accredited residency program, however, exceptions for an ACGME-International- accredited residency programs and non-ACGME-accredited residency programs are possible. International medical graduates must be ECFMG certified. Some fellowship specialties require participation in special matching programs such as Specialties Matching Service (SMS) or SF Match.
Combined fellowships
There are a number of programs offering a combined fellowship, training in two or more sub-specialties as part of a single program.
- Pulmonary/Critical Care: this type of program is more common than Pulmonary Disease (non-combination) programs. As of 2007, there were 130 ACGME-accredited combined Pulmonary/Critical Care programs while only 25 programs for Pulmonary Disease alone.
- Hematology/Oncology: as of 2005, there were 125 ACGME-accredited programs for Hematology-Oncology, while only 12 programs for Hematology alone and 18 for Oncology alone.
- Geriatrics/Oncology: the American Board of Internal Medicine approved a 3-year combined fellowship training program in medical oncology and geriatrics. The John A. Hartford Foundation initially funded 10 institutions for this type of training.
References
References
- (2025). "Resident or Fellow Physician Job Description". [[University of Tennessee]].
- "Residencies & Fellowships - Graduate Medical Education - Stanford University School of Medicine".
- "Eligibility Requirements – Fellowship Programs".
- "Fellowship before residency in the USA".
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