FOR PHYSICIANS

Annual Fellowship Training Forms

The following forms are sent to Program Directors at the end of the training year.

ACGME-accredited programs are required to submit a completed ACGME Milestones Report, Attestation Form, letter of recommendation, & Incoming Fellow Form. All information is due by August 14. Consult the Membership and Dues page of the ACMS website for an Associate Membership Application and Case Log for your fellow.

International ACMS-approved programs are required to submit a completed Annual Acknowledgement Form, Assessment Fee, Number of Cases Form, Final Evaluation of Fellow Form, and Incoming Fellow Form. All information is due by August 14. Consult the Membership and Dues page of the ACMS website for an Associate Membership Application and Case Log for your fellow.

• Training Program Information - Incoming Fellow (Online Submission)
• Program Director Attestation Form (for ACGME-accredited programs only)
• ACGME Milestones Evaluation (as of the 2022-23 fellowship year, this is required for international ACMS-approved programs)
  • ACGME Milestones Supplement Guide (PDF)
  • ACGME Milestones Supplement Guide (Word)
  • ACGME Milestones Evaluation Training Video
• Annual Acknowledgement Form (for international ACMS programs only)
• Fellowship Training Program Assessment Fee Invoice (for international ACMS programs only)
• Fellowship Training Number of Cases Form (for international ACMS programs only)