Request for Considerationof a new GME Fellowship Program

-please read these instructions carefully-

The Partners GME Office uses a two-step process for considering new fellowship program proposals, aimed at avoiding unnecessary work for those seeking to develop a program. The first step involves presenting a concept proposal. If preliminary approval is grantedthen the GME staff will help guide you in developing the program curriculum, evaluation tools, etc., that will need to be reviewed as you seek final approval for the program. Please allow 6 months for this process, and please note that recruitment to a GME fellowship program cannot be undertaken until/unless the program is approved

Prior to submitting this initial application, please:

  • Review the Partners Integration Guidelines: and consider with colleagues at Partners affiliates the possibility of creating this as an integrated program.
  • Provide a copy of this brief applicationand discuss the proposed fellowship with:
  • the core residency (and, if relevant, core fellowship program director) in your department
  • program directors of any fellowships in overlapping subspecialties (if applicable), including any that may be in a different department
  • your Division Chief(The Division Chief and Department Chair will be asked later to comment about the proposal.)
  • Provide a copy to the hospital Vice President who works with your department

Resources:

Diane Sheehan () is the GME Office liaison for new fellowship program development program.

The GME Director that works with your departmentis available if you have any questions about this, and will otherwise be in touch with you after the application is submitted.(See list of GME director assignments at: )

Part 1 Application for a New GME Fellowship Program

This document is a "form". To enter your responses, use the mouse to click ON or IN the check- and text - boxes.

Program name:
Program director:
Associate program director (if any):
Sponsoring Hospital(s):
Sponsoring Department(s) and Chair name(s):
Sponsoring Divisions and Division Chief name(s):
Duration of fellowship:
Is national accreditation currently available for this (sub)specialty? / Yes No
If yes, a) which accrediting organization?
b) do you plan to apply for accreditation?
Yes No
# fellows you propose to accept each year:
Prerequisites: (Ex: ‘2 years of a core residency program in…; graduation from an ACGME-accredited program in…’,etc.)
Date when would you like the first trainee/s to
matriculate:
Date you are submitting this request:

Please outline the rationale and goals for starting a fellowship in this area. (For ex.,Will it address a societal need? Are there benefits for the hospital, division, etc.?)

Rationale & goals:

Describe the anticipated career path/s for program graduates (e.g. “X% expected to become clinician-investigators, Y% full time clinicians, etc.”).

Anticipated career paths of graduates:

Indicate the proportion of time/effort that the fellow would devote to clinical activities, research, and any other major responsibilities.

Time allocation:

Describe the expected interactions between your trainees and other residents or fellows; describe any potential impact on the core residency program and other fellowship/s (e.g., reduced clinical material available to residents; increased medical student teaching or resident supervision, expanded didactic conferences open to trainees in other programs, etc.)

Interactions/impact (core residency, other GME programs):

If this is not being proposed as an integrated fellowship involving BWH + MGH (+/- other PHS hospitals), please confirm a) that you or your Division Chief or Department Chair discussedthis with the Division Chief or Department Chair at the other AMC (BWH or MGH); b) reasons integration is not being pursued.

Names of who participated in discussing the possibility of integration with the other Partners AMC (+/- other Partners hospitals):
Reasons integration is not being pursued:

Please indicate the anticipated program budget:

Expense / Amount
Fellow salary + fringe
Other Expenses: (no specific info on PD salary will be distributed to PEC members)
Program Director salary + fringe
Administrative support
Other-
Other-
Other-
Other Expenses Total:
TOTAL:
Source(s) of funding to support the program:
(Note if supported by a gift from industry)

The Partners Resident Salary Scale (which need not be used for fellows) and the contract template for non-ACGME fellows can be found at

Please submit via email to Diane Sheehan @

Revised 11/20/17

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