Annual Status Report

  • Annual Status Report

  • Statement of Purpose
    The Neurohospitalist Society fellowship accreditation committee reviews and accredits neurohospitalist fellowship programs to ensure a standard level of educational quality and to promote training opportunities for neurohospitalists.

    Annual Status Report
    An annual status report must be submitted by May 1 during years when the biennial program evaluation report is not due. Use the form below and upload the required documents.

    ANNUAL RENEWAL FEE: $2000 ($500 if there is no fellow in training at the time of renewal)

     

    Please review the institutional and core program requirements before submitting your annual status report.
    Institutional requirements
    Core program requirements

    We recommend utilizing the "save" button at the bottom of the page as you fill out the form. A link will be emailed to you.

    For more information, please contact the Accreditation Committee at accreditation@neurohospitalistsociety.org.

  • Institutional Requirements

  • Sponsoring Institution: Neurohospitalist fellowships must be overseen by a Sponsoring Institution that maintains institutional accreditation with the Accreditation Council for Graduate Medical Education (ACGME) or the Canadian Excellence in Residency Accreditation (CanERA). Programs seeking accreditation must provide a letter, signed by the Designated Institutional Official or representative, stating the Sponsoring Institution’s ACGME or CanERA accreditation is current, and that the Graduate Medical Education Committee (GMEC) or Postgraduate Education Committee has knowledge of the Neurohospitalist fellowship and has approved its application for accreditation as relevant to the Sponsoring Institution. If the Neurohospitalist fellowship program intends to offer positions to foreign national physicians working in the United States on J-1 visas sponsored by the Educational Commission for Foreign Medical Graduates (ECFMG), the letter must also include a statement verifying that the Sponsoring Institution has recognition to conduct Non-Standard Training programs by the ACGME, and that the neurohospitalist fellowship is in compliance with local requirements for NST programs.

    This letter does not need to be resubmitted unless the fellowship program is newly planning to offer positions to physicians working on a J-1 visa (there will be an opportunity to do this later in this submission form).

  • Sponsoring Department: The sponsoring institution must have a department that takes primary responsibility for the neurohospitalist fellowship. The fellowship director must be a member of this department.

  • Is the neurohospitalist fellowship director a member of this department?

  • Stop. The neurohospitalist fellowship director must be a member of the department taking primary responsibility for the fellowship.

  • Participating Sites: Neurohospitalist fellowships may take place at any hospital affiliated with the sponsoring institution. Each participating site must provide documentation of an affiliation agreement with the sponsoring institution that grants the participating site authority to provide an educational experience for trainees under the oversight of the sponsoring institution.

    List each participating site where clinical experiences take place during the neurohospitalist fellowship.

  • Is this a new participating site?
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    • Site 2 
    • Site 2 status:
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    • Site 3 
    • Site 2 status:
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    • Site 4 
    • Site 2 status:
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    • Site 5 
    • Site 2 status:
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    • If you have more than 5 sites, please contact the Accreditation Committee at accreditation@neurohospitalistsociety.org. 

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  • Core Program Requirements

    Fellowship Director and Faculty:
  • Current Board Certification:
  • Current Board Certification:

  • Fellows

  • Foreign medical graduates on J-1 visas: Will your program offer positions to foreign national physicians eligible to work in the United States on J-1 visas sponsored by the Educational Commission for Foreign Medical Graduates (ECFMG)?
  • Review the ACGME requirements for Non-Standard Training Recognition. Does your MOST RECENTLY UPLOADED Sponsoring Institution’s letter acknowledging the neurohospitalist fellowship state it (the Sponsoring Institution) has recognition to conduct Non-Standard Training programs by the ACGME, and that the neurohospitalist fellowship is in compliance with local requirements for NST programs?
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  • Since the initial accreditation or last biennial program evaluation report, do you wish to increase the number of fellows you train annually?

  • Provide a sample schedule that illustrates how the fellowship plans to accommodate multiple learners. A sample schedule is provided here. Note, in this example both learners are never on the same rotation at the same time, but that does not preclude this option if a rotation can provide a robust learning experience for two fellows simultaneously.

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  • Major Changes

  • Please choose your payment method. Payment must be received by September 1 in order to process your application. Invoices will be emailed to the primary contact.
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