2026-2027 Pediatric Orthopaedic Fellowship Accreditation Renewal Form

Pediatric Orthopaedic Fellowship Accreditation Renewal Form

2026-2027
1. Program name:
2. Institution name:
3. Program Director:
4. Director email:
5. Program Coordinator:
6. Program Coordinator email:
7. Program Coordinator phone number
Please enter a valid phone number.Format: (000) 000-0000.
8. Is your program currently ACGME accredited?
If yes, attach this year's UPDATED ACGME Letter of Accreditation here:

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For POSNA accredited programs ONLY: Please submit a list of scholarly activity for ALL faculty in the previous calendar year (July 1 through June 30). Please provide a list of PubMed publications for each faculty member, in addition to poster presentations, and presentations at national/international meetings.
Attach faculty scholarly activities:

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9. Are there any changes to your program's curriculum?
10. Please describe in detail the educational curriculum for your pediatric orthopaedic fellows (1-2 pages). *Please note that this curriculum must be specific for fellows. A resident curriculum is not a substitute for a fellowship curriculum. At a minimum, each program must include information on the following components: indications or pre/post-operative conferences, morbidity and mortality conferences, journal club, pediatric core curriculum conferences (i.e. didactic or case-based lectures). If any of these conferences are not provided, please document in your report. Please comment on the frequency of these conferences (i.e. weekly, monthly, etc.) and describe the level of involvement of the fellow at each conference. Any additional conferences that are provided, or attended regularly by fellows, should be documented. Outline and define any expected changes, additions, or deletions from the program anticipated for the upcoming year.

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11. Does your department also have subspecialty fellowship programs?
If yes, please explain:
12. Are there any changes to your program's faculty? These include new hires, faculty left or retired.
How many faculty retired?
How many faculty changed jobs?
How many left for other reasons?
How many were added/hired?
13. Attach a list of faculty a list of current full-time faculty members, starting with Program Director. For each faculty member, please indicate: POSNA Membership (yes/no). If Yes, what membership category (Active or Candidate). Are they board certified/eligible? AAOS member (yes/no). COA member (yes/no). Active Licensure (yes/no).

*The Program Director must be board certified, and an ACTIVE (not Candidate) member of POSNA.
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14. Did you have fellow(s) in the past year?
If YES, how many fellows trained at your program?
If you did NOT have fellows this year, please attach below an excel case list for all faculty from the previous year (July 1 through June 30).

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15. Please upload a list with the numbers of residents/fellows you have in each category: Pediatric orthopaedic surgery fellows, Subspecialty fellows (accredited) Subspecialty fellows (unaccredited), Orthopaedic surgery residents, Nonoperative pediatric orthopaedic surgery fellows

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16. Are you requesting any changes in the number of fellowship positions offered? PLEASE NOTE: If you are increasing the number of positions, this will require a FULL PROGRAM review.
Please describe your request including the number or increase or decrease in positions.
Please upload the Attendings’ pediatric case numbers for the past fellowship year broken down by the following categories: Spine, Hip, Foot and Ankle, Sports, Hand Neuromuscular

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As part of the renewal application, the case logs submitted the previous fellowship year through the POSNA system will be reviewed and should continue to meet a minimum of 250 cases as previously described.
17. I agree to require my program's fellows to log cases and will monitor compliance with this periodically throughout the year.
18. I understand that completion of the case log is necessary for fellows to receive a certificate from POSNA.
19. I agree to administer evaluations of the fellows, the faculty, and the program, and understand that fellowship graduation and receipt of the POSNA fellowship program diploma is pending completion of evaluations. I agree to store these evaluations onsite for a period of at least 5 years and produce them if requested by the POSNA fellowship committee.
20. I understand that a confidential evaluation of the program by the fellow will be solicited by POSNA directly and the results of this evaluation will be made available to our program after review by the fellowship committee.
21. I agree to complete and sign a letter near the completion of the fellowship certifying proper completion of the fellowship program and readiness for graduation.
By typing your name in this field, you are authorizing an eSignature.
Should be Empty:

Pediatric Orthopaedic Fellowship Accreditation Renewal Form