Exceptionally Qualified Candidate Form

Here you can download the ACGME-Accredited Fellowship Program Request for an Exceptionally Qualified Candidate.

This form applies to candidates who have not completed all required pre-requisite clinical education in an ACGME-accredited residency program, an AOA-approved residency program, a program with ACGME International (ACGME-I) Advanced Specialty Accreditation, or a Royal College of Physicians and Surgeons of Canada (RCPSC)-accredited or College of Family Physicians of Canada (CFPC)-accredited residency program located in Canada.