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Organization and administration

Establish clear, written criteria for the governance and administration of the fellowship program

The program should be structured in a manner that will ensure educational excellence, attainment of specified goals, furthering of the stated mission and philosophy, as well as a commitment to the continual improvement of the program.

The governance structure should facilitate appropriate involvement and communication among and between faculty, fellows, administrators, and its communities of interest. ACGME and non-ACGME programs may have overlapping communities of interest, but there will probably be components unique to each program. There is generally less programmatic and administrative formality to the non-ACGME program’s communities of interest (e.g., private practice owner or if a hospital, one department only).

The governing body should appoint a program director with leadership responsibilities and authority for the administration of the fellowship. See “Faculty Qualifications and Responsibilities” in Section 5 for program director qualifications.

Consider affiliating with other practices or institutions

Program sponsors may determine that the involvement of several practices and institutions will defray costs while improving the training opportunity for fellows.

Consider sharing costs with several institutions, private and/or academic, to minimize the financial burden on your program while offering your residents a broader spectrum of experiences.

It is recommended that affiliation agreements exist between all participating groups. A sample agreement can be found in Appendix A.

Note: Only ACGME-accredited programs qualify for Medicare funding. See Establishing an ACGME-Accredited Residency Program in Pain Medicine for details.

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