|
For instructions on completing this form, click here.
The American College of Radiology will update the Fellowship Directory regularly. If you need to update or add to the Fellowship listing(s) for your hospital/facility, please complete and submit the online application for listing below. All submissions will be verified for accuracy. Please submit one form for each fellowship you wish to appear in the directory.
Please allow 3-4 business days for ACR Staff to review your submission and update the listings.
Submission of Fellowship Listing
Submit one form for each fellowship program. Please do not combine multiple programs on one form. |
| Please indicate whether this is an update to a current listing or a new listing. |
| New, currently not on ACR Web site Update to a listing already posted Delete this listing |
| If this is an update, please enter fellowship program name and specialty |
|
|
| Your program's ACR-assigned, 4-digit site number (if known) |
|
| Name of hospital/facility: (Required - and used in Sort by Hospital/Facility) |
| If this is an update, has the hospital/facility named changed?YesNo |
| Name of medical school with which program is affiliated (if not applicable, please leave blank) |
| If this is an update, has the medical school named changed?YesNo |
| Address: (Required - and used in Sort by State) |
Department: Address1: Address2: City: State/Province: Postal Code: Country: |
| Web site: |
|
| Program Director: (Lastname, Firstname M -- used in sort by Program Director) |
|
| Program Director E-mail Address: |
|
| Program Contact Person (if different from Program Director): |
| Title: |
| Contact Person's E-mail Address: |
|
| Telephone: |
|
| Number of fellows accepted each year: |
|
| Is the length of the fellowship variable or negotiable? |
| Yes No Unknown |
| Duration of Fellowship: |
|
| When will the fellowship start (month/year)? |
|
| When will the fellowship end (month/year)? |
|
| Is this fellowship accredited by the Accreditation Council for Graduate Medical Education (ACGME)? * |
| Yes No Unknown |
| Deadline for application: |
|
| Subspecialty Categories: Select at least one subspecialty. Please check all that apply to your individual fellowship program (Required - and used in Sort by Specialty). |
|
|
| If "Other," please specify: |
|
| Please enter any comments below: |
|
|
| *Subspecialties for which the ACGME offers accreditation programs include the following: Abdominal Radiology, Endovascular Surgical Neuroradiology, Musculoskeletal Radiology, Neuroradiology, Nuclear Medicine, Nuclear Radiology, Pediatric Radiology, and Vascular/Interventional Radiology. |