Board Approved Fellowship Application

A fellowship offered in Texas that is not accredited by the Accreditation Council for Graduate Medical Education (ACGME) or the American Osteopathic Association (AOA) or is not approved by a member board of the American Board of Medical Specialties (ABMS) or the Bureau of Osteopathic Specialists (BOS) must be approved by the Texas Medical Board. Applicants accepted into an active Board approved fellowship would be eligible to apply for a Texas Physician-in-Training (PIT) permit through the fellowship program. 

Board approved fellowship applications cannot be submitted online and must be submitted using the US Postal Service or a private overnight delivery service with an application fee to the Board. The application fee must be submitted in the form of a certified check or money order payable to the Texas Medical Board. Applications should be submitted 90 to 120 days before the fellowship is to begin to allow time for processing. Board staff will communicate with applicants by e-mail, if an address is provided, or by letter using the US Postal Service. Fellowship approval is valid for five years. For specifics on eligibility documentation required for processing, refer to the application. 

All Board approved fellowships subsequently approved by the ACGME, AOA, a member board of the ABMS, or a member board of the BOS, must notify the board within 30 days of their approval as fellowships cannot be dually approved. A Board approved fellowship loses its Board-approved status when its new approval becomes effective through the ACGME , AOA, a member board of the ABMS, or a member board of the BOS.

For questions and communication related to the Board approved fellowship process, contact Programs@tmb.state.tx.us 

Helpful Document

• Fellowship Application

Fellowship approval is valid for five years, and programs must renew to continue with Board approval. The DIO and the chair of the GMEC of the institution for which a fellowship has been previously approved by the Board must apply to have the fellowship approved again, if the fellowship is to continue after the expiration date. Applications for subsequent approval must comply with all requirements for initial approval and must be submitted at least three months prior to the expiration of the Board-approved fellowship in order to prevent a lapse in time of the fellowship. Permit holders shall be allowed to complete their fellowship regardless of continuing fellowship approval.

All Board approved fellowships subsequently approved by the ACGME, AOA, a member board of the ABMS, or a member board of the BOS, must notify the board within 30 days of their approval as fellowships cannot be dually approved. A Board approved fellowship loses its Board-approved status when its new approval becomes effective through the ACGME , AOA, a member board of the ABMS, or a member board of the BOS.

For questions and communication related to the Board approved fellowship process, contact Programs@tmb.state.tx.us.

Helpful Document

• Fellowship Application

Board Approved Fellowship Application Fee: The fee for initial and renewal approval in Texas is $250.00. The entire fee must be submitted before the application can be assigned and processed. Credit card payments are not accepted at this time.