Fellowships present the opportunity for advanced training and specialization within foot and ankle surgery.
Typically one year in duration, a fellowship is normally initiated following completion of a residency training program. However, some doctors pursue a fellowship and specialized training after being in practice. Fellowships typically offer specific and advanced training in these broad but not limited to:
- Advanced Rearfoot Reconstruction
- Diabetic Limb Salvage
- Pediatrics
- Sports Medicine
- Research
A fellowship should be considered by those who would like a complement or supplement to their residency training, those who plan to practice within an academic setting, or those who are interested in highly specialized practices.
For the typical model, those interested in pursuing a fellowship should begin looking in earnest during the second year of their residency training. Application requirements and deadlines are individualized to each program. Please review each program's webpage to learn about the process. Residents who are interested should begin gathering information as soon as possible, ask as many questions about the process as possible and find an experienced mentor who has been through it before.
ACFAS Status Programs
ACFAS manages a list of fellowships that have been granted status with the College. These programs are monitored on an annual basis to be sure they are meeting a list of minimal criteria. All ACFAS-status programs accept a standard fellowship application as the first phase of application. To view the full list, you must either be an ACFAS member with an existing login or create a non-ACFAS member account.
CPME-Approved Programs
The Council on Podiatric Medical Education (CPME) approves fellowships and has a listing on their website. Programs with CPME approval are all led through a hospital or academic health center. CPME approval requires and initial site visit and follow up visitations, yearly oversight and review by CPME.
Independent Fellowships
There are also many independent foot and ankle fellowships that have oversight by a specific hospital, group, or fellowship director. These are found by word of mouth and internet searching.
Below is an example of the timeline you will follow during your residency when seeking a fellowship. These processes vary from one program to another – be sure you communicate with the programs to understand their individual schedules:
- Summer between first and second year of residency
Seek letters of recommendation and finalize your CV. - Fall second year of residency
Use your contacts/director’s contacts, communicate with former residents, people you met at conferences etc. to gather information about the varying fellowships. - Attend the College’s Annual Scientific Conference as a resident
Speak to fellowship directors and current/former fellows about their experiences. The annual Fellowship Breakfast Fair is a great place to gather information and make contacts. - Winter/Spring/Summer of second year of residency
Make plans to visit programs: email programs after the conference and ask set up a visit. - Spring/Summer of second year of residency
Submit applications to the programs you are interested in attending. ACFAS has a standard fellow application all programs accept as their first round of applicant screening. Keep in mind that deadlines vary. - Fall of third year of residency
Fellowship programs hold formal interviews.
Access documents, templates and schedules that fellowship programs with ACFAS status should be aware of and new fellowship program applicants may find useful.
Provision of Tail Coverage - Frequently Asked Questions
Who is responsible for purchasing professional liability insurance while I’m in a fellowship training program?
The sponsoring practice/institution is responsible for providing and covering the cost of an appropriate professional liability insurance policy. The policy should be effective when training commences and continues for the duration of the training program. This insurance must cover all training experiences at all training sites and must provide protection against awards from claims reported or filed after the completion of training, for example tail coverage on a claims made policy or an occurrence-based policy.
What are my options for professional liability insurance?
- Occurrence policies: Cover incidents that happen during the policy period, regardless of when a claim is filed. This means that even if the policy is no longer in effect, the policy will cover the fellow for a claim involving any incident that occurred while they were enrolled in the policy. Only a few states in the continental United States provide this coverage option.
- Claims-made policies: Cover claims that are made and reported during the policy's timeframe. This means that whatever policy limits are in place at the time of the filing will be what is available to respond to the claim. Claims-made policies require the purchase of tail coverage when the policy period ends to assure coverage into the future for the Fellow in the event a claim is filed after their fellowship year has concluded.
- Several other options exists, but may not adequately cover the fellow as per the ACFAS Minimum Criteria.
How do I know if I’m fully covered?
The policy should include coverage dates for the entirety of your fellowship year. You will want to specifically inquire and ask for a copy of the policy from the start and determine what type of coverage has been provided for you.
Fellowship Zoom Rooms
Learn about the various programs with ACFAS status directly from the directors and fellows with recorded ACFAS Fellowship Zoom Rooms.