AMERICAN COLLEGE OF PHYSICIANS (ACP)FELLOWSHIP SPONSORING FORM
Fellowship sponsors must be current ACP Masters or Fellows who may either submit a sponsoring letter orcomplete this form. The current ACP Governor for the candidate’s chapter or a candidate’s family member
cannot act as a sponsor. Please submit this form via email to FACP@acponline.org or via fax at 215-3512759.
The ACP Credentials Committee may request additional information from the sponsor in order to evaluate thecandidate’s credentials and make appropriate recommendations.
Name of Candidate:_________________________________________________________________
Candidate City, State/Country:________________________________________________________I am sponsoring the candidate for (please check one):

 Advancement to Fellowship Direct Fellowship
I am familiar with the criteria for ACP Fellowship as noted on the back of this page and I endorse the candidate
without reservations (please check one):

 I know the candidate personally/professionally (please describe your relationship to the candidate
and note any special accomplishments that are not included in his/her curriculum vitae):______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 I do not know the candidate personally; my recommendation is based on review of the candidate’s
curriculum vitae. (Please note special accomplishments/contributions to medicine or the community
as it relates to the pathways to Fellowship on the following page):_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Additional comments can be sent to the ACP Credentialing Section via email at FACP@acponline.org.
Name of Sponsor:______________________________________  Master (MACP)  Fellow (FACP)(Please Print)

ACP #_______________Signature:______________________________Date:_______________________
Thank you for taking the time to sponsor the above named candidate for Fellowship. Names of successful
candidates are posted bimonthly on our website: http://www.acponline.org/welcomefellows.

Instructions for ACP Fellowship Sponsors
Sponsors must be current ACP Masters or Fellows, and can choose their method of sponsoring Fellowship candidates by selecting
one of the following two options:
1.
2.

complete the ACP Fellowship Sponsoring Form orwrite a sponsoring letter that describes their knowledge of the candidate’s professional activities

Sponsoring letters should be addressed to “Chair, Credentials Committee, and should specifically recommend Fellowship in the ACP.
The sponsoring letter should highlight activities and special accomplishments of the candidate as noted in the Fellowship requirements
noted below.
Sponsors may submit their sponsoring forms or letters to the candidate in sealed envelopes to ensure confidentiality (but it is notrequired). If preferred, sponsors may submit their recommendation directly to ACP (with a copy to the candidate if desired) by fax at215-351-2759, by e-mail at FACP@acponline.org.
For questions, please contact the Fellowship Credentialing Section at 800-523-1546, ext. 2705, or direct at 215-351-2705, or via email
at FACP@acponline.org.
Requirements for ACP Fellowship
ACP Fellowship is an honor achieved by those recognized by their peers for personal integrity, superior competence in internalmedicine, professional accomplishment, and demonstrated scholarship. It may be achieved by either advancement from ACP
membership or, in exceptional cases by direct election.
Basic requirements for advancement to Fellowship:
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ACP membership in good standing for two years (as an Associate or Member) following residency completion.
Certification in internal medicine or neurology.
Professional activity in internal medicine, a combined internal medicine specialty, the subspecialties of internal medicine, orneurology.
Experience in practice or in an academic position (including subspecialty training) for two years since the completion ofresidency.
An active medical license in good standing (if in clinical practice).
Continuing professional development and scholarly activities, including continuing medical education as a student or teacher.
Teaching (institutional and community-based), hospital committee work, and/or volunteer and community service, especiallyin the voluntary provision of medical care.

In addition to the basic requirements, candidates for advancement to Fellowship must fulfill the criteria for one of thefollowing pathways (or in combination of two or more pathways):
1.
2.
3.
4.

The Published Academician (at least two publications required)
The Physician with Multiple Certifications or Advanced Degrees
The Active ACP member for at least five years
The Senior PhysicianRequirements for Direct election to Fellowship (for nonmembers):
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Ten years post graduation from medical school.
Certification in internal medicine or neurology.
Substantial published scientific contributions to prominent peer-reviewed journals.
Extraordinary scholarly achievement and professional excellence in several areas, including teaching, medical education,scientific presentations at national and international meetings.
Significant involvement in a hospital, an appropriate medical institution, or in clinical or scientific research.
Community activities, either medically or non-medically related, with special consideration given to the voluntary provisionof medical care.