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Policy For Eligibility Exceptions

 ACGME updated the Resident Appointments section in the Common Program Requirements (CPR III) which includes eligibility exceptions for programs considering applicants who have not completed an ACGME-accredited residency program or in an RCPSC or CFPC accredited residency program located in Canada.

ACGME-accredited fellowship programs may only accept Exceptionally Qualified Applicants who do not satisfy the eligibility requirements (CPR III.A.2 and III.A.2.a) but meet all of the additional qualifications and conditions:

To download policy, click here.

Submit documentation to

ACGME Fellowship Program Requesting Exception: __________________________________________________­­__

Refer to program requirements for specific requirements and confirm Review Committee will allow exceptions (PR III.A.3)


Common Program Requirement


GME Check Off


Assessment by the program director and fellowship selection committee of the applicant’s suitability to enter the program, based on prior training and review of the summative evaluations of training in the core specialty.

Summative Evaluations


Review and approval of the applicant’s exceptional qualifications by the GMEC or Education Subcommittee

GMEC Approval:




Satisfactory completion of the United States Medical Licensing Examination (USMLE) Steps 1, 2, and, if the applicant is eligible, 3,

USMLE scores: 

Step 1 ___________  number of attempts ____________

Step 2___________   number of attempts ____________

Step 3 ___________  number of attempts ____________( if applicable)

USMLE Scores


Applicant is eligible, for USMLE Step 3?




For an international graduate, verification of Educational Commission for Foreign Medical Graduates (ECFMG) certification; and,

ECFMG Certificate:  Date _______

Number _____________________




Explanation of Exceptionally Qualified Applicant: Explanation should include the following information:

1)   Completed a non-ACGME-accredited residency program in the core specialty, and (2) demonstrated clinical excellence, in comparison to peers, throughout training.

2)   Additional evidence of exceptional qualifications is required, which may include one of the following: (a) participation in additional clinical or research training in the specialty or subspecialty; (b) demonstrated scholarship in the specialty or subspecialty; (c) demonstrated leadership during or after residency training; (d) completion of an ACGME International-accredited residency program.

Exceptionally Qualified Applicant  Explanation

* * * * * *

Program is responsible for the H1B visa processing and cost of approved applicants