Program Requirements

Program Director
All fellowship programs must have a single, dedicated fellowship program director (PD) with authority and accountability for the operation of the program. The PD must be a fellow of the ARS and be in good standing with the ARS. The PD must have a valid, unrestricted, medical license and appropriate hospital privileges. The PD must have at least 5 years of clinical experience beyond their final year of training at the time of application submission. The PD must administer and maintain an educational environment conducive to educating fellows. The PD must ensure availability of all personnel for effective fellowship administration. They must also ensure adequate resources are available for the fellows. The PD is responsible for ensuring the requirements of the RTC are met and for providing the required, as well as any additional requested, documentation to the RTC.

Case Logs
Fellowships will be required to submit two years’ worth of case logs for past fellows, OR two years of faculty case logs in the setting of new fellowships, to ensure an adequate number of neurorhinologic and advanced rhinological procedures. Follow this link for an example of a case log. Programs are not mandated to use the attached examples. These are provided for their use if so desired.


Endoscopic trans-sphenoidal approach
Endoscopic trans-planar approach
Endoscopic trans-cribriform approach
Endoscopic trans-clival approach

Benign tumor resection
Endoscopic or external resection
Malignant tumor resection
Endoscopic or external resection

CSF leak/Encephalocele
Skull base reconstruction after resection of neuro-rhinologic tumors
By tissue or graft (fascia, fat, allogenic material)
By local or regional flap (pericranial, nasoseptal)

Extended Frontal Approaches
Osteoplastic Flap Approach
Endoscopic DCR
Endoscopic Orbital Decompression
Endoscopic Intraorbital procedures
Endoscopic medial maxillectomy
Choanal atresia repair
Endoscopic Mega-antrostomy
Sphenoid nasalization

STANDARD ESS – must report

Curriculum and Goals and Objectives
All fellowships must develop a written curriculum as well as written goals and objectives for the trainees. The curriculum must contain overall goals for the program, regularly scheduled didactics/conferences and delineation of fellow responsibilities for patient care and management. See section C1 for an example. Programs are not mandated to use the attached examples. These are provided for their use if so desired.

Evaluation of faculty, programs and trainees
All fellowships must develop written evaluations for twice yearly evaluation of the trainees by faculty. The timing of these evaluations is at the discretion of the programs, however, must be done at least twice during the fellowship year. Faculty must evaluate fellow performance in a timely manner, providing objective assessment of competence in patient care and surgical skills. Evaluations of the trainees must be made available during the Program Interview as well as for any renewal applications. Follow this link for an example of a fellow evaluation. Programs are not mandated to use this example, it is provided for use if so desired.

All fellowships must develop written evaluations for yearly evaluation of the program and faculty by the trainees. Fellows must have the opportunity to evaluate the faculty as well as the program confidentially and in writing at least once annually. This evaluation must be sent directly and confidentially to the RTC. This has 3 components: Evaluation of the Program, Evaluation of the Faculty, and a record of Operative Case logs. Programs are not mandated to use these examples.  These are provided for their use if so desired.

The evaluations completed by the trainees must be submitted directly to the RTC to maintain confidentiality. They should be sent to: The Chair of the RTC, care of or via U.S. Mail to:

Chair of the RTC
c/o Wendi Perez
Executive Administrator of the ARS
PO Box 269
Oak Ridge, NJ 07438
Program Self-Evaluation
All programs must complete self-evaluations on a yearly basis. These must be made available for program renewal applications and Program Interviews. These require documented evidence of periodic self-evaluation of the program in relation to the educational goals, the needs of the trainees and the teaching responsibilities of the faculty. This evaluation should include an assessment of the balance between the educational and service components of the program. We encourage all programs to complete a Self-Evaluation prior to the initial application. Please see section C5 for a copy of the Program Self-Evaluation. Programs are not mandated to use the attached examples. These are provided for their use if so desired.

Program Interviews
All programs will be evaluated by Program Interviews following receipt of Provisional Approval Contingent Upon Program Interview.

As mentioned, Provisional Approval will be based on the Program Application. If Provisional Approval Contingent Upon Program Interview is granted, the program will be invited to schedule a Program Interview during the first two years. Following a Program Interview that results in a favorable vote, Full Approval will be granted. Full Approval may last for up to 5 years pending citations issued stemming from the Program Interview.

Program Interviews may be completed by a web interview or as an in-person interview. These will be decided on a case by case basis at the discretion of the RTC.

During the initial Program Interviews and any subsequent Interviews, the RTC analyzes the program’s strengths and weaknesses to ensure that adherence to the core curriculum, adequate faculty participation, caseload, and overall quality are all maintained.

Interviews will last approximately one hour and will require the presence of the Fellowship Director, any fellowship faculty that are able to participate, and the current fellow (if applicable).

Programs must provide to the RTC all fellowship related documents including, but not limited to, fellow evaluations by faculty, case logs, didactic/conference schedules, fellowship self-evaluations, fellowship goals and objectives. Failure to produce requested fellowship documents will result in a citation for the program.

Program Interviews will be structured per the attached document (RTC Program Interview Outline).

Standardized Forms (section C) are completed by the program in advance and the RTC is responsible for completing and submitting a structured report following the Program Interview.

Additional Program Interviews may occur with significant program changes or upon recommendation of the RTC. Potential Triggers for a Program Interview include but are not limited to: a change in Program Director, a change in the number of fellows, a significant change in the associate faculty, insufficient case logs, program complaints, failure to address previous citations, and conflicts with the residency program (where applicable).

Please note, Program Interviews are designed to be for verification purposes only, not for punitive reasons.

Revised 05/03/2018
©American Rhinologic Society