American Academy of Facial Plastic and Reconstructive Surgery

Fellowship Forms

All the forms on this site are a required part of the fellowship program and MUST be completed on-line. All forms require log in for access to the Fellowship Database. To request a login ID and password for access to the Fellowship Database, click here, or email – fporter-el@aafprs.org.

Fellowship Application

There are several components of the fellowship application; the form itself which includes the operative report form, curriculum vitae, medical school transcript, future plans statement, and 3 letters of reference. The fellowship application must be completed in in its entirety for acceptability. Click the link above to request a login ID and password to access the fellowship database to complete and submit a fellowship application, or you may email fporter-el@aafprs.org to request login ID and password.

Instructions for completing all components of the application are on the Fellowship Database.

For all forms listed in this section you MUST already be an official fellow of the AAFPRS Foundation and already have a login and password.

Full description of each requirement listed in this section can be found in the Fellowship Descriptions Handbook. Click here.to download the Descriptions Handbook.

Binding Agreement

The Binding Agreement is the first form that MUST be signed after the Match. Click here to download the Binding Agreement. Once the agreement has been signed by the fellow and director(s) it MUST be uploaded onto the Fellowship Database. The signed form can be uploaded by the fellow or director. Click here, to log in to the Fellowship Database.

Instructions for uploading the signed agreement are on the Fellowship Database.

Proof of ACLS

Proof of Advanced Cardiac Life Support is a requirement of the fellowship program. All fellows must obtain ACLS prior to the start of the fellowship and hold the certification through the fellowship year. Once a fellow has obtained proof of ACLS certification it should be scanned and uploaded onto the Fellowship Database. Click here, to log in to the Fellowship Database.

Instructions for uploading proof of ACLS are on the Fellowship Database.

Projects List

The Projects List is a list of 3 potential projects the fellow will have access to undertake during the fellowship year. The list MUST be completed in the Fellowship Database. The list is due by July 1st upon start of the fellowship year. Click here, to log in to the Fellowship Database.

Instructions for completing the form are on Fellowship Database.

Evidence Based Medicine Examination

A requirement for fellowship certification is completion of a review in Evidence Based Medicine (EBM). The required reading on EBM consists of 10 core papers that will be provided for the fellow. Each fellow must read the articles and then complete a short test based on the articles. The examination is in the Fellowship Database and MUST be completed by August 15th of the fellowship year.

Click here, to log in to the Fellowship Database and complete the examination.

Abstract

The Abstract for the fellowship research project MUST be completed in the Fellowship Database or uploaded onto the Fellowship Database. The abstract is due by September 1st of the fellowship year.

Click here, to log in to the Fellowship Database to complete the Abstract form in the Fellowship Database.

Click here to download the abstract form for completion and upload onto the Fellowship Database. Once the downloaded form has been completed including signature it should be scanned and uploaded onto the Fellowship Database.

Instructions for completing the form or uploading are on the Fellowship Database.

6- & 12-Month In-Training Evaluations

The 6- & 12-Month In-Training Evaluations are required for completion by the Fellowship Director. The forms are in the Fellowship Database and MUST be completed in the Fellowship Database. All requirements of the fellowship program MUST be completed electronically. Fellowship Directors have been issued a login ID and password to use the Fellowship Database system to complete their requirements for each fellow. The 6-month evaluation is due at the 6-month period of the fellowship training and the 12-month evaluation is due at the end of the training year.

Instructions for completing the forms are on the Fellowship Database. Click here, to log in to the Fellowship Database.

If a Director has forgotten their login ID and password they must contact the AAFPRS Foundation fellowship office by e-mail, fporter-el@aafprs.org or by calling (703) 299-9291 ext. 228.

6- & 12-Competency Evaluations

The Competency Evaluation is a new evaluation tool for the fellowship program. It presents Milestones designed for programs to use in review of fellow performance in the core competencies. Milestones are knowledge, skills, attitudes, and other attributes for the core competencies. The 6-month evaluation is due at the 6-month period of the fellowship training and the 12-month evaluation is due at the end of the training year.

The 6- & 12-Competency Evaluations are required for completion by the Fellowship Director. The forms are in the Fellowship Database and MUST be completed in the Fellowship Database. All requirements of the fellowship program MUST be completed electronically. Fellowship Directors have been issued a login ID and password to use the Fellowship Database system to complete their requirements for each fellow.

Instructions for completing the forms are on the Fellowship Database. Click here, to log in to the Fellowship Database.

If a Director has forgotten their login ID and password they must contact the AAFPRS Foundation fellowship office by e-mail, fporter-el@aafprs.org or by calling (703) 299-9291 ext. 228.

6- & 12-Month Fellowship Program Questionnaires

The 6- & 12-Fellowship Program Questionnaires should be completed at the 6-month period and the end of the fellowship training year by the fellow. The questionnaires MUST be completed in the Fellowship Database. The questionnaires provide an opportunity for each fellow to comment on his/her fellowship experience at 6-months and at the completion of training. The material included on this questionnaire is important and may be used in conjunction with the review of the Fellowship Director’s program. The information is held in the strictest confidence.

Instructions for completing the forms are on the Fellowship Database. Click here, to log in to the Fellowship Database.

Fellowship Research Paper

The Fellowship Research Paper MUST be uploaded onto the Fellowship Database. The paper should include all information for review of the paper including figures and figure legends. The research paper is due June 1st of the fellowship year or the year immediately after to qualify for the fellowship awards (Roe and Gillies Awards). If the paper is not ready for submission by June 1st it should be completed by June 30th, at the end of the fellowship year.

Instructions for uploading the paper are on the Fellowship Database. Click here, to log in to the Fellowship Database.

Research Paper Progress Report

The Progress Report Form is on the Fellowship Database for completion. This form is in addition to the fellowship paper requirement and cannot be submitted in lieu of the abstract and paper requirements. Progress Reports may be requested every six-months until the paper has been submitted. To complete a progress report go into the Fellowship Database.

Instructions for completing the form are on the Fellowship Database. Click here, to log in to the Fellowship Database.

Operative Experience Report

Fellows should keep track of operative cases being performed/assisted/observed throughout the fellowship year. There are 2 versions of the form, once completed either the Word or Excel version can be uploaded onto the Fellowship Database. The excel version allows the fellow to keep track of cases and the counting done automatically. The Word version requires the fellow to count the cases and include the totals. Whichever version is chosen to upload it MUST contain signatures of the fellow and director.

The completed form is due by July 15th of the year the training ends. Instructions for uploading the form are on the Fellowship Database.

Click here to log in to the Fellowship Database.

Click here to download a copy of the Word version of the Operative Experience Report.

Click here to download a copy of the Excel version of the Operative Experience Report.