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Board Approved Fellowship Overview

Before You Apply

Does Your Fellowship Require Board Approval for Physician in Training Permits to be Issued?

No, not if the fellowship is approved by:

  • the Accreditation Council for Graduate Medical Education (ACGME)
  • the American Osteopathic Association (AOA)
  • a member board of the American Board of Medical Specialties (ABMS), or
  • a member board of the Bureau of Osteopathic Specialists (BOS)



  1. Complete and submit the Board Approved Fellowship Application.
  2. Attach a check for the $250 processing fee.
  3. Submit it 90 to 120 days before the board-approved fellowship is to begin to allow enough time for processing.


Communication with the Board

Applications may be submitted using the US Postal Service or a private overnight delivery service. Board staff will communicate with applicants by e-mail, if an address is provided, or by letter using the US Postal Service. For more information on submitting documentation see General Information link to the left.


Internal Reviews

Institutions with board-approved fellowships must determine whether to conduct internal reviews of the board-approved fellowship at the mid-point of the board-approved fellowship's most recent approval period.



The DIO and the chair of the GMEC of the institution for which a fellowship has been previously approved by the board must apply to have the fellowship approved again, if the fellowship is to continue after the expiration date. Applications for subsequent approval must comply with all requirements in this section for initial approval and must be submitted at least three months prior to the expiration of the board-approved fellowship in order to prevent a lapse in time of the fellowship. Permit holders shall be allowed to complete their fellowship regardless of continuing fellowship approval.


Subsequent ACGME, AOA, ABMS, or BOS Certification of Fellowship

All board-approved fellowships subsequently approved by the ACGME, AOA, a member board of the ABMS, or a member board of the BOS, must notify the board within 30 days of their approval. Fellowships may not be dually approved by the board and ACGME, AOA, a member board of the ABMS, or a member board of the BOS. A board-approved fellowship that becomes approved by the ACGME, AOA, a member board of the ABMS, or a member board of the BOS immediately loses its board-approved status when its new approval becomes effective through the ACGME , AOA, a member board of the ABMS, or a member board of the BOS.


List of Active Board Approved Fellowships

Below is a list of current fellowship programs approved by the Texas Medical Board (TMB).  TMB fellowship approval is valid for a period of 5 years and programs must renew to continue with Board approval.  The list is updated periodically, but please refer to the approval/renewal dates to determine if a program’s approval is still active.  Applicants accepted into an active Board approved fellowship would be eligible to apply for a Texas physician in training permit (PIT) through the fellowship program.   

Active Board Approved Fellowships



If you have any questions, please send an email to