Pathways to Practice Eligibility Criteria and Requirements

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Requirements for Training Program Directors and Institutions

Accreditation and Good Standing

• The applying fellowship program must be fully accredited by the Accreditation Council for Graduate Medical Education (ACGME) and considered in good standing (not on probation).

Institutional Commitment

• A letter of support must be provided from the department chair (Pediatrics or Internal Medicine) confirming institutional backing of an additional fellowship trainee.

Institutional Need

• The institution must complete the online application describing the need for an additional funded fellowship position and how the institution will support the fellow-in-training.

Program Participation and Engagement

• The training program director must be an active member of the American College of Allergy, Asthma and Immunology (ACAAI) for at least two years prior to application submission.
• Key faculty at the institution must be ACAAI members or have an application in process.
• The training program director must participate in the ACAAI Annual Meeting and ACAAI Training Program Directors Meeting.
• The training program must demonstrate that its previous fellows-in-training have regularly attended the ACAAI Annual Meeting by providing a list of participants and their involvement at the meeting over the last five years.
• The training program director must attest to their program’s educational leave policy outlining opportunities for fellows-in-training to attend national educational meetings, including the ACAAI Annual Meeting.

Award Utilization

• The funding must support a two-year clinical fellowship position (not a third-year research fellowship).
• Awards can be used for programs seeking to sustain current unfunded fellowship positions or increase their current fellowship slots.
• The award is to be used for direct costs including the fellow-in-training’s salary, benefits, CME/meeting attendance and educational books/subscriptions.
• Indirect costs, if necessary, may not exceed 10% of the total award.

Award Frequency and Limitations

• Each institution may receive funding for only one fellow-in-training per three-year cycle to ensure broad distribution across programs.
• Preference will be given to programs that have unfunded positions.

Requirements for Fellow-in-Training Candidates

Board Eligibility and Specialty Background

• The designated/supported fellow-in-training must be a physician (MD or DO) who is ABMS or AOA board certified or board eligible in Internal Medicine and/or Pediatrics.

Commitment to the Field and ACAAI Participation

• The fellow-in-training must be an ACAAI member or agree to become a member upon acceptance.
• The fellow-in-training must submit at least one abstract to the ACAAI Annual Meeting during their fellowship training.
• The fellow-in-training must attend at least one ACAAI Annual Meeting during their fellowship training.

U.S. Practice Commitment

• Preference will be given to fellows-in-training intending to practice Allergy/Immunology in the United States after graduation.

Accountability Requirements

Progress/Interim Report

• The fellowship training program director must submit an interim progress report 12 months after receipt of the grant, detailing the fellow’s training experience and progress (ACGME annual evaluation will suffice.).
• The fellowship training program director also must submit a final report upon completion of the fellow’s training.

Final Report

Approximately 24 months after receipt of a P2P grant, the fellowship training program director must provide ACAAI with a written, final report that addresses the following:

• Confirmation the P2P award was used for direct costs including the fellow-in-training’s salary, benefits, CME/meeting attendance and educational resources (and with no more than 10% used for overhead costs).
• Information confirming the fellow-in-training maintained his/her ACAAI membership over the last two years and participated in the two most recent ACAAI Annual Meetings. Please also outline any additional involvement in other ACAAI meetings/activities.
• Information confirming the fellowship training program director maintained his/her ACAAI membership over the last two years, participated in the two most recent ACAAI Annual Meetings, and participated in the Joint Program Director’s Annual Winter Meeting.
• Details about any publications in which the fellow-in-training was cited as one of the authors.
• Information regarding whether the fellow-in-training has formally accepted a post-fellowship position. Please include the type of position, the name of the hiring organization and the city/state where the graduated fellow will be working.
• Please also provide a short statement (3 – 5 sentences) about how the P2P grant has strengthened your clinic, allowed you to treat more patients, and/or contributed to financial growth and sustainability of your training program.

Scholarly Contributions

• The fellow must acknowledge ACAAI P2P funding in publications and presentations, and submit scholarly work to the Annals of Allergy, Asthma & Immunology for right of first refusal.

Ongoing Evaluation and Compliance

• ACAAI reserves the right to audit funded programs to ensure compliance with the grant terms.
• Failure to meet reporting requirements may result in disqualification from future funding cycles.

Award Structure and Use of Funds:

• The award is a fixed-amount grant designed to fully support a fixed 24-month A/I fellowship.
• Movement of unspent funds from Year 1 to Year 2 is permitted within that 24-month window without prior approval.
• Funds may not be used beyond 24 months (for example, not to support a third fellowship year).
• If more than 10% of the total award is projected to remain unspent 90 days before the end date, we ask that a brief spending plan be submitted for approval describing how the remaining funds will be used before closeout.
• The College requests return of funds only in cases of material non-compliance (such as missed reporting, program closure, or inability to fill the fellowship slot) or failure to provide required annual reports.
• The College reserves the right to review and audit any program funded under this grant to ensure compliance with all grant terms.