(a) To obtain board approval of a fellowship, the institution, through its designated institutional official (DIO) and chair of the Graduate Medical Education Committee (GMEC), must submit:(1) a completed board application form;(2) required fee of $250.00; and(3) documentation demonstrating:(A) goals and objectives;(B) documented curriculum;(C) qualifications of the program director and program faculty including, but not limited to, current Texas medical license, certification by the appropriate specialty board, and/or appropriate educational qualifications;(D) candidate selection process including prerequisite requirements;(E) duties and responsibilities of the fellows in the program;(F) supervision of the fellows;(G) progressive nature of the training program;(H) evaluation of the fellows;(I) duration of the fellowship training program for fellows; and(J) other information as requested by the board.(b) The application must be submitted a minimum of 120 days prior to the beginning date of the program.(c) Renewals for fellowship approval must be submitted at least 120 days before the expiration of the approval.(d) The approval period of the fellowship program may not exceed five years.(e) If the program subsequently becomes approved by the ACGME, AOA, ABMS, or BOS, the program must notify the board within 30 days of approval, as fellowship programs may not be dually approved.(f) Changes to a board-approved program may require submission of a new application.