Fellowship Application Season 2022-2023

AAIM Provides Guidance for 2022-2023 Fellowship Application Season

The process for interviewing fellowship candidates changed dramatically during the 2020-2021 and 2021-2022 recruitment seasons in response to the COVID-19 pandemic, with applicants and programs developing new approaches for the application and recruitment process and conducting interviews almost exclusively via a virtual format. New recommendations are necessary to incorporate successful elements of these new processes into future recruitment cycles. These new processes must also consider important tenets of diversity, equity, and inclusion, a strategic priority for the Alliance.


  • AAIM recommends fellowship programs conduct virtual interviews for all applicants, including learners at their own institution.
  • Without further evaluation of safeguards to maintain equity for applicants, AAIM recommends against in-person visits as part of the interview process, including in-person interviews, open houses, or program-sponsored second looks.
  • AAIM recommends fellowship programs adopt clear standards for communicating interview status (invitation, waitlist, or rejection) with applicants and describe their communication process and timeline on their program’s website.
  • AAIM recommends residency program directors use a standardized fellowship letter of recommendation.
  • AAIM recommends residency programs provide resources to help residents prepare for fellowship interviews.
  • AAIM recommends fellowship programs provide training for faculty on strategies to mitigate implicit bias in interviews, and on appropriate interview and post-interview communication.
The Alliance thanks the authors of these guidelines: Vera P. Luther, MD; Ricardo Correa, MD, EdD; Bhavin Dalal, MD; Anthony Dao, MD; Whitney Harper, MSAL; Cindy J. Lai, MD; David A Wininger, MD; Timothy M. Chow, MD; Michelle Sweet, MD; Patricia Vassallo, MD; Steven Barczi, MD; Lyle Fettig, MD; Maria M. Garcia, MD, MPH; and Lindsey J. Gay, MD.

These recommendations are made under the assumption that there are no COVID-19 pandemic-related restrictions required from a public health and safety standpoint. The safety of applicants and program interview participants as well as that of the communities in which applicants and program participants dwell, is paramount. Health and safety considerations, if present, should supersede the guidance offered by these recommendations.

The Alliance acknowledges that there are no perfect solutions, and no process will address all stakeholder preferences. As such, AAIM developed these consensus recommendations to best represent the professional values of the internal medicine community. This document provides guidance based on currently available information as of May 2022.

Review the guidance