FASN Brochure

Fellow of American Society of Nephrology

Fellowship in the American Society of Nephrology (FASN) recognizes the dedicated member’s proven professional contributions and their diverse set of skills and comprehensive knowledge of all aspects of nephrology. The FASN designation lets colleagues and patients know that you are part of an outstanding group of nephrology professionals. Fellowship is open to practitioners from all specialties and investigators conducting research in areas relevant to nephrology who meet the rigorous standards outlined below.

Apply for Fellowship To apply for fellowship, applicants must meet four of the seven pathway requirements:

1. ASN Activity Serve ASN in one of these areas within the previous two years: + ASN Council + ASN Committee or another panel + Editor-in-Chief, Deputy Editor, or Editorial Board member for any ASN publication as well as Education Director for any of the Society’s activities + Reviewer for ASN abstract submissions

2. Board Certification in Nephrology Document certification by one of the American Board of Medical Specialty’s certification boards in nephrology, pediatric nephrology, or pathology (with a specialization in renal pathology). International candidates may submit an equivalent credential.

3. Continuing Medical Education (CME) Credits Complete a total of at least 70 hours during the past two years of AMA PRA Category 1 CME credits.

4. Grant Support/Funding Receive peer-reviewed, extramural support within the past five years from a federal entity (such as the National Institutes of Health, the Agency for Healthcare Research and Quality, or the Department of Veterans Affairs), the American Society of Nephrology, or another organization.

5. Publications Publish at least five articles in peer-reviewed journals during the past five years or present poster or oral abstract(s) during two of the last five ASN Kidney Weeks.

6. Public Service Unpaid, volunteer service to the nephrology or primary-care medicine community or as a peer reviewer. (Submit one letter from a supervisor.)

7. Teaching Teach at least 30 hours in a local, state, or national instruction in nephrology during the past two years (Submit one letter from a supervisor.)

REV. 2.2019 AMERICAN SOCIETY OF NEPHROLOGY FASN Application

Please complete all the information on this form. FASN candidates are required to be an ASN member. Membership status must remain current to avoid an interruption in FASN status. If an interruption occurs, the candidate must reapply.

Applicant Name (List as it should appear on the certificate)

Credential(s) ☐ MD ☐ PhD ☐ DO ☐ MBChB ☐ MBBS ☐ Other (Check all that apply)

Contact Information

Street Apt/Suite#

City State/Province Zip/Postal Code Country

Office Phone Email

Business Name (if applicable)

Pathway Requirements Document achievement in four of the seven following areas:

☐ ASN Activity ☐ Grant Support/Funding Applicants must submit their CV with the application. ☐ Board Certification in ☐ Publications Nephrology ☐ Public Service CME Credits ☐ ☐ Teaching

Payment Information (All funds in USD dollars)

☐ Visa ☐ MasterCard ☐ American Express FASN application fee - $150.00

Card Holder Name Send application, CV and payment to: ASN Member Services Card # 1401 H Street, NW Suite 900 Expiration Date Security Code Washington, DC 20005 Fax: 202-478-0477 Email: [email protected] ☐ Check Enclosed (Payable to American Society of Nephrology)

For questions, email [email protected]