dBackground: We conducted a pilot test of accreditation guidelines for fami
ly medicine faculty development fellowship programs from September 1997 to
March 1999. The accreditation guidelines included 8 application categories
with 27 requirements and 5 self-study criteria. The process included comple
tion of the accreditation application and self-study and a site visit. We s
elected 6 sites for participation in the pilot test, and 5 sites completed
all steps. The results indicated that, while fellowship faculty felt that t
he requirements and criteria were valid for determining quality of faculty
development fellowship programs, the process was rime-consuming and could b
e shortened. Redundancy between information supplied on the application and
on the self-study was also noted Six recommendations were included in the
final report, including streamlining the accreditation process, developing
guidelines for probationary status, and considering alternatives to accredi
tation, such as peer review.