The goal of POSNA's Pediatric Orthopaedic Fellowship Accreditation is to develop an alternative pathway to accreditation for those that choose it while continuing to recognize the ACGME accreditation pathway for those currently accredited programs that prefer not to change. As a point of emphasis, the accreditation is not meant to be a referendum on the ideal way to train a fellow. Rather it seeks to provide minimum criteria for the fellowship training process. Note: ACGME accredited programs will automatically qualify for POSNA accreditation. These programs need only provide proof of ACGME accreditation with the initial application or renewal along with the appropriate fees (see below).