To qualify as an International Fellow, an applicant must:
- Reside outside the United States, Canada, and Mexico
- Be fully licensed to practice medicine in a state of competent jurisdiction
- Be of high moral, ethical, and professional standing
- Be trained in internal medicine or pediatrics and provide either primary or consultative care to patients with arthritis and other rheumatic diseases
- Satisfy one or more of the following requirements or an equivalent:
- Certification in the subspecialty of rheumatology by the American Board of Internal Medicine or the American Board of Pediatrics (or a similar acceptable certification)
- Written confirmation of successful completion of two years of rheumatology training in a residency training program approved by the Accreditation Committee on Graduate Medical Education (ACGME) which confirmation shall be received from the individual program director within one year of completion of such training.
- Written confirmation by three Fellows of the ACR (one of whom should reside in the same country as the applicant) attesting to the applicant's specialized interest and skill in rheumatology and five or more years' experience in an academic or community practice setting
- Be sponsored by two voting members familiar with the applicant's professional competence, ethics, and moral standing, one of whom should reside in the same country as the applicant.