Progression through the Fellowship & Fellowship Completion Requirements

Progression through the Fellowship & Fellowship Completion Requirements

Upon completion of the Fellowship, the Fellow will receive a Certificate of Completion. Additionally, those Fellows simultaneously enrolled in the DNAP Completion program will receive a Doctorate Diploma with successful completion of that program. Please refer to the DNAP Completion handbook for more information regarding graduation requirements.

In order for a Fellow to meet the requirements for completion of the Fellowship, the following items must be completed in their entirety:


  1. Pass all exams, summative evaluations, assignments, and/or any other coursework in each of the Fellowship modules with a graded score of 80% or greater.
  2. Attend and teach two Cadaver courses held by MTSA during the enrollment within the ASPMF. During this two-day visit, a competency-based teaching evaluation will be completed by the Director of the Fellowship, in which, a graded score of 80% or greater must be achieved.
  3. Successfully complete and submit an ePortfolio detailing your learning experiences within the Fellowship, which includes all of the following items:
  1. Time-stamped, witnessed, and documented records of completed ultrasound-guided regional anesthetic blocks in each of the following categories during your enrollment period within the Fellowship:
  1. Truncal: 20 cases
  2. Upper Extremity: 20 cases
  3. Lower Extremity: 20 cases
  1. Documented competency-based evaluations of (10) ultrasound-guided regional anesthesia blocks performed during the enrollment within the Fellowship and completed by clinical mentors, Program Director, and MTSA Faculty.
  2. Completion of all unit reflection statements, presentation on ASPM research topic, and a competency-based teaching evaluation.
  3. Complete two weeks at an ASPMF clinical site.
  4. All financial obligations with the MTSA Business Office must be settled.

A Fellow must complete all of the requirements in a semester before he or she will be allowed to begin coursework of the subsequent semester. Failure to complete work with a grade of 80% or higher will be addressed through the Progressions Committee at MTSA. During the clinical rotation, failure to demonstrate professionalism, proficiency in regional anesthesia, failure to meet clinical expectations and/or failure to attend the clinical rotation will be addressed through the Progressions Committee.



Pursuant to Fellow Standard identified by the Council on Accreditation “The CRNA Fellow maintains an accurate record of clinical procedures personally performed on patients, if applicable, and other educational experiences,” fellows will be expected to complete an e-Portfolio.  The e-Portfolio will be created and maintained in the Brightspace environment and may include but is not limited to: all reflective statements throughout the Fellowship, evaluation rubrics clinical case evaluative checkoffs for each skill, clinical case logs not part of checkoffs, results of summative evaluations, written assignments, and summaries of discussions.   The e-Portfolio is evidence of successful progression of thought and skills throughout the Fellowship, and that Fellow Learning Outcomes for the Fellowship have been successfully met.  A copy of the e-Portfolio will be held by MTSA as evidence for the Council of Accreditation, and a copy will be given to the Fellow upon completion of the last summative evaluations and completion of the program.

Confidentiality of the e-Portfolio copy at MTSA will be maintained and used solely for accreditation standards unless permission is obtained from the Fellow.  An explanation about the technological procedures to develop the e-Portfolio and the Brightspace environment will be covered in more detail during the first course, and the first module of orientation.

Incomplete Work

Fellows for whom an extension has been authorized receive the grade I (Incomplete), which stands until the work has been completed. The Program Director authorizes the extension and confers with the Fellow to establish a final time limit for completion of the missing work. A contract for completion of the unit or module is completed by the Fellow and submitted to the Program Director for appropriate signatures. Copies of the agreement are given to the Fellow and the Program Director.

Fellow Records

The Fellows will be creating an e-Portfolio to capture the accurate history of procedures and clinical experiences during their time in the Fellowship. The e-Portfolio will provide adequate information to attest to each Fellow’s successful completion of the Fellowship. Any official documentation required by COA will be completed and submitted by the Program Director. All clinical courses completed in the Fellowship will be recorded as credit hours completed in a non-degree program on the official MTSA transcript. Didactic courses in the Fellowship are considered elective courses in the DNAP Completion program and are recorded as such on the DNAP Completion transcript. Fellowship enrolled students, who are not concurrently enrolled in the DNAP Completion program, will have didactic course credit hours recorded on the MTSA transcript from a non-degree program. 

Any official documentation required by COA and signed by the Program Director will be made available to the Fellow. These official documents will provide: the title of the Fellowship; length of the Fellowship; specification of the goals and objectives/outcomes identified by the Fellowship; an accurate history of procedures and other clinical experiences; and verification of attainment of achievement by the Fellow. This documentation will include the types and numbers of cases required for future specialty certification.