Use four evidence levels
- Supervised clinical participation explicitly documented
- Limited clinical activity subject to credentialing
- Observation and educational discussion only
- Participation not publicly confirmed
Ask for operational detail
- May the fellow examine or consent patients?
- Can the fellow scrub, assist or perform defined steps?
- Who holds clinical responsibility?
- Which registration and indemnity arrangements apply?
- Can participation change if credentialing is delayed?
Do not infer from marketing language
Terms such as immersive, advanced, clinical exposure and fellowship may still describe observation. Request a written answer about permitted activities before making travel or employment commitments.