The tour begins in the Spring of every odd year (i.e. 2019, 2021, 2023 etc.). During the even-numbered years (i.e. 2018, 2021, 2022 etc.), overseas Fellows visit North America, while Fellows from the United States and Canada tour abroad during the odd-numbered years (i.e. 2019, 2021, 2023 etc.). Fellows from the US and Canada will always visit Great Britain, but will alternate Australia and New Zealand with South Africa during their tour as ABC Fellows.
Two (2) Canadian candidates are selected by the COA’s Exchange Fellowships Committee for the tour.
Five (5) American candidates are selected by the American Orthopaedic Association (AOA) for the same tour.