**CNS Leadership Institute Fellow** recognizes individuals who have completed all three levels of the CNS Leadership Institute Pathway: **Leadership in Health Care**, **Vanguard Leadership in Health Care**, and **Executive Leadership in Health Care**. The CNS Leadership Institute offers a uniquely practical and transformative approach to physician leadership for neurosurgeons, combining peer learning, mentorship, leadership strengths assessment, live coursework in Chicago, and continued networking. Across the pathway, participants build skills in change management, service line optimization, culture and influence, mentorship, strategic planning, financial preparedness, and distributed leadership in healthcare. This badge signifies full completion of the CNS Leadership Institute continuum and a sustained commitment to leadership in health care and organized neurosurgery.