Hospice and Palliative Medicine Fellowship Curriculum

The fellowship program is structured along the Accreditation Council for Graduate Medical Education (ACGME) competencies in Hospice and Palliative Medicine. Through a series of clinical rotations, didactics, participation in scholarly activities, and varying seminars, the fellow will:

  • Satisfy the requirements to sit for the ABIM Hospice and Palliative Medicine board certification exam.
  • Develop expertise in assessment and management of symptoms related to chronic and life-limiting illness and provide high-quality end-of-life care.
  • Master the knowledge of hospice and palliative medicine and commit to life-long learning.
  • Employ effective communication skills in interaction with patients, families, and other healthcare professionals.
  • Incorporate and support interdisciplinary team-care in future clinical venues.
  • Appreciate a supportive environment where professionalism, ethical principles, and teamwork are furthered.

Program Goals

The overall educational mission is to create successful and competency-based clinicians that can care for patients and their families who face life-limiting or life-threatening illness.

Clinical Rotations

The clinical curriculum includes:

  • 4 months of Inpatient Palliative Care Consults and Inpatient Palliative Care Unit
  • 3 months of Inpatient and Home Hospice
  • 1 month Research/Scholarly Time
  • 3 weeks of Anesthesia Pain and Addiction medicine
  • 2 weeks of Pediatric Palliative Care
  • 2 weeks of Palliative Neurology and Oncology
  • 2 weeks of Radiation Oncology
  • 1 month of Long Term Care
  • 1 month of Elective Time
Over the 12-month fellowship program, rotations occur at locations that include Wake Forest Baptist Medical Center, Brenner Children's Hospital, Trellis Supportive Care/Hospice and Palliative Care Center, Bermuda Commons Retirement Community, W.G. Hefer VA Medical Center, and Novant Medical Center. Fellows also will have a longitudinal continuity clinic embedded within the Wake Forest Baptist Comprehensive Cancer Center and have a six-month home-based palliative care experience.

Academic pathways

Fellows can choose between a one-year clinical Hospice and Palliative Fellowship track, a two-year Research Track (which includes one-year clinical year and one year research year), or can consider doing fellowships in both geriatrics and palliative medicine.

Conferences and Didactics

The following describes the non-clinical learning experiences for fellows at the Wake Forest Hospice and Palliative Medicine Fellowship. These occur in an academic half day fashion, one ½ day per week.

  • Case Conference
  • Journal Club
  • Psychosocial Case Conference
  • Narrative Medicine
  • Self-Care Activities
  • American Academy of Hospice and Palliative Medicine Annual Assembly
  • Scholarly Activity