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:

  • 5 months of inpatient palliative care consults and inpatient palliative care unit
  • 8 weeks of inpatient 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
  • W.G. Hefer VA Medical Center
  • Novant Medical Center
  • Bermuda Village
  • Mountain Valley Hospice

Fellows also will have a longitudinal continuity clinic embedded within the Wake Forest Baptist Comprehensive Cancer Center and a longitudinal experience in home hospice through Mountain Valley Hospice.

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 half-day per week.

  • Case conference
  • Journal club
  • Psychosocial-spiritual case conference
  • Narrative medicine
  • Self-care activities
  • American Academy of Hospice and Palliative Medicine Annual Assembly
  • Scholarly activity