Our curriculum focus includes the clinical and theoretical aspects of hospice and palliative medicine in both inpatient and outpatient settings. Fellows will complete 8 months of required training, including inpatient acute care, inpatient hospice, hospice home care, palliative care continuity clinic, pediatric experience, long-term care and electives. Elective options include oncology, pain management, cardiology, pulmonary and critical care, pediatrics, geriatrics, neurology, and infectious disease.

The intent of the program is to individualize training within the framework of the ACGME guidelines to optimize each fellow’s ability to achieve excellence in hospice and palliative medicine. Fellows will attend the Annual AAHPM assembly and an annual local palliative care conference. Fellows will attend and present at monthly Journal Clubs, didactic core lectures, research seminars and other communication skills workshops during the course of their fellowship.

Fellows will spend 5 months at our own site, Mercy Health – St. Vincent Medical Center, in the Palliative Care Unit and acute care consults. According to ACGME requirements, you must see at least 100 new patients over the course of the program, follow 10 patients longitudinally across settings and have one month or 100 hours of long-term care experience. St. Vincent Medical Center has a full panoply of palliative care and related specialist faculty to provide one-on-one and progressive supervision. Our simulation center provides state-of-the-art educational experiences, including simulation scenarios dedicated to palliative care and end-of-life decisions.

Hospice of Northwest Ohio will take up 2 months of your fellowship working in inpatient acute care as well as hospice home care. Additional ACGME requirements inlcude performing at least 25 hospice home visits through a Medicare-certified program to include pediatrics. Hospice of Northwest Ohio is the largest hospice and palliative care provider in the region. All faculty are certified in Hospice and Palliative Care Medicine, providing fellow supervision 24/7.  You will gain valuable skills in home care, pain and symptom control, palliative care, bereavement and emotional/spiritual support training as well as experience in administering a hospice medical practice.

Orchard Villa Skilled Nursing Home and Rehabilitation Facility will provide long-term care experience and will be longitudinally incorporated into the program, comprising at least the equivalent of one month total experience. You will gain unique experiences needed to become competent in the transition necessary for palliative care and hospice patients from acute care hospitals to home.

On Wednesday mornings each week, fellows will work in the St. Anne Outpatient Palliative Care Clinic. This clinic helps chronically ill patients maintain a high quality of life at home. The clinic sees patients who may need to discuss their goals of care and require medications or techniques that relieve symptoms. They can also get access to chaplains, social workers, dietitians and pharmacists.