The goals of the fellowship program are excellence in palliative medicine education for interested physicians and to create leaders in the field. Extensive and in-depth clinical education through interdisciplinary faculty focuses on patients with life threatening or limiting advanced diseases.
Fellows will have hands on palliative care experience in palliative approaches to cancer, advanced lung, heart and kidney disease, neuromuscular diseases and other diseases appropriate to palliative care. Fellows will receive training in psychosocial care of patients and families and will learn to conduct family meetings.
Communication skills are taught in afternoon seminars. Fellows are also to taught PowerPoint and lecture presentation skills. Electives include bioethics, chronic pain rehabilitation, interventional pain, radiation, oncology and psychiatry. The Cleveland Clinic is ranked 4th in the country and has attracted internationally acclaimed specialists. The Palliative Medicine program is a WHO demonstration project and European Society of Medical Oncology designated program.
Fellowship appointments are for one year as per ACGME standards. Additional training in palliative care depends on funding opportunities.
Applying for Hospice and Palliative Medicine Fellowship»
Applicants must be in the process of completing an ACGME or AOA-accredited residency program in Anesthesiology, Emergency Medicine, Family Medicine, Internal Medicine, Neurology, Obstetrics and Gynecology, Pediatrics, Physical Medicine and Rehab, Psychiatry, Radiation Oncology, or Surgery to be eligible to apply for fellowship training in Hospice and Palliative Medicine.
Applicants interested in beginning training:
With the successful ACGME accreditation of the Hospice and Palliative Medicine in 2009, the application process for candidates interested in beginning training will be conducted through ERAS. Applications will be accepted August 1st through the end of the interview season until all positions have filled. Hardcopy applications will also be accepted if submitted directly to the Hospice and Palliative Medicine Fellowship Program through after closure of ERAS in May if slots for training have not filled.
The Hospice and Palliative Medicine Fellowship Program does NOT participate in the NRMP main match and will therefore offer positions to candidates on a rolling interview cycle. Once all positions have been filled, we will no longer interview additional candidates.
Application Contact Information»
We encourage applicants to contact the Fellowship Coordinator regarding inquiries into our program:
Taussig Cancer Institute
9500 Euclid Avenue (R35)
Cleveland, OH 44195
The Cleveland Clinic is an equal opportunity employer. In addition, international medical graduates must hold a valid ECFMG certificate and meet visa requirements to pursue graduate medical education within the United States and Cleveland Clinic.
The program consists of multiple services through which each fellow will rotate in four-week blocks. These services include inpatient consult and inpatient service, home and inpatient hospice experience, long term care in conjunction with the geriatric department and a 2 week pediatric experience.
Beginning in 2013 fellows within the program will have the option of selecting from two (2) tracks for training, a hospice track or a palliative medicine track.
The 23-bed Harry R. Horvitz Center provides inpatient services for acute palliative care in 2 services; teaching and non-teaching. The maximum number on service is 14. Annual admissions average 900 patients.
While on service the fellow is responsible for the day-to-day care of the patients in collaboration with internal medicine residents, other rotating fellows (pain management radiation, gynecology oncology, oncology and hospitalists) and physician assistants. Rounds with the PA, fellows with the attending are 6 days a week and one day off. Call is from home and in-house coverage is provided at night by hospitalists.
Consults are seen in both the inpatient and outpatient setting. Fellows rotate on the inpatient consult service. Consults are from the department of Hematology/Oncology, from internal medicine and medical subspecialty services and medical and surgical ICUs. The Consult service is staffed by the fellows, nurse practitioner and an attending. Consults are seen the same day. Average annual consults are 900.
Hospice Home Care Service»
The Palliative Care program includes a Medicare certified palliative home care program and Hospice of the Cleveland Clinic. The inpatient experience is provided at the Hospice House of the Hospice of Western Reserve. While on service the fellows attend 1-2 interdisciplinary team meetings as well as participate in home visits. The daily census averages 250 patients.
The curriculum focuses on skills and knowledge needed for a specialist in palliative medicine including but not limited to palliative medicine philosophy, ethics, communication skills, symptom control and assessment, decision making, pharmacology, interdisciplinary cooperation, regulatory, cost issues psychosocial care, spiritual care, family systems and conferences and bereavement.
Incoming fellows attend daily half hour core lectures for 6 weeks beginning in July. Grand Rounds, staff teaching case conference, and journal club occurs weekly and morbidity mortality conference monthly. Psychosocial teaching, family systems and care as well as bereavement are taught by the faculty social worker in weekly lecture discussion format throughout the year. Depending on the background of the individual applicant additional education is available in specific diseases (i.e. Oncology).
Teaching is both didactic and informal. Communication training takes place in afternoon seminars. Fellows are expected to prepare educational conferences regularly based on case experiences and journal reviews. There is one four-week elective period per year in which fellows may choose from multiple selections based preference.
Research has a high priority in the Palliative Medicine program. Fellows will be expected to participate in research or quality assurance projects, write abstracts or case reports or Fast Facts suitable for publication as part of the required scholarly work requirement mandated by the ACGME.
While efforts are made to choose projects to meet the clinical interest of a given fellow, they must all fall within the overall research objectives of the program. Fellows will work with one or more of the attending physicians to achieve this goal. The program has conducted active research in pain control, nutrition, common symptom complexes, psychosocial aspects, family conferences and health care delivery issues in palliative medicine.
Palliative Medicine conducts many different educational conferences in a given week. In addition, the Taussig Cancer Institute puts on many informal and formal lectures and Grand Rounds. Fellows may take part in these sessions based on interest. There is also an annual educational conference offered in late February or early March.
Fellows are on call from home when they are on the Inpatient Service. They are allowed three days educational leave and fifteen vacation days. Neither educational nor vacation time may be taken during the inpatient service rotation to avoid disruption of patient care.