Overview

Overview

Our overall fellowship philosophy is to create independent, highly effective hospice and palliative medicine physicians who are walking away from their fellowship year with all that Cleveland Clinic has to offer. If you decide to join us for your training, you will be graduating from the very first physician Hospice and Palliative Medicine fellowship in the USA, established in 1989. In 1991, Cleveland Clinic's program was recognized by the World Health Organization as "a unique model of a much needed service" and received designation as a WHO Demonstration Project. Hospice and Palliative Medicine services have been offered at Cleveland Clinic since 1987, thanks to leadership of Dr. Declan Walsh, recognized in 2013 as a visionary in the field. Today, Cleveland Clinic's HPM services are integrated throughout our healthcare system. We are seen as a vital part of the patient’s care in areas such as solid tumor oncology, bone marrow transplant, medical intensive care and cardiovascular intensive care.

Since its inception in 1987, Cleveland Clinic's Hospice and Palliative Medicine (HPM) program has strived to provide excellent care of patients and their families dealing with serious illness and to advocate effectively for patient comfort, dignity, and choice.

Current Cleveland Clinic Main Campus HPM services include:

  • Outpatient palliative medicine clinic 5 full days/week (>500 referrals/year)
  • Inpatient palliative medicine consult services (>1500 referrals/year) to include:
    • General consult hospitalist services
    • General consult ICU services
    • General consult cardiology services
    • Integrated Solid Tumor Oncology consult services
    • Integrated Bone Marrow Transplant and Leukemia consult services
  • Inpatient Hospice service

Current Cleveland Clinic Community-based HPM services include

  • Inpatient palliative medicine consult services at 5 of our regional hospitals
  • Outpatient palliative medicine clinics on both the east and west side of town
  • Home-based HPM services
    • Home Hospice
    • Home (Visiting) Palliative Medicine
Fellowship

Fellowship

Thank you for your interest in our Hospice and Palliative Medicine Fellowship Program at Cleveland Clinic!

We offer an extensive, in-depth educational experience during our one year ACGME-accredited physician fellowship program. Fellows gain a wide exposure to:

  • Medically complex patients from around the world seen in multiple practice settings
  • Direct supervision from board-certified staff physicians
  • Dynamic members from our interdisciplinary team and
  • Supportive consulting physician collaborators who are leaders in their respective fields

In addition to clinical education, our fellows:

  • Receive structured education that is grounded in adult learning theory and emphasizes the key learnings in our field, both symptom management and communication
  • Educate rotating residents and medical students (both during clinical rounds and through formal presentations), and;
  • Lead Journal Clubs and Case Presentations.

Rotations

Over the course of the fellowship, trainees rotate in 20 two-week blocks through:

  • Inpatient Consult services:
    • Integrated Solid tumor oncology consult service at Main Campus (~3 blocks)
    • General hospitalist consults at Main Campus (2 blocks)
    • General ICU consults at Main Campus (2 blocks)
    • General cardiology consults at Main Campus (1 block)
    • General palliative medicine consults at Hillcrest Hospital (regional hospital) (2 blocks)
  • Inpatient Hospice service (4 blocks)
  • Home (visiting) HPM service (~2 blocks)
  • Outpatient palliative medicine clinics (1 block and weekly throughout the year)
  • Long Term Care service (1 block)
  • Pediatric Palliative Care service (1 block)

Flexibility to modify the rotation schedule will be considered as interests develop over the fellowship year. A two block elective is chosen from Bioethics, Chronic Pain, Acute Pain, Psychiatry, Radiation Oncology, or Medical Oncology.

Education

In addition to the hands-on clinical guidance you will receive, scheduled didactics cover a wide range of hospice and palliative medicine topics including cancer-related issues, symptom management, non-cancer disease states, and administrative/business education. Psychosocial focused lectures, board review sessions, narrative medicine sessions, and psychosocial rounds are also scheduled throughout the year. Staff from Palliative Medicine and Medical Oncology working within the Center for Excellence in Healthcare Communication give multiple full day seminars targeted to our (and medical oncology) fellows to ensure communication skills are optimized.

Research

As part of the required scholarly work requirement mandated by the ACGME, fellows will be expected to participate in formal research, quality assurance projects, abstracts write-ups, etc. Our faculty is here and ready to assist you in these endeavors.

While efforts are made to choose projects to meet the clinical interest of a given fellow, they must also fall within the overall research objectives of the program. The program has conducted active research in pain control, nutrition, common symptom complexes, psychosocial aspects, communication, family conferences and health care delivery issues in palliative medicine.

Program Director

Our fellowship program director is Katie Neuendorf, MD, FAACP. Dr. Neuendorf joined Cleveland Clinic in 2010. She has given numerous presentations and seminars to both a national and international audience with a focus on relationship-centered communication and leadership. If fellows so desire, Dr. Neuendorf will connect them to the larger HPM community as she has served in many capacities within the American Academy of Hospice and Palliative Medicine, including Chair of the Leadership and Career Development Committee and the Workforce and Career Development Committee. She strongly believes in guiding people to discover what truly brings them alive.

Learn More

Graduates

Graduates

YEAR FELLOW INSTITUTION
2018 Monet Casey Merit Health River Oaks, MS
2018 Navin Dhingra Cleveland Clinic, OH
2018 David Harris Cleveland Clinic, OH
2018 Vineetha Jose Loyola Univ Chicago--Geriatrics Fellowship
2017 Alexander Hawson UCSF--Anesthesia Critical Care Fellowship
2017 Kyle Neale Cleveland Clinic
2017 Hallie Pobanz Spartanburg Regional Healthcare System, SC
2017 Johnson Wu Care Dimensions Hospice and Palliative Care, MA
2016 Pierre El Hachem UH Samaritan Medical Center, OH
2016 Saurabh Khurana Marshfield Clinic, WI
2016 Silviu Pasniciuc Upstate University Hospital, NY
2016 Kathryn Richards Cleveland Clinic, OH
2015 Cory Chevalier Cleveland Clinic, OH
2015 Megan Haas KentuckyOne Health Palliative Care Associates, KY
2015 Tara Horr Vanderbilt University, TN
2015 Lynda Tang The Vancouver Clinic, WA
2015 Piyapon Thisayakorn Bangkok Hospital, Thailand
2014 Irene Krechetoff Did not complete fellowship
2014 Christie Somers Arietti Augusta GA, Medical College Hospitalist
2014 Joshua Smith Moffitt Cancer Center, FL
2014 Christopher Strzalka St. Vincent Hospital, PA
2013 Gordon, Pamela Wellstar Medical Group, GA
2013 Majeed, Sumreen Northwell Health Cancer Institute, NY
2013 Rao, Archana Cone Health Cancer Center, NC
2013 Shinde, Shivani National Jewish Health, CO
2012 Alqudihy, Shukri Johns Hopkins Aramco Healthcare
2012 Aung, Aye Phyu Palmetto Health Hospice, SC
2012 Bloise, Rafael Mercy Health Palliative Care, MI
2012 Samala, Renato Cleveland Clinic
2011 Chang, Young Doo Moffitt Cancer Center, FL
2011 Garcia, Ray Jay Capital Caring, VA
2011 Shrestha, Anu Cleveland Clinic
2010 Ahmed Khan, Mohammed I Mercyhealth Cancer Center, IL
2010 Alvarez, Adriana Wake Forest Baptist Health, NC
2010 Aziem, Awad Heartland Healthcare Center, MI
2010 Sidhu, Parminder Mercy Medical Center Merced, CA
Applying

Applying

All required clinical education for entry into ACGME-accredited fellowship programs must be completed in an ACGME-accredited residency program, or in an RCPSC-accredited or CFPC-accredited residency program located in Canada. Prior to appointment in the program, fellows must have completed an ACGME- or RCPSC-accredited program in child neurology, family medicine, internal medicine, pediatrics, physical medicine and rehabilitation, or neurology; or at least three clinical years in an ACGME- or RCPSC-accredited graduate educational program in one of the following specialties: anesthesiology, emergency medicine, obstetrics and gynecology, psychiatry, radiation oncology, radiology, or surgery. The application process for fellowship is conducted through ERAS®. We are a participant of the NRMP Main Match and therefore, do not fill any positions outside of the Match. Applications will be accepted during the month of July each year for positions to begin July 1 of the next academic year.

We encourage applicants to contact the Education Program Manager regarding inquiries into our program.

Lynn Mulgrew
Education Program Manager
Cleveland Clinic Taussig Cancer Institute
10201 Carnegie Avenue, CA6
Phone: 216-445-0624
Fax: 216-444-9464
mulgrel@ccf.org

Benefits

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.