Overview

Overview

Cleveland Clinic was founded in 1921 with the mission of "better care for the sick, investigation of their problems, and further education of those who serve." Today, the Cleveland Clinic has grown to over 1,400 Main Campus beds and over 3,500 Physicians & Scientists. Cleveland Clinic is consistently recognized among the nation’s top hospitals by U.S. News and World Report due to excellence in clinical care, innovative practice, and landmark research.

Palliative Medicine at CCF

Since its inception in 1987, Cleveland Clinic's Hospice and Palliative Medicine (HPM) services have strived to

  • provide excellent care of patients and their families dealing with advanced disease throughout the illness and during bereavement
  • advocate effectively for patient comfort, dignity, and choice.

Cleveland Clinic's Hospice & Palliative Medicine service began as an inpatient palliative medicine (PM) consultation service in 1987 through the guidance of Dr Declan Walsh. In the subsequent 2 years, outpatient PM clinics then an acute care inpatient PM service were added. A formal education program began in 1989 with the first clinical physician HPM fellowship in the USA. The Cleveland Clinic Hospice homecare service began in 1990. In 1991, the 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. Today, Cleveland Clinic's HPM services continue to grow and integrate throughout our healthcare system.

Current Cleveland Clinic Main Campus HPM services include:

  • Outpatient PM clinic 5 full days/week (>500 referrals/year)
  • Inpatient PM consult services (>1500 referrals/year)
    • General Consult services
    • Integrated Solid Tumor Oncology Consults services
  • Inpatient Hospice service

Current Cleveland Clinic Community-based HPM services include

  • Inpatient PM consult services at regional hospitals
  • Outpatient PM clinics at regional hospitals
  • 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 various patient populations across the health system in multiple settings, work closely with members of the HPM interdisciplinary team, and collaborate with non-HPM providers. In addition to clinical education, our fellows receive a structured didactic education, help educate rotating residents and medical students (both during clinical rounds and through formal presentations), and present Journal Clubs and Case Presentations.

Rotations

Over the course of the fellowship, trainees rotate in 13 four-week blocks through:

  • Inpatient Consult services:
    • Integrated Solid tumor oncology consult service at Main Campus (~3 blocks)
    • General PM consults at Main Campus (~2 blocks)
    • General PM consults at Hillcrest Hospital (regional hospital) (~1 block)
  • Inpatient Hospice service (~3 blocks)
  • Home (visiting) HPM service (~2 blocks)
  • Outpatient PM Clinics (weekly throughout the year)
  • Long Term Care service (1/2 block)
  • Pediatric Palliative Care service (1/2 block)

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

Didactics

Scheduled didactics cover a wide range of HPM 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

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.

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
Taussig Cancer Institute, Cleveland Clinic
10201 Carnegie Avenue, CA6
Cleveland, OH 44195
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.