The ACGME accredited Pediatric Hospice and Palliative Care Medicine Fellowship is a one year program with a 13 block rotation, to begin July 2018. Our interdisciplinary palliative care team averages approximately 300 patient consults per year.
Hospice and Palliative Medicine focuses upon patients with life-threatening and terminal illness resulting from all diagnoses. Learners are expected to understand end stage processes for common disease states including normal life closure as well as palliative aspects of chronic illness, actual management of patient and family issues near time of death, and the bereavement period. Much of the important teaching that takes place in Hospice and Palliative Medicine is interdisciplinary and occurs during daily teaching rounds (both inpatient and consultative).
Fellows will train in all inpatient units across Johns Hopkins All Children’s Hospital. Units include NICU, PICU, CVICU medical/surgical units, and cancer center. During these rotations, fellows work as members of the interdisciplinary consultation teams, receiving clinical training in the full range of palliative care assessment, multidimensional care planning including appropriate acute and non-acute symptom management, counseling patients and families, supporting ethical health care decision-making, and working with referring physicians and teams to implement palliative care recommendations in the inpatient setting.
This experience will provide fellows with skills and knowledge necessary to work effectively with interdisciplinary team members, other physicians including surgeons, intensivists, hospitalists and other medical sub-specialists, as well as patients and their families to prevent and relieve suffering.
The fellow will have the opportunity to participate in research, quality improvement and education through their scholarly project. Didactic lectures will occur twice monthly during training. Training will include home visits at Empath Health, a local hospice provider as well as training through Tampa General Hospital’s inpatient Pediatric Rehabilitation Program.
Much of the important teaching that takes place in Hospice and Palliative Medicine is interdisciplinary and occurs during daily teaching rounds (both inpatient and consultative); regular conferences in palliative care, oncology, neurology, organ-specific disciplines, ethics, and pain management; the palliative care journal club and other educational events available at all training sites. Fellows will be expected to participate in these sessions.