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Physician Fellowship Curriculum

2017-18 fellow Dr. Berroa-Garcia and others at the HPM Medical Education Workshop

Palliative social worker Stacey Thompson and attending Dr. Pettit model communication strategies.

Faculty member Sarah Fairbrook reviews a fellow communication exercise with a standardized patient.

Required Clinical Rotations

1 block = 4 weeks

ROTATION BLOCK

SITE

Inpatient Palliative Care Consultation (6 blocks)

MedStar Washington Hospital Center

Inpatient Hospice (2 blocks)

Capital Caring

Home Hospice (1 block)

Capital Caring

Long term care Hospice (1 block)

Capital Caring

Pediatric Palliative Care (1 block)

Childrens’ National Medical Center

Clinical Ethics Consultation (.5 block)

MedStar Washington Hospital Center

Cancer Rehabilitation/Pain Clinic (.5 block)

National Rehabilitation Hospital

Elective (1 block)

Multiple Locations

Outpatient Palliative Care Clinic (weekly)

Washington Cancer Institute
MedStar Heart and Vascular Institute
MedStar Washington Hospital Center

Electives

To meet individual learning needs, each fellow may choose one or more elective rotations, selected from within or outside of the MedStar-Georgetown system.

MedStar-Georgetown electives include Clinical Ethics, Consult Liaison Psychiatry, Interventional Pain Service, Cancer Rehabilitation, Total Elder Care/Geriatrics House Calls, MedStar Georgetown University Hospital Palliative Care, MedStar Union Memorial Hospital Palliative Care (Baltimore, MD), and Research.

An off-campus elective rotation is more open and may be selected from any rotations above or additional themes such as integrative medicine, public policy, hospice administrative leadership, narrative medicine, relevant clinical specialty services (e.g. advanced heart failure, critical care, nephrology, HIV clinic, etc.). At the discretion of the program director, fellows may develop their own unique elective.

Structured Didactics

Fellows participate in a variety of educational experiences through the year to develop discipline-specific expertise, including but not limited to:

  • Didactics (weekly)
  • Journal club (monthly)
  • Expert communication curriculum (monthly)
  • Ethical issues in hospice and palliative medicine (quarterly)
  • Grief and bereavement care (quarterly)

Scholarship

Through the year, fellows participate in a variety of scholarly projects with ongoing mentorship.

Quality Improvement and Safety: fellows participate in a fall workshop on Hospice and Palliative Medicine Quality and Safety as a kick-off to year-long quality improvement projects; they also participate in relevant Safety Event reviews and Clinical Quality Committee meetings.

Scholarly Project: with faculty mentoring, each fellow develops a focused scholarly project in palliative research or education with the intention of presenting at a regional or national meeting and/or publication.

Additionally, fellows have the option to participate in a MedStar-Georgetown workshop series on medical education skill development to prepare for career opportunities as a clinician educator.