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During your 12-month training program, you will:
- Learn prognostic criteria for patients with
life-limiting illnesses.
- Learn functional assessments to assist in coordinating
care.
- Discuss empathically palliative treatment options
with patients, families and professionals.
- Perform visitation and home care as an important
component to end-of-life care.
- Make appropriate referrals to other professionals
for diagnostics and therapeutics necessary to meet the needs of
patients.
- Work with the Ethics Committee as necessary.
- Translate the needs of the patient into an appropriate
action plan with empathy, efficiency and expediency.
- Demonstrate excellence in communication between
the patient, family and palliative care team.
- Perform pain assessment and incorporate WHO
analgesia ladder.
- Learn to use opiates, narcotic equivalences
and conversions as needed.
- Learn anesthesia procedures.
- Lead palliative care team meetings.
- Coordinate and lead family meetings.
- Research and publish articles regarding palliative
medicine.
- Coordinate and perform bereavement evaluation
and follow up.
- Demonstrate cost-effective symptom evaluation
and management.
- Learn how to balance professional and personal
opportunities and obligations in harmony and balance (e.g., how
to avoid burnout and maladaptive coping mechanisms.)
- Lecture and teach medical students, nurses and
other members of the health-care team regarding the special aspects
of palliative medical care; (i.e., "spread the word" by being
an advocate of palliative medicine in the community, to promote
the benefits of, and to increase access to Medicare hospice benefits).
- Learn and apply the Medicare/Medicaid qualifications/requirements/eligibility
rules and regulations; as well as managed care and HMO mandates.
- Demonstrate a working proficiency in ethical
principles including autonomy, beneficence, non-malifecience,
justice, informed consent, euthanasia, decision-making capacity,
substituted judgment, utility, futility and benefit risk analysis.
- Learn empathic interviewing techniques.
- Take a spiritual history and be sensitive to
cultural variations.
- Incorporate patient's cultural, spiritual and
experiential perspectives to design an individualized care plan.
You will learn clinical palliative care and hospice care with a
team of professionals from Mayo Clinic, Community Hospice of Northeast
Florida in-patient unit ( Earl B. Hadlow Center for Caring), nursing
homes, private homes and Mayo Clinic hospital. You also will serve
as consultant for inpatient evaluations on the Palliative Care Consultative
Service at Mayo Clinic and Mayo Clinic hospital.
At Community Hospice, longitudinal care of individuals enrolled
in Community Hospice will enable you to evaluate and participate
in care over the 12-month experience.
Clinical Training
Clinical rotations in both the outpatient and ambulatory
care settings include:
- Medical oncology
- Gynecological oncology
- Pain/anesthesia
- Physical medicine and rehabilitation
- Radiation oncology
- Pediatric oncology
- Transplant medicine (renal/cardiac/lung/liver)
- Elective rotations
Rotations
The following shows the typical rotation schedule for the
12-month program:
| Hospice/PCCS |
Mornings for 12 months |
| Oncology |
Afternoons for 3 months |
| GYN Oncology |
Afternoons for one month |
| Radiation Oncology |
Afternoons for one month |
| ICU |
Afternoons for one month |
| PM&R |
Afternoons for one month |
| Transplant Unit |
Afternoons for one month |
| Pain/Anesthesia |
Afternoon for one month |
| Electives |
Afternoons for three months |
| Continuity Clinic |
One day per week for 12 months |
| Nursing Home |
Half-days for 12 months |
| Research |
Half-days two times per month |
Didactic Training
Course work will include structured lectures by Mayo Clinic
and Community Hospice Faculty. You will be responsible for approximately
six lectures during the 12-month experience.
You will participate in monthly lectures hosted by the other Mayo
Clinic locations in Scottsdale , Ariz. and Rochester , Minn.
Research Training
Your research opportunities at Mayo Clinic are outstanding.
During the course of this fellowship, you will design and complete
a research project under close mentorship from one of our experienced
clinician-researchers.
You will learn about research through observation and participation
in the design and conduct of ongoing clinical trials.
Also see:
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