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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


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.


To ensure you gain proficiency and develop the corresponding technical skills, your performance is monitored throughout this program. You are formally evaluated by your supervising faculty member following the completion of each clinical rotation; and then meet with the program director to review these evaluations. In addition, you regularly evaluate the faculty to ensure your educational goals are being met.

Also see:

  • ART527613