Hospice and Palliative Medicine Fellowship (Minnesota)
The fellowship in Hospice and Palliative Medicine (HPM) consists of clinical, didactic and research components designed to expose trainees to the essential elements of HPM. The goal of the program is to develop academic leaders in HPM, with outstanding skills in clinical palliative medicine, research, medical education and administration. Fellows who complete the clinical year will be able to evaluate and manage patients across the continuum of palliative medicine, including through inpatient, outpatient and consultative palliative medicine practices; through inpatient and home-based hospice; and in the long-term care setting. Graduates of this fellowship will have an outstanding fund of knowledge in the areas of medical pain management, opiate pharmacology, non-pain symptom management, and complex communication skills. They will be skilled in the management of advanced and complex illness, including both cancer and non-cancer diagnoses. While this is an adult palliative medicine fellowship, fellows will be exposed to patients across the life-cycle, including pediatric palliative care patients. In addition to building clinical skills, the fellowship curriculum includes training in the business and administrative aspects of palliative care, including building a palliative medicine program, billing, hospice medical direction, health care financing, and regulatory and other administrative issues pertinent to palliative medicine and care of severely ill and dying patients. Our first-year curriculum also includes training in basic research skills, quality improvement, and teaching skills.
The fellowship in Hospice and Palliative Medicine is a program within the Department of Medicine (DOM) and the Division of General Internal Medicine (GIM), as well as the Mayo School of Graduate Medical Education (MSGME). The program's strengths include a committed core teaching faculty of board-certified palliative medicine physicians from several different divisions and departments throughout Mayo Clinic Rochester, including physicians from the Departments of Medicine, Oncology, Family Medicine, Psychiatry, and Physical Medicine and Rehabilitation. Your clinical opportunities will afford you the opportunity to work with outstanding faculty in other departments as well, including faculty from Geriatrics, Pain-Anesthesia, Oncology, Radiation Oncology, Pediatrics (both at Mayo Clinic and at the University of Minnesota), research and education. The program provides several unique clinical training opportunities in key specialty clinics such as pain-anesthesia, cancer pain, oncology, radiation oncology, geriatrics, pediatrics, complementary and integrative medicine, physical medicine and rehabilitation, and inpatient and outpatient hospice. In addition to a rich clinical environment, the academic infrastructure and opportunities to develop skills as an academician are outstanding at Mayo Clinic generally and within DOM and MSGME specifically. There are tremendous opportunities and outstanding mentorship in each of the three "shields" of Mayo Clinic, including practice, research, and education.
Fellows who complete the second, research-based year will have the needed statistical, epidemiologic and research design skills to pursue an academic research career in palliative medicine as well as the opportunity to obtain a master's degree in clinical research through the Mayo School of Graduate Medical Education. The program's affiliation with the nationally renowned Department of Health Sciences Research and the Mayo Clinic Cancer Center provides unsurpassed opportunities in research as well as excellent mentorship. For those interested in expanding their teaching skills or those who wish to pursue a career as educators or education researchers, extensive coursework and mentorship in education is also available. All of this is located in Mayo Clinic in Rochester, Minn., a facility with a worldwide reputation for excellence in patient care, education and research.
This fellowship program fulfills the requirements for fellowship training in hospice and palliative medicine as outlined by the American Board of Medical Specialties (ABMS), the Accreditation Council for Graduate Medical Education (ACGME), and the Family Medicine Residency Review Committee (RRC). Fellows who complete the clinical (first) year successfully will be board eligible to sit for the Hospice and Palliative Medicine Board Exam through the American Board of Medical Specialties.
The Hospice and Palliative Medicine Fellowship at Mayo Clinic in Rochester was established in 2007 and accepted its first fellow in 2008. It is anticipated that one fellow will complete this program annually.