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The first year will have the traditional strong clinical emphasis. Required clinical rotations include inpatient rotations with the Palliative Care Consultation Service (PCCS), the pain medicine consultation service, pediatric pain and palliative care, and one-week with the radiation oncology consultation service. Required outpatient rotations include a weekly longitudinal palliative medicine clinic, a two-week rotation in the outpatient pain clinic, a one week rotation with outpatient radiation oncology, and outpatient pediatric pain and palliative care. Additional required rotations include home hospice, inpatient hospice, and long-term care. Each first-year fellow also has 4 weeks of academic time to complete selected research and education projects as well as a required quality improvement project.

Electives are available in nearly every subject available at Mayo Clinic that may be of interest to our fellows, including Complementary and Integrative Medicine, Medical Oncology, Physical Medicine and Rehabilitation, Pain/Anesthesia, Psychiatry, and Geriatrics, to name just a few. Many fellows choose to spend additional time with hospice or pursuing specific research projects during their elective time as well.

Small group interactive didactics include a Hospice and Palliative Medicine Didactics, which occur weekly and are required. In addition, during the summer, we have a 14-hour intensive curriculum called "Palliative Medicine Bootcamp" to introduce new fellows to key subject matter in palliative medicine. Journal Club occurs monthly in the evening at the homes of the faculty; this is a shared conference that includes both the palliative medicine and the geriatric medicine fellows and is attended by faculty from both groups.

Other required conferences include the weekly "Morbidity and Mortality Conference" and two fellows' conferences available through the Department of Medicine: "The Design Shop," which is a monthly research conference for fellows to review research works in progress with peers and mentors and "A Fellows Skills Development Conference," which surveys a variety of topics in medical education, health care economics, and practice and career development. We strongly encourage our fellows to attend Internal Medicine Grand Rounds, Geriatrics core curriculum and Pain-Anesthesia core curriculum, when subjects relevant to their training are being presented. The Stanford Teaching Faculty Development Seminar series will hone the teaching skills of fellows who will have the opportunity to teach principles of palliative medicine to medical trainees, including student, interns and residents.

The second (elective) year allows the fellow to focus on acquisition of research skills. The fellow may complete Mayo Graduate School coursework to acquire either a certificate in clinical research (12 credits) or a master's degree in clinical research (24 credits). During this time you will have the opportunity to complete one or more research projects with the help of an assigned mentor within your areas of interest.

Also see:

Training sites

  • Mayo Clinic Hospital, Saint Marys Campus
  • Mayo Clinic Hospital, Methodist Campus
  • Mayo Clinic
  • Mayo Hospice
  • Seasons Hospice
  • Long term care
    • Charter House
    • Maple Manor
  • Pain and Palliative Care Program (PPCP) at Children's Hospital and Clinics in Minneapolis, Minn.
    • Clinical Services through the Palliative Medicine Program at Mayo Clinic Rochester
    • An active inpatient consultation practice in palliative medicine that cares for patients at both Rochester campuses of Mayo Clinic Hospital (Saint Marys Campus and Methodist Campus).
    • A growing outpatient consultative and continuity practice in palliative medicine in SYMPAQ clinic (Symptom Management, Pain, and Quality of Life clinic).
    • Mayo Hospice

    Sample Fellow Clinical Schedule

    Weekly Palliative Care consultative and continuity clinic


    Time divided between two rotations:

    • Long-term Care and
    • Home Hospice


    Time divided between two rotations:

    • Long-term Care and
    • Home Hospice


    Inpatient Palliative Care Consultation Service


    • 2 weeks: Outpatient Pain Clinic
    • 2 weeks: Elective


    Inpatient Palliative Care Consultation Service


    Research and Quality Improvement Projects


    Inpatient Palliative Care Consultation Service


    Inpatient Pain Service


    Home Hospice & Inpatient hospice


    Inpatient Palliative Care Consultation Service


    • 2 weeks: Elective
    • 2 weeks: Radiation Oncology


    • 2 weeks: Pediatrics
    • 2 weeks: Elective

    To ensure that you acquire adequate knowledge and develop your technical skills, your performance will be monitored carefully during the course of your program training. You will be evaluated formally by your supervising faculty member after each clinical rotation and will meet with the program director to review these evaluations quarterly. In addition, you will in turn evaluate the faculty and each rotation to ensure that your educational needs are being met.

  • Dec 12, 2013
  • ART761322