Hospice & Palliative Medicine - Fellowship Program

Goals and Objectives:
The goal of the Brown Hospice and Palliative Medicine Fellowship is to produce new leaders in the emerging field of hospice and palliative medicine, who will pursue faculty careers in either a clinician educator or research track; all will provide and model excellent clinical care of seriously ill patients.

Graduates of the Brown Hospice and Palliative Medicine Fellowship program will be able to demonstrate the ability to:

  • Deliver expert clinical care of seriously ill and dying patients in the continuum of care, including acute care hospital, ambulatory care, long-term care, and hospice in the home, nursing home and inpatient unit.
  • Understand the health care delivery system relevant to terminally ill patients of all ages, including funding, regulatory issues, and how health policy is made.
  • Teach and develop curriculum in all settings relevant to hospice and palliative medicine.
  • Effectively understand and participate in hospice and palliative research - in basic, clinical, or health services investigations or in a quality improvement project.

Duration:
The training program, as specified by ACGME, is one clinically-intensive year; all fellows have the same didactic and clinical curriculum, as well as an Academic Leadership and Research Skills course.

Prerequisite Training/Selection Criteria. Preference will be given to applicants seeking faculty careers, either in research or clinical education, who have strong letters of reference and who have demonstrated excellence in residency training.

Faculty:
Eve Block, MD
Linda Coffin, MD
Noel Javier, MD
Edward W Martin, MD, MPH
Donnah Mathews, MD
Jennifer Ritzau, MD
Joan Teno, MD, MS

Nurse Practitioners Mentoring Fellows:
Jennifer Alfawaz, RNP
Kelly Baxter, RNP
Pat Currier, RNP
Chris Carpenter, RNP
Bonnie Evans, RNP
Rachel Roach, RNP
Therese Rochon, RNP
Julie Voist-Stell, RNP

Sites:

  • Rhode Island Hospital
  • The Miriam Hospital
  • Home and Hospice Care of Rhode Island
  • UM Palliative Care Practice - East Avenue

    Educational Program - Basic Curriculum

    1. CLINICAL EXPERIENCE - Fellows provide direct patient care during all rotations under the supervision of a teaching attending physician.

    A. Clinical components consist of the following rotations:
    • Ambulatory Primary Care: 1/2 day per week for one year
    • RI Hospital Palliative Care: 4 months (Includes Hasbro Pediatric Units)
    • Miriam Hospital Palliative Care: 2 months
    • Inpatient Hospice Rotation: 3 months
    • Home Hospice: 1 month
    • Long Term Care Hospice: 1 month
    • Elective: 1 month

      • Hematology/Oncology
      • Neurology
      • Interventional Pain Management
      • Psychiatry
      • Cardiology
      • Critical Care
      • Pulmonary

    2. RESEARCH EXPERIENCE - The fellow will be responsible for completing a research or quality improvement project. Fellows meet with a research mentor at the start of the fellowship to develop a plan for the project.

    3. CONFERENCE DESCRIPTIONS

    A. Geriatrics and Palliative Care:
      This weekly conference will cover the principals of palliative care and geriatrics. It will also cover topics such as research methodology, study design, health insurance, and health care administration.

    B. Journal Club:

      One person (either attending or fellow) is assigned once a month to choose 1-2 recent and important hospice and palliative care relevant articles from peer-reviewed general medicine or HPM journals. The assigned individual describes and analyzes each article.

    C. Hospice Medical Directors Meeting:

      This monthly meetings covers aspects of hospice administration and the Medicare Hospice Benefit and will provide fellows with the opportunity to learn the administrative responsibilities required of hospice medical directors.

    D. Communication Skills Seminar:

      This monthly small group seminar/tutorial will focus on building communication skills in communicating prognosis, reviewing goals of care, facilitating a family meeting.

    E. Department of Medicine Grand Rounds are held every Tuesday.

    F. Morbidity and Mortality Conference is held every Wednesday.

    Other Links:

  • http://www.chcr.brown.edu/
  • http://publichealth.brown.edu/
  • http://www.chcr.brown.edu/fellowships/
  • http://www.chcr.brown.edu/resources.html

    Interested potential applicants should contact:

      Edward W. Martin, MD
      Hospice & Palliative Medicine Fellowship Program Director
      Division of Geriatrics
      Department of Medicine
      The Warren Alpert Medical School of Brown University
      c/o Rhode Island Hospital
      593 Eddy Street
      Providence, RI 02903
      Phone: 401-444-5248
      Fax: 401-444-3397
      E-mail: dbethel@lifespan.org
      Website: http://www.brownmedicine.org/geriatrics


  • Patient Services

    Members of the Department of Medicine provide both Primary Care Clinical services and Subspecialty Clinical services. Locations include community-based private physician offices, Foundation-owned group practices and the hospitals listed below.

    Rhode Island Hospital, a large academic medical center.

    The Miriam Hospital, a community based teaching hospital.

    Memorial Hospital of Rhode Island, a community based teaching hospital.

    Women & Infants Hospital of RI, the 10th largest OB/GYN hospital in the U.S.

    Providence VA Medical Center, serving a unique patient population & spectrum of illness.