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.
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.
Edward W Martin, MD, MPH
HPM Section Chief and Program Director
Hospice and Palliative Medicine Fellowship
Gowri Anandarajah, MD
Linda Coffin, MD
Christine Nevins-Herbert, MD
Mercedes Pacheco, MD
Rachel Rackow, MD
Jennifer Ritzau, MD
Jensy Stafford, 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
- Philip Hulitar Inpatient Center
- Rhode Island Hospital
- The Miriam Hospital
- Home and Hospice Care of Rhode Island
- Rhode Island Hospital Cancer Center
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
- Hospice Rotation: Inpatient/Home/Long Term Care 4 months
- Elective: 1 month
- Interventional Pain Management
- Critical Care
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 meeting 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.
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