Curriculum

Rotation Schedule – Block Diagram

The typical block rotations for the year are described below.

Rotation:  

IP Inpatient consult team/unit 
PCHU Dedicated palliative care/hospice unit 
LTC Long-term care 
HHC Home hospice care 
AC Ambulatory care  
ELECT Elective 

 

 

 

           

Institution/Site:  

1 Wake Forest Baptist Medical Center 
2 Hospice and Palliative CareCenter
3 Carolinas Pain Institute

 

 

1

2

3

4

5

6

7

8

9

10

11

12

13

RotationIPPCHUHHC/
LTC
SAElectIPPeds
(IP)
PCHUPM/
Onc
HHC/
LTC
IPPCHUElect
Institution/
Site

1

2

2

1

1

1

1

2

3 /1

2

1

2

1

Duration
of Experience

4
wks

 4
wks

 4
wks

 4
wks

 4
wks

 4
wks

 4
wks

 4
wks

 4
wks

 4
wks

 4
wks

 4
wks

 4
wks

 

Legend:

SA = scholarly activity
Peds = pediatric inpatient palliative care rotation
PM = pain management
Onc = oncology

Ambulatory Care:

The ambulatory care experience will be based at the WFBMC Palliative Care Clinic where fellows will spend one half-day every other week throughout the entire clinical year.

Home hospice care and LTC rotations will be split into two, two-week periods during the same block rotation

Pain management and Oncology will be split into two, two-week periods during the same block rotation

 

Training Sites/Clinical Rotations:

Wake Forest Baptist Medical Center (http://www.wakehealth.edu

Palliative Care Consult Service 

The fellow will participate in a consult service that receives over 1200 consults per year. The fellow will develop skills in consultative palliative care, symptom management, communication, inter-disciplinary care, transition management and end-of-life care. 

Pediatric Palliative Care Service at Brenner Children’s Hospital (http://www.brennerchildrens.org

With over 4,500 admissions per year, the Brenner Children’s Hospital provides comprehensive care to children from birth to age 18 and has staff physicians representing all pediatric medical/surgical specialties including a palliative care service established in 2008. The fellow will gain expertise in palliative care of pediatric patients through rounding with the pediatric palliative care team, participating in transitions of care between inpatient and outpatient care, and conducting family meetings.  

Clinical Oncology Service (http://www.wakehealth.edu/Comprehensive-Cancer-Center

The WFBMC Comprehensive Cancer Center is one of 40 National Cancer Institute designated comprehensive cancer centers in the country, meeting the highest standards for cancer care of patients and families. The hospice and palliative medicine fellow will be able to participate in inpatient and outpatient care of cancer patients and their families during this two-week rotation. 

Scholarly Activity rotation 

Participation in scholarly activities during the clinical fellowship is required and the fellow will have a block rotation dedicated to the development and initiation of scholarly work based upon their interests which will be conducted throughout the year guided by faculty mentorship.  

Elective

Several elective opportunities are open to the fellow based upon interests. 

Hospice and Palliative CareCenter (http://www.hospicecarecenter.org

Inpatient Hospice Home 

HPCC is a large, not-for-profit, Medicare-certified, hospice with an average daily census of 500+ patients. It has a 40-bed inpatient facility that provides acute and residential care to hospice patients. The fellow will be responsible for rounding on patients daily, leading IDT meetings and participating in family discussions to provide high-quality patient care. 

Long-term care Service 

HPCC cares for 160+ long-term care patients daily, spread throughout multiple facilities in the region, both in assisted-living and skilled nursing facilities. The fellow will spend two, two-week periods rounding on patients in various LTC settings with supervision provided by a HPM physician and/or nurse practitioner. During this rotation the fellow will learn the nuances of palliative care needs of the elderly, such as progression and management of neurologic illness (e.g. dementia, ALS, Parkinson’s), assessment and management of chronic non-cancer pain, wound care, geriatric syndromes (incontinence, delirium, non-cancer related functional decline, and frailty), advance care planning, and policies and regulations of long-term care settings.

Home Hospice Service 

Fellows will gain extensive experience managing hospice patients in home care through time spent with HPCC. Fellows will meet weekly during the rotation with the hospice interdisciplinary team, providing clinical support and guidance to the team. Two two-week blocks of the fellow’s time are spent doing hospice home visits. 

Outpatient Hospice and Palliative Care Service 

Longitudinal care of hospice and palliative care patients is provided in the new WFBMC Palliative Care Clinic where the fellow will spend one half-day every other week throughout the twelve-month fellowship training program. The fellow will manage patients at all disease stages with multiple physical, psychosocial, spiritual, and existential issues as part of a multidisciplinary team. The fellow will follow new patients longitudinally in the ambulatory setting as well as across settings if the patient is admitted to the hospital or goes to hospice. 

Carolinas Pain Institute (http://www.carolinaspaininstitute.com

Pain Management Service 

The Carolinas Pain Institute is a comprehensive pain clinic that provides outpatient care as well as a dedicated research facility for all phases of pharmaceutical and device-related clinical studies. The fellow will gain confidence in all forms of pain control and be exposed to cutting-edge research in pain management. 

Electives:

  • Interventional Pain Management 
  • Interventional Radiology
  • Clinical Oncology 
  • Bioethics 
  • Geriatric Medicine 
  • Critical Care Medicine 
  • Pediatric Palliative Care

Quick Reference

Palliative Care Fellowship
Stephanie Garrison
Program Coordinator

336-716-6157

Find A Doctor Ways to Give
Last Updated: 12-12-2014
USNWR 2013-2014Magnet Hospital RecognitionConsumer Choice2014 Best DoctorsJoint Commission Report

Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.