Hospice and Palliative Care

Educational Programs in Fellowship


The following describes the non-clinical learning experiences for fellows at the Wake Forest Hospice and Palliative Medicine Fellowship. These occur in an academic half day fashion, one ½ day per week.

Case Conference

Case Conference is a monthly, one hour meeting with the Palliative Care Team where fellows are expected to present interesting and challenging patient cases, analyze specific issues of the case, and solicit thoughts and guidance from members of the Palliative Care Team.  Audience may include palliative care team, care transitions team, and geriatrics faculty.

Journal Club

Journal Club is a monthly, one hour meeting with the Palliative Care Team where participants including the fellow present a journal article relevant to palliative care and provide a critical review of its contents.  Fellow will receive assistance in proper journal article critique.  Audience may include palliative care team, care transitions team, and geriatrics faculty. 

Psychosocial Case Conference

Psychosocial Case Conference will be monthly for one hour. The goal of this conference is to allow presenters a chance to debrief on challenging encounters from an emotional perspective and receive input from peers. Also allows debriefing of everyone emotional reactions, caring for patients with life-limiting illness, and work-life balance issues. At this conference, fellows/participates will have the opportunity to discuss complex patient care issues, to evaluate their current approach to treatment with specific clients, examine issues of transference and countertransference and gain support/assistance from other multidisciplinary psychosocial providers in the development of psychosocial plans of care.

Narrative Medicine

Narrative Medicine is a weekly, one hour meeting and writing time. Fellows will explore the relationships between close reading, reflective writing, and clinical practice. Participants will discuss several pieces of writing and the ways in which they influence how the participants think about their lives and their practice. The group will discuss Louise Aronson’s short story collection, The History of the Present Illness during the fall meetings.

Self-Care Activities

Self-Care Activities will occur monthly.  The emotional nature of working closely with patients and families at one of the most difficult times of their lives can be challenging. While rewarding and satisfying for much of the time, it can be overwhelming and difficult to face at other times. Thus caring for oneself is important along with a good life-work balance.  So there will be monthly self-care activities that the fellows will be required to do including art therapy, music therapy, mindful-based stress reduction, yoga, photography, massage therapy, acupuncture, QiGong, exercise, and guided imagery and hypnosis.  Fellows will be required to complete a self-care assessment and monthly self-care check sheet.

American Academy of Hospice and Palliative Medicine Annual Assembly

The fellow will have the opportunity to attend the AAHPM Annual Assembly in the spring.  This is an excellent educational experience for attendees.  Participants are expected to provide a brief presentation that highlights this educational experience to the Palliative Care Team.

Scholarly Activity

Four weeks of protected time for scholarly activity will be provided to the fellow to pursue interests in research project and/or quality improvement project development.   Fellow may identify research mentor or one may be provided.  Fellow may also have the opportunity to participate in research lecture programs provided by General Internal Medicine including the Tinsley Harrison Research Series and the Evidence Based Medicine Series.

Quick Reference

Gerontology and Geriatric Medicine

Geriatric Administration
Geriatric Clinic
Geriatric Research
Memory Assessment Clinic Counseling Center (MACCC)
Elder Law Clinic

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Last Updated: 07-25-2016
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