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.
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.
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
Psychosocial Case Conference
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 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 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
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.
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.