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Department of Internal Medicine

Department of Internal Medicine

Hospice and Palliative Medicine Fellowship Curriculum

Major Committments During the Year

Fellows accepted to the program will be required to rotate through the following venues.

Core Clinical Rotations

 University of California at Davis Health System

  • Adult Inpatient Palliative Care Consults
  • Pediatric Inpatient Palliative Care Consults
  • Inpatient and Outpatient Pain Service
  • Outpatient Subspeciality Clinics

VA Northern California Health Care System (Sacramento and Martinez)

  • Adult Inpatient Palliative Care and Hospice Unit
  • Adult Inpatient Palliative Care Consults
  • Long Term Care and Rehabilitation Units
  • Home Based Palliative Care
  • Outpatient Primary Palliative Care Clinic
  • Outpatient Subspeciality Clinics
  • Outpatient Advance Illness Management Discharge Clinic

Kaiser Permanente North Valley (Sacramento and Roseville)

  • Adult Inpatient Palliative Care Consults
  • Pediatric Inpatient Palliative Care Consults
  • Kaiser Contracted Skilled Nursing Facilities
  • Outpatient Primary Palliative Care Clinic
  • Outpatient Subspeciality Clinics

Shiners Hospital for Children Northern California

  • Pediatric Inpatient Palliative Care Consults

Hospice Care

  • UC Davis Home Care and Hospice
  • Kaiser Permanente Sacramento and Roseville Hospice Programs
  • VITAS Innovative Hospice Care
  • Avalon House, Sacramento, CA
  • George Mark Children's House, San Leandro CA

Center for AIDS Research, Education and Services

 

Scholarly Projects

Scholarly activity is an integral and required part of this fellowship.  Scholarly activity can be any academic work that furthers the field of Hospice and Palliative Medicine, but typically involves research projects, quality improvement initiatives, or health care administration activities.  Per ACGME, all fellows are expected to complete and submit a minimum of one scholarly project by the end of the fellowship.  Fellows in our program will be expected to participate in two scholarly activities, one that is chosen from a list of pre-approved projects, and the other that is fellow-initiated.  There will be protected time for these activities.  For pre-approved projects, fellows will have a dedicated half-day per week to work with an assigned mentor to further the goals of the endeavor.  For fellow-initiated projects, fellows will be given 4 weeks of dedicated time to work on his/her project.  Fellows are expected to generate an end product from the scholarly activity, such as an abstract, publication or presentation at a conference.

Electives

Fellows will be given adequate time to explore the intersection of Hospice and Palliative Medicine with other subspecialties.  Electives will be scheduled into the rotational schedule and fellows will be allowed to choose amongst a list of possible electives.  Some examples are listed below.

  • Ethics Consultation
  • Interventional Pain Service
  • Geriatrics Clinic (e.g., End stage dementia clinic)
  • Psychiatry Clinic
  • Medical Oncology Clinic
  • Radiation Oncology Clinic
  • Pulmonology Clinic (e.g., End stage COPD clinic)
  • Cardiology Clinic (e.g., End stage CHF clinic)
  • Gastroenterology Clinic (e.g., End stage Liver Clinic)
  • Nephrology Clinic
  • Neurology Clinic (e.g., ALS or Movement Disorder Clinics)
  • Wound Care Clinic