Children's Mercy Hospital became a KUHPM fellowship partner in 2016 and graduated our first pediatric track fellow in 2017. CMH provides a robust experience for both our pediatric and adult fellows, providing support to infants, children, and adolescents with life limiting or life threatening illnesses. The Palliative Care Team (PaCT) started in 2003, making it one of the more established programs in the country. PaCT cares for patients with a wide variety of diagnoses and clinical circumstances in all areas of the hospital. In 2018, the PaCT team met with 260 new patients, continued to follow over 500 patients, and had an average daily inpatient census of 53, making it one of the busiest programs in the country as well. A significant portion of the new patient consults came from the Fetal Health Center.
While rotating at CMH, fellows will have the opportunity to work with a HPM pediatric-fellowship trained staff and an experienced pediatric interdisciplinary team including nursing support, child life specialist, social workers and chaplains.
The KCH & PC Carousel Pediatric Hospice Team is an interdisciplinary team that provides outpatient hospice and home health services for pediatric patients in the Kansas City metro area. It is a part of Kansas City Hospice & Palliative Care. A wide range of diagnoses are present, including congenital anomalies with a terminal diagnoses, pediatric cancers, and sequelae from severe life-threatening traumatic injuries. The fellow will work closely with an interdisciplinary team of social workers, chaplains, music therapists, pharmacists, dietitians, child-teen specialists and others. During the carousel portion of the block, the fellow gains in-depth exposure to acute pain and symptom management of the pediatric patient and education and counseling for pediatric patients and families dealing with end of life issues.
The KU Kids Healing Place at KU Medical Center works with infants, children and adolescents with chronic and life-limiting diagnoses to provide palliative care from the time of diagnosis forward: to cure, to transition to adult care or to end-of-life care. KUKHP services focus on the child and family in the hospital and in the community, partnering with health care providers, school professionals, child care providers, clergy, coaches, peers and others to ensure that the young person is afforded developmentally appropriate experiences, despite the serious illness. In addition, the fellow will have the opportunity to see children who are suffering the serious illness or loss of an adult loved one in the hospital, either with members of the KUKHP team or the Behavioral Pediatrics team. The fellow will have the opportunity to focus on the psychosocial elements of pediatric palliative care working with Kathy Davis, PhD, MSEd. The fellow may also have opportunity at KU to see palliative patients in the outpatient setting, in the NICU survivors clinic as well as the Heme/Onc clinics. The fellow may attend the Peds Pall care case conference and will have opportunity for reading on the core palliative principles in the pediatric population.
During the pediatric rotations, the fellow will attend pediatric specific IDT meetings where team members review the care plans and challenges for patients on the service. The medical director for the pediatrics team will work with the fellow to provide input from a medical perspective.