The fellow will have opportunities to visit patients in their homes and at long-term care facilities over the year, with a concentrated frequency of visits during the home/long-term care visit rotations. The fellow will have opportunities to provide consultative care to improve symptom management in conjunction with the home hospice IDT and collaborating with the patient's primary community physician. For patients choosing to have Kansas City Hospice physicians as the attending, the fellow will be able to take a primary role providing medical care. The fellow will be assisted by members of the IDT on most home and long term care visits. As the fellow becomes more skilled in home visits, they will make visits independent of staff with indirect supervision; phone availability of hospice attendings for assistance. The home visit experience is one of the anchors to ensure patient care continuity across clinical sites.
The fellow will work with the home teams of Kansas City Hospice & Palliative Care and NorthCare Hospice during home visit/long-term care rotations. This Interdisciplinary team is comprised of a team manager, social workers, a chaplain, nurses (RN and LPN), care partners, and medical records. Additional members of the IDT include music therapy, art therapy, child-teen specialists, bereavement counselors, and lymphedema specialists as needed for a given clinical situation. Many home visits are made concurrently with another member from the IDT allowing for good communication of the care plan and opportunity for teaching of the fellow from IDT members who have years of hospice experience.
The fellow will attend the long-term care hospice team's IDT meeting for Kansas City Hospice & Palliative Care on Wednesday afternoons when they are on KCHPC based rotations. The IDT will be comprised of a team manager, social workers, a chaplain, nurses (RN and LPN), and care partners. This experience affords the fellow a better chance to learn more about the administrative duties of a hospice medical director. The fellow will communicate with the patient's primary attending if a major change in medical orders is indicated. The fellow will also communicate with the long-term care facility staff, including the patient's primary physician and the director of nursing as necessary to ensure excellent clinical care.