The Palliative Care Selectives help fellows appreciate the scope and practice of hospice and palliative medicine with specific attention to various settings where primary hospice and palliative care are provided. It gives particular attention to the clinic and outpatient settings. This block highlights additional services and settings that may originate a hospice and palliative medicine (HPM) referral or receive requests from a HPM provider. The fellow will recognize the role of palliative care in co-management of patients with potentially life-limiting illness at all stages of disease and in the presence of restorative, curative, and life-prolonging goals. A combined total of 4 weeks of selective block include: 2 weeks of required geriatrics selective, then the option of choosing two 1-week selectives from: outpatient oncology clinic, interventional pain clinic, chaplaincy, or oncology-rehabilitation depending on the fellow’s learning goals. Fellows who wish to spend longer period of time on one of these services are encouraged to do so in their longer elective time(s).
Preceptors for the selectives include: Dr. Jessica Kalendar-Rich (geriatrics), Dr. Gary Doolittle and Dr. Sarah Taylor (outpatient oncology), Dr. Daywood Saeed (interventional pain), Rev. Roy Sanders and Rev. Ashley Masoni (chaplaincy), Dr. S. Kamal Fetouh (onco-rehab).
The Palliative Care Elective is devoted to a fellow’s choice of palliative care or hospice area of academic interest. It may include time devoted to developing a scholarly initiative, a quality improvement project, a hospice based administrative focus, a research question, a longer experience with one of the selective choices, or with permission, another clinical focus. The fellow will be responsible for generation of specific goals and objectives for the elective time, with approval of the program director.