Palliative Medicine Fellowship Rotations
Ambulatory Experience- longitudinal + 1 block
Description:
The ambulatory clinic experience will be at least 6 months and is
comprised of two components:
- The ambulatory palliative care clinic at Kansas City Hospice will
have the fellow and the IDT seeing patients who will be earlier
in their disease course than hospitalized patients or hospice patients. The
focus will be on symptom management and advanced care planning. Patients
will be referred from multiple community physicians, and the fellow
will be able to act as the primary consultant for the patient with
attending oversight. The fellow will be able to see patients
with the IDT over the course of the fellowship, with continuity being
the major objective. The fellow will be assigned to the palliative
care clinic for ½ day sessions during her inpatient hospice
facility rotations given the proximity of the clinic and the facility,
but the fellow will be able to see patients in the palliative care
clinic regardless of current rotation. Scheduling will be flexible
with the fellow’s current rotation so as not to sacrifice
one learning experience for another.
- The ambulatory clinic 4 week block selective rotation exposes
the fellow to a wide variety of patient populations with palliative
care needs, including oncology, cardiology, geriatrics, and pain
clinics. The
fellow will select from a variety of different clinics suiting his
or her educational needs and confirm the selections, goals and objectives
with the program director. The fellow will also meet with the
program director weekly to review the experience, and reflect on learning
opportunities. The focus of this component will be the breadth
of ambulatory care opportunities for palliative care.
Fellow Responsibilities
Longitudinal component: The fellow will
be expected to see patients in ambulatory Palliative Care clinic during
Inpatient hospice blocks and occasionally on other rotations when
appropriate and feasible to coordinate with other learning and service
activities.
Ambulatory block component: The fellow will be expected to attend
the assigned clinics and complete assessments/documentation in a timely
fashion, under the direction of the attending physicians for the clinic
venues.