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Hospice & Palliative Medicine - Philadelphia

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Einstein Medical Center Philadelphia offers a one-year ACGME accredited program, accepting two fellows per year. The care of patients in this community uniquely allows fellows to become experts in the care of seriously ill people of diverse cultural backgrounds. We also provide a focus on restorative and rehabilitative care through our experiences provided with MossRehab. The fellowship provides extensive experience in all aspects of palliative medicine for physicians who wish to pursue either academic or community-based practice.

Fellowship faculty strive to provide excellent work-life balance for our entire team and especially our fellows as we believe quality of life is important for all and fosters successful learning. There are regularly-scheduled didactics and opportunities for fellows to teach as well. The atmosphere at Einstein Medical Center Philadelphia is one of collegiality and learning and fellows will have opportunities to enhance their practice and learn from other specialties on a daily basis.

We invite you to explore our program and encouraged you to apply to our fellowship and be part of a wonderful interdisciplinary family!

Thank you for your interest in our program.

Huma Ansari, MD
Program Director, Hospice and Palliative Medicine Fellowship

Program Objectives:

Our program aims to train expert palliative medicine physicians who can work in inpatient, ambulatory office, community, and hospice settings.

Specifically, graduates will be able to: <0l>
  • Expertly manage pain and symptoms using best available evidence.
  • Provide specialty, secondary and tertiary level communication and complex medical decision-making education and support to patients and referring colleagues.
  • Appreciate the role of palliative medicine in restorative and rehabilitative settings.
  • Understand the role of palliative medicine in resource management and population health initiatives.
  • Participate in palliative medicine program creation and growth.
  • Educate non-palliative medicine clinicians’ best practices in primary palliative care.
  • Effectively collaborate with all members of the interdisciplinary team, including colleagues from nursing, social work, chaplaincy, and advanced practice provider disciplines.
  • Perform the hospice medical director role and thoroughly understand the interplay of hospice clinical and regulatory environments.
  • Core Clinical Rotations:

    Inpatient Palliative Medicine Consults -5 months
    Pediatrics - TBD (agreed upon between fellow and PD)
    LTAC at Moss Rehab - 1 month
    Hospice - 2.5 months
    QI/Research - 1 month
    Electives - 2.5 month (variety of related areas to choose from. Determined at the beginning of the year)
    Ambulatory - year-long

    Inpatient Consultative Service:

    Fellows will be important contributors to our robust interdisciplinary inpatient consult team, consisting of attending physicians, nurse practitioners, a social worker, a registered nurse, and trainees in medicine, nursing, and chaplaincy. Our consult service:
    • Manages complex pain and advanced symptoms in the setting of life-changing illness.
    • Coordinates complex care for hospitalized patients and their loved ones.
    • Evaluates a patient’s psychosocial health and creates plans of care accordingly.
    • Assists in complex medical decision-making and communication in advanced illness.
    • Collaborates with all specialties in the hospital including and not limited to general medicine and surgery, medical critical care, trauma, and surgical critical care.

    Outpatient Palliative Medicine Ambulatory Practice

    Fellows will maintain an active ambulatory practice in partnership with an attending physician and other members of the interdisciplinary team. Our ambulatory practice consists of both embedded and free-standing clinic experiences as well as community-based care. This allows fellows to experience the practice of palliative medicine in different settings as well as provide continuity of care. Fellows will use technology including telehealth to care for patients in these settings.

    KeystoneCare Hospice
    Fellows will experience inpatient and home-based hospice care through collaboration with KeystoneCare Hospice, a non-profit hospice in Wyndmoor with a mission to help all patients with terminal illness and especially people from underserved communities who have difficulty accessing excellent hospice care. KeystoneCare focuses on caring for patients and families where they are most comfortable. Fellows will regularly visit patients at home and those with acute needs in inpatient settings including patients who they have cared for prior to hospice initiation. This will help in developing an appreciation for the progression of end-stage disease and care of patients as they near end-of-life. These experiences will provide learning opportunities for symptom management at the end of life which can be very different than for other patients seen by palliative medicine specialists earlier in the course of illness. Fellows will attend interdisciplinary team meetings and learn about hospice program design.

    Elective Rotations
    Fellows have the opportunity to tailor their experience through a variety of elective rotation opportunities in specialties that often intersect with the practice of palliative medicine such as Ethics, Pain, Addiction Medicine, Psychiatry and specialties that may enhance tertiary practice in areas such as palliative hepatology, supportive oncology, and cardiac palliative care.
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