Palliative Medicine and Hospice Fellowship
Palliative Medicine & Hospice Interdisciplinary Fellowship
The Division of General Internal Medicine and Geriatrics at Oregon Health & Science University and the Portland Veterans Affairs Medical Center offer an ACGME-accredited, truly interdisciplinary, one year fellowship in Palliative Medicine and Hospice located in the beautiful Pacific Northwest. Our mission is to provide fellows with an interdisciplinary approach to compassionate practice across the patient care spectrum.
Fellows are involved in the care of veteran, academic and community-based patients. They learn consultative skills, provide direct management of care in an inpatient hospice unit, work in a home hospice setting, participate in multi-disciplinary outpatient clinics, a long-term care setting, and have focused training experiences in pain clinic, chaplaincy, radiation oncology, pediatrics, and critical care. Fellows also receive one month of selective time. Additional curricular sessions involving communication skill development and formal ethics training occur throughout the year. A scholarly project and quality improvement or patient safety activity are expected and mentored. Working within interdisciplinary teams is an integral part of this fellowship. Fellows have opportunities throughout the year to teach medical students, interns, residents and interdisciplinary team members.
This training program prepares physicians to competently work in both palliative care and hospice settings. Graduates work as inpatient/outpatient palliative medicine consultants, hospice medical directors, provide administrative/clinical leadership on inpatient units, and have started new programs/services across the state, in addition to providing faculty support to various training sites. Formal ethics training is provided through our Providence Health Community partner. There are also added curricular workshops involving communication skill development, ventilator withdrawal, and palliative sedation in collaboration with our Legacy Hospice providers throughout the year. Graduates are eligible to sit for the Hospice & Palliative Medicine board exam.
Faculty includes physicians from Internal Medicine, Critical Care, Anesthesiology, Geriatric Medicine, Pediatrics, Radiation Oncology and Psychiatry. Interdisciplinary faculty includes nurse practitioners, chaplains, social workers, clinical nurse specialists, psychologists, and clinical pharmacists. The faculty provides mentoring to develop strong clinical and teaching skills. Some faculty members are also grant-funded researchers. The core faculty is board-certified in Hospice & Palliative Medicine.
Multiple conferences are available to the fellows with protected time to participate. Weekly interdisciplinary didactic sessions focused on topics pertinent to clinical and scholarly aspects of hospice and palliative medicine are provided. Attendance at rotation-specific conferences is expected. A monthly city-wide palliative care conference is offered on a rotating basis at training sites across Portland. A collaborative state-wide palliative care conference is held each year. Fellows are encouraged to attend grand rounds, system-based morbidity & mortality conferences and special lectures as rotations allow.
Fellows are also encouraged to apply to our Clinical Scholars program, which includes topics in professional development and career advancement, theories of learning, clinical and didactic teaching methods and curriculum development. If accepted into the program, they are given protected time to attend courses three hours each week from September - June at OHSU.
How to apply
We are currently undergoing some exciting changes in our leadership and expanding our faculty, which will further enrich our fellows' training. During this time of change we will temporarily not be participating in the match for July, 2018. Instead, we are planning to open up recruitment in the summer of 2017, with interested applicants applying directly to our program. This application process will require a current CV, three letters of recommendation, and a personal statement be sent directly to our Program Coordinator, Joshua Kreider (Joshua.firstname.lastname@example.org).
Erik K. Fromme, MD, MCR, FAAHPM is a full time palliative care physician and Associate Professor of Medicine, Nursing, and Radiation Medicine at OHSU. Dr. Fromme attended the University of Virginia College of Arts and Sciences, the University of Oklahoma College of Medicine, OHSU Internal Medicine Residency, Johns Hopkins University General Medicine Fellowship, and Harvard Medical School/Massachusetts General Palliative Care Fellowship. He also completed Schwartz Fellowship in Pastoral Care at Mass General Hospital, a Masters in Clinical Research at OHSU, and is currently enrolled in the Interdisciplinary Ethics Fellowship at OHSU. Dr. Fromme is the Medical Director of the OHSU Palliative Medicine and Comfort Care Team which won the 2009 Circle of Life Award from the American Hospital Association. He is also an Assistant Director of the OHSU Center for Ethics in Health Care. His research interests include computerized approaches to cancer symptom management, Physician Orders for Life Sustaining Treatment (POLST), and health services and quality of life research in palliative care.
Linda Ganzini, MD, MPH is Director of the HSRD Research Enhancement Award Program at the Portland VA where she is also Director of the Interprofessional Palliative Care Fellowship. She is a Professor of Psychiatry and Medicine at Oregon Health and Science University where she is also Director of the Geropsychiatry Fellowship Program and a Senior Scholar at the Center on Ethics in Health Care. She completed her psychiatry training at OHSU, her geriatric medicine fellowship training at the Portland VAMC, and received a Masters of Public Health with emphasis in epidemiology and biostatistics from OHSU in 2003. She was a Project on Death in America Faculty Scholar. She has active research grants from the VA and from private foundations, including studies to examine the prevalence of mental disorders in hospice patients, and a randomized trial of methylphenidate for depressed cancer patients in hospice. She received a VA New Clinical Initiative grant to form the Portland VA palliative care consultation team and examine its outcomes. Her research on the Oregon Death with Dignity Act has been published in the New England Journal of Medicine and JAMA.