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.
How to apply
Applicants interested in pursuing fellowship training in hospice and palliative medicine at OHSU should follow the instructions via ERAS.
Fellow applicants must have completed or will complete an ACGME or AOA-accredited residency program in one of the following:
- Emergency medicine
- Family medicine
- Internal medicine (including combined internal medicine/pediatric programs)
- Obstetrics and gynecology
- Physical medicine and rehabilitation
- Radiation oncology
In addition, fellow applicants must be board-certified or board-eligible with demonstration of active pursuit of certification.
Katie H. Stowers, DO is a Palliative Medicine physician and Assistant Professor of Medicine at OHSU and the Portland VA Health Care System. Dr. Stowers attended Nova Southeastern University College of Osteopathic Medicine, The Ohio State University Internal Medicine Residency, and The Ohio State University Hospice and Palliative Medicine Fellowship. Dr.Stowers is the program director for the OHSU palliative care fellowship program. Dr. Stowers specializes in teaching serious illness communication skills. In her spare time, Dr. Stowers enjoys spending time with her family exploring Oregon's great outdoors
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.
Dr. Tanner received his medical degree from the University of Washington School of Medicine in 1999. He completed 3 years of combined internal medicine/psychiatry residency and completed a fourth year in internal medicine alone. After residency he completed a general internal medicine fellowship at OHSU with a focus on teaching and educational research. He practiced in primary care, nursing home care and hospital medicine before completing his hospice and palliative medicine fellowship at OHSU. Dr. Tanner has extensive experience teaching communication skills. He has pursued additional training in teaching motivational interviewing and in designing and implementing interactive communication skills training related to end of life care. In his free time he enjoys music, sports and spending time with his wife and two daughters.