CU Family Medicine Hospice and Palliative Medicine Fellowship

HOSPICE AND PALLIATIVE MEDICINE FELLOWSHIP

TABLE OF CONTENTS

INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

GOALS AND OBJECTIVES

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

ELIGIBILITY REQUIREMENTS ADDITIONAL INFORMATION CURRICULUM

2

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

FACULTY & STAFF

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

HOW TO APPLY . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8

1

HOSPICE AND PALLIATIVE MEDICINE INTRODUCTION The mission of the Colorado Palliative Medicine Fellowship is to develop specialty level palliative physicians who are outstanding clinician-educators (or researchers) and are prepared to assume leadership roles in palliative care or in their primary specialty with a palliative care focus.

The Colorado Hospice and Palliative Medicine Fellowship Program provides comprehensive palliative care education and clinical experiences for physicians seeking to specialize in hospice and palliative medicine. The fellowship cirriculum consists of a one year, clinically focused experience.

Applicants interested in an academic career should be aware that a unique palliative care research fellows​is also available through Dr. Jean Kutner, a national leader in palliative care research. These training experiences may be arranged sequentially; applicants with interest in both the clinical and research training should discuss with the Fellowship Director.

GOALS AND OBJECTIVES

CONTACT INFO Amber Tucker Program Coordinator amber.tucker@cuanschutz.edu​ 12631 East 17th Avenue, Box F496 Aurora, CO 80045 (303) 724-9593

2

Hospice and Palliative Medicine have changed significantly over the last 20 years, in ways we could not have imagined when we began practicing and teaching in this field of medicine. We anticipate that change will continue, that our graduates will need to provide specialty level palliative care in a variety of settings, and will need to guide others who do so as well. With that in mind our program provides fellows with the skills and insight to expertly manage patients with serious illnesses in varied inpatient and outpatient settings. We focus on core communication, clinical knowledge and skills early during fellow’s training. As the year progresses, fellows build on those core learnings – extending and applying them in a variety of settings and patient populations. Fellows gain expertise through structured reading and online assignments, weekly didactics, teaching, weekly palliative care conferences, presentations at case conference and journal club, and through increasing responsibility in patient care. Fellows also develop flexibility to work effectively with varying patient populations and team structures at our different practice sites.

Fellows who complete the program practice in community and academic settings, many in Colorado. All have passed their initial board exam in HPM.

FELLOWSHIP ELIGIBILITY REQUIREMENTS

ADDITIONAL INFORMATION

• Completion of an ACGME-accredited residency program, an AOA-approved residency program, a program with ACGME International (ACGME-1) Advanced Specialty Accreditation, or Royal College of Physicians and Surgeons of Canada (RCPSC) accredited or College of Family Physicians of Canada (CFPC) accredited residency located in Canada.

The Colorado Hospice and Palliative Medicine Fellowship Program accepts up to three fellows annually.

• Board-certified or Board-eligible in one of the co-sponsoring primary specialties.

Program information can also be found at the ACGME website​.

• Trainees in our program must be U.S. citizens, lawful permanent residents, refugees, asylees, or possess the appropriate documentation to allow them to legally train at the University of Colorado School of Medicine. Generally, we do not accept applicants in the US on a Visa status other than Canadian citizens.

The Department of General Internal Medicine offers a Palliative Care and Aging Research Internship. Click here to learn more.

We encourage applications through the Electronic Residency Application Service (ERAS)

• Women and minority candidates are encouraged to apply.

3

CURRICULUM PALLIATIVE MEDICINE FELLOWSHIP

CLINICAL TRAINING

The Palliative Medicine Fellowship Program consists of four key components:

The program represents the collaborative efforts of prominent health care organizations: University of Colorado School of Medicine, University of Colorado Hospital (UCH), the Veteran’s Administration Eastern Colorado Health Care System (VA), The Denver Hospice (TDH), Colorado Children’s Hospital, Denver Health and Hospitals (DHH).

1) Clinical Training 2) Core Knowledge and Communication Skills Development 3) Clinical Teaching Skills Development 4) Introduction to Research and Quality Improvement

CONTACT INFO David Nowels, MD, MPH Palliative Medicine Fellowship Director david.nowels@cuanschutz.edu Jeanie Youngwerth, MD Palliative Medicine Fellowship Associate Director jean.youngwerth@cuanschutz.edu

4

Palliative medicine fellows receive clinical training in diverse settings guided by faculty with varied backgrounds, and have the opportunity to provide continuity across a continuum of locales and service models as a result of the inter-relationships between these organizations. Clinical Training Summary (example):

TRAINING AREA

LOCATIONS

TIME

Inpatient Palliative Care

UCH, VA, and DHH (palliative care consultation) TDH inpatient facility

12 weeks each 4 weeks

Home Hospice

TDH

4 weeks

Long-term Care

VA patients in community LTC facilities TDH Long term care hospice patients

Part of VA experience

Ambulatory Palliative Care

VA, UCH, DHH palliative clinics VA home based primary care

6 months or more longitudinally

Pediatric Palliative Care

Colorado Children’s Hospital – IP and OP experiences

2-4 weeks

Electives

Examples include: • Ethics consultation • Pain Management • Community Palliative Care • Medical Education • Pediatrics​ • Neurology • Renal • Research and Quality Improvement • Others

4 weeks

CORE KNOWLEDGE AND SKILLS DEVELOPMENT

CLINICAL TEACHING SKILLS DEVELOPMENT

INTRODUCTION TO RESEARCH AND QUALITY IMPROVEMENT

Program faculty provide instruction on core topics in palliative medicine through weekly Palliative Care Conferences. Sessions include a combination of didactic lecture, interactive small group workshops, role play and standardized patient exercises. Palliative medicine fellows facilitate monthly Palliative Care Journal Club and Case Conferences. Through this experience, fellows develop skills in the critical interpretation and translation of palliative care medical literature.

Fellows of the Colorado Program receive training designed to improve participants teaching and feedback skills.

Fellows are provided opportunities for structured practice of teaching skills with Internal Medicine residents, Family Medicine residents, medical students, nurses and other interdisciplinary providers. Fellows are often asked to present to other groups and are encouraged to obtain individual mentoring through the University of Colorado Academy of Medical Educators. Through the course of their training, fellows will be involved in teaching in one-onone, small group and large group settings.

Through didactic, interactive sessions and focused mentorship, palliative medicine fellows receive introductory instruction in research and quality improvement methods.

Each fellow completes a quality improvement or patient safety project during their fellowship. Fellows who desire an academic research career in palliative medicine are encouraged to consider a unique research fellowship with a palliative care focus offered through a training grand by Dr. Jean Kutner. It is possible to sequence the fellowships for applicants who know their goals in advance.

5

FACULTY & STAFF

David Nowels, MD, MPH Fellowship Program Director

Jeanie Youngwerth, MD Fellowship Associate Program Director

david.nowels@cuanschutz.edu

jean.youngwerth@cuanschutz.edu

Morgan Unruh, MD Site Director, Rocky Mountain Regional Veterans Administration Medical Center

Shirlee Turner, MD Site Director at The Denver Hospice

morgan.unruh@va.org

6

shturner@care4denver.org

Brian Greffe , MD Site Director Colorado Children’s Hospital

Stacy Fischer, MD Palliative Care Clinician and Researcher

Amber Tucker Program Coordinator

brian.greffe@childrenscolorado.org

stacy.fisher@cuanschutz.edu

amber.tucker@cuanschutz.edu

Harri Brackett Lead APN Palliative Care Service University of Colorado Hospital

Julie Swaney, MDiv Director Spiritual Care Services University of Colorado Hospital Site Director, Rocky Mountain Regional Veterans Administration Medical Center

Elizabeth Holman, PhD Clinical Psychologist Palliative Care Service, Rocky Mountain Regional Veterans Administration Medical Center

hareklia.brackett@uchealth.org

elizabeth.holman@va.gov

julieswaney@uchealth.org

7

HOW TO APPLY ELIGIBILITY REQUIREMENTS

APPLICATION PROCESS

• C ompletion of an ACGME-accredited residency program, an AOA-approved residency program, a program with ACGME International (ACGME-1) Advanced Specialty Accreditation, or Royal College of Physicians and Surgeons of Canada (RCPSC) accredited or College of Family Physicians of Canada (CFPC) accredited residency located in Canada.

We accept applications through the Electronic residency Application Service (ERAS)​

• B oard-certified or Board-eligible in one of the cosponsoring primary specialties.

• T rainees in our program must be U.S. citizens, lawful permanent residents, refugees, asylees, or possess the appropriate documentation to allow them to legally train at the University of Colorado School of Medicine.

Generally, we do not accept applicants in the US on a Visa status other than Canadian citizens.

• W omen and minority candidates are encouraged to apply.

8

SEND MATERIALS TO: Amber Tucker

Program Coordinator amber.tucker@cuanschutz.edu​ University of Colorado Department of Family Medicine Anschutz Medical Campus 12631 East 17th Avenue, Box F496 Aurora, CO 80045 Phone: (303) 724-9593

University of Colorado Department of Family Medicine Anschutz Medical Campus 12631 East 17th Avenue, Box F496 Aurora, CO 80045 FMNews@cuanschutz.edu