Med-Peds Palliative Care

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TerpMD

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I'm a Med Peds resident and I'm considering a fellowship in palliative care. To those who have gone on to fellowship- how much pediatric exposure does your program provide? Is anyone in a combined program with advice (I only know of the three listed by NMPRA)? Thanks in advance!

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Greetings,

First of all, the required length of the HPM fellowship is one year; several programs offer a 2nd year, usually in research. http://www.acgme.org/acWebsite/downloads/RRC_FAQ/540_Hospice_and_Palliative_Medicine_FAQs.pdf

There are there are a total of 82 active HPM training programs offering more than 210 fellowship positions.

77 programs have been accredited by the ACGME http://www.acgme.org/adspublic/ Scroll down under "Family Medicine" (HPM is administered for ACGME under the FM RRC) to click "Hospice and Palliative Medicine."

5 programs have been accredited by the AOA http://opportunities.osteopathic.org/search/search.cfm.

There are dedicated pediatric palliative medicine positions at:
Children's Hospital Medical Center of Akron
CHOP in Philadelphia
MGH/DF/CHB in Boston

The rest of the programs are required to provide a pediatric palliative experience of apparently unspecified length. So, it varies. What also varies, and this is key, is the amount of elective time, flexibility and support for an individualized fellowship experience that is more evenly balanced and appropriate to the unique training of Med/Peds.

For instance, I recall that the ACGME-accredited HPM fellowship at Indiana University is funded through an endowment (that means your paid time is uncoupled from your "productivity," so things like outside rotations are easier to arrange and justify) and it has a relatively large amount of elective time. http://medicine.iupui.edu/palliative/

Happy Hunting!
 
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There is a new D.O Hospice and Palliative Care FEllow in South Miami, Florida
 
I'm not sure about the med-peds aspect, but I'm a peds resident looking to do palliative fellowship after heme/onc. Starting in 2012, you cannot sit to take the peds palliative care boards without doing an accredited fellowship. Previously you could do an unaccredited fellowship or simply study and sit for them. Without being accredited, this can impair practice by limiting your ability to charge for your services (and therefore get a job doing this). From what I understand, that fellowship can either be in peds or in medicine (which does have a small peds component). There are currently only 5 or 6 accredited peds palliative programs in the country:
CHOP
DuPont
Cincinnati
Akron
Mississippi
Boston Children's - last I heard they were still in the process of becoming accredited, not sure if it's happened yet

Hope this helps a little!
 
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