The didactic curriculum centers on a bimonthly conference morning including grand rounds, core content, case presentations, journal club and research conferences. Fellows function as an integrated team member and as such participate in Interdisciplinary team rounds weekly. In addition specific training opportunities in communication skills and practice in the Hannaford Simulation lab are part of the program.
Over the course of the year the following content areas are addressed:
- Introduction to Palliative Medicine
- Symptom management of: pain, nausea/vomiting, constipation, diarrhea, dyspnea, delirium, fatigue, sleepiness, depression and anxiety
- Disease specific palliative medicine: cardiac, pulmonary, and neurologic diseases; end stage renal disease, end stage liver disease, cancer and trauma.
- Estimating and communicating prognosis
- Communication skills training, with particular focus on:
- Essential Communication Skills
- Breaking Bad News
- Goals of Care
- Facilitating Family Meetings
- Resuscitation Preference
- The role of spiritual care, social work, and ethics in palliative medicine
- Hospice and end of life care
- Provider health, resiliency, mindfulness
- System level palliative medicine, administration and delivery of care