Curriculum Description:
The UAB Clinical Training Academy includes a tailored combination of morning didactic teaching sessions with faculty/staff coupled with direct observation of patient care on inpatient palliative and comfort care unit, a palliative care consultation service in a large acute care hospital, and daily debriefing with a primary provider mentor. Standard topics include Introduction to Palliative Care, Communication Skills, Complex Care Coordination, Interdisciplinary Team Dynamics, and Pain & Symptom Management. Specific individualized time and curricular content for participants interested in ambulatory care settings can be provided as well.

Learning Experience Offered:
Emphasis is placed on direct observation and participation with an established acute palliative care team which includes all other disciplines in which a physician would encounter in a full coverage palliative care setting. The CTA experience places the physician learner in the settings of both an established palliative and supportive care unit as well as a high volume consultation service that covers over 900 acute care beds in every section of the hospital.

Curriculum Description:
A hospital-based hospice and palliative care program that has a consult service, 12-bed inpatient unit and home hospice program. Trainees will have hands-on clinical experience in caring for patients across the continuum.

Learning Offered:
Hands-on clinical training with licensure documentation requirements.

Curriculum Description:
Offered by the Center for Palliative Care (CPC), both full-day and partial-day workshops are available, as well as observational visits.

Comprehensive educational sessions including tools to initiate an interdisciplinary palliative service with focus on intensive care integration, unique needs of tertiary teaching hospital settings and the use of the Masters counselor and nurses as core team members.

Learning Experience Offered:
Clinical training through observership experiences in the setting of inpatient consultation, outpatient clinic and inpatient hospice.

Curriculum Description:
You will have the opportunity to develop your own curriculum choosing from your areas of interest. Hospice, Palliative Medicine, and Administrative HPM (hospice and/or palliative) tracks are offered. The following are examples of our curriculum:

• Pain & symptom management
• Goals of Care
• Communication strategies
• Team dynamics
• Complex case management
• Withdrawing & withholding treatment
• Conducting family meetings
• Business development
• Leadership skills
• Competency
• Hiring/Training
• Budgeting
• Clinical Administration

Learning Experience Offered:
Focused clinical mentoring experience and team observational work.

Curriculum Description:

1. Curriculum will educate the student on the assessment, interdisciplinary care planning, management, coordination and follow-up of patients with life-threatening illness
2. Demonstrate the coordination and facilitation of key events in patient care
3. Role modeling and didactics that foster effective IPR and communication skills to the exchange of information and collaboration with patients/families, other physicians and health professionals

Learning Experience Offered:
Clinical training offering an observership experience.

Curriculum Description:
Learners should submit personal objectives prior to arrival. Formal electornic curriculum used for graduate physician training is available.

Learning Experience Offered:
Visiting clinicians may attend daily patient discussions, observe and discuss consultations, and participate in fellow didactics, journal club and case discussions. Visitors are offered the opportunity to round with members of the team, including physicians, an advanced practice nurse, chaplain and clinical social worker. Additional experience in a large community hospital and with the palliative home care program may be possible.

Interactive group and individual case and topic discussions plus clinical observation cases consulted on by teams both in outpatient and inpatient services included.

Curriculum Description:
This is a busy palliative care program with a full-time physician and nurse working in both inpatient and outpatient areas in a tertiary care center with residents, students and other personnel.

Learning Experience Offered:
Expansion of clinical practice within both inpatient and outpatient areas with highly varied consult subject matter ranging from simple pain management to complex family dynamics and extensive goal of care discussions.

Curriculum Description:
The palliative care service at Morristown Medical Center sees between 500-600 new consults per year and plays a critical teaching role in our hospital and our community. Our board certified physicians and support team have expertise in program building, symptom management, goals of care discussions, and use of advance care planning documents such as POLST.

Learning Experience Offered:
Experiences can be refined based on the needs of the individual participant and can include didactics in addition to direct observation. Experiences may relate to:

• inpatient hospice
• palliative care consultation
• use of palliative care teaching tools
• exploring the role of integrative medicine
• complex case management
• creating a resident education curriculum
• making the financial case for palliative care
• quality improvement

Curriculum Description:
The Hospice and Palliative Medicine training program is a comprehensive and interdisciplinary model for educating clinicians in the care of patients with advanced, progressive, life-threatening illnesses and their families. Our training develops skills and expertise in the care and treatment of patients and their families to achieve the best possible quality of life throughout the course of a life-threatening illness and by preventing/relieving suffering, controlling symptoms and providing psychosocial support.

Learning Experience Offered:
Clinical Training offering an observership experience on consultation service and a dedicated Palliative Care Unit with hospice capacity. There is an opportunity to round with teams in other Health System Hospitals, including a Children's Hospital.

Curriculum Description:
We currently run a two-week elective that is a hospital-based consultation model. We also host numerous trainees at all levels, offering a full curriculum.

Learning Experience Offered:
Individuals may participate in our elective as an observer.

Curriculum Description:
Our well-established clinical program features a dedicated 12-bed inpatient palliative care unit, as well as consult requests which originate in virtually every unit in our 750-bed tertiary care hospital, including the Emergency Department.

Our weekday operations include two teams of board-certified attending physicians and NPs accompanied by resident and medical student trainees who round on approximately 25 to 30 hospitalized adult patients each day. We also have a strong research arm.

Learning Experience Offered:
A strong team-oriented observership experience, including opportunities to witness a weekly team meeting and education conferences.

Curriculum Description:
We offer Palliative Care clinical training at three hospitals (800 beds, 220 beds and 100 beds). We offer didactic modules on:

• National Quality Forum
• Assessing whole person care
• Goals of Care
• Complex case management
• Conducting effective family meetings
• Withdrawing life support
• Prognostication
• Basic & advanced pain management
• Advanced care planning
• Palliative care emergencies
• Dealing with drug addiction
• Chaplains' roles in spiritual care
• Administrative palliative care needs

Learning Experience Offered:
Clinical direct observation of clinical practice and consultation in palliative care hospitals, nursing homes, homes and clinics. Included are didactic sessions with discussions, case conferences and a journal club.

Curriculum Description:
The Abington Memorial Hospital Palliative Care Program is a consultative interdisciplinary service in Abington, PA that received Joint Commission certification in April, 2012. The team of physicians, nurse practitioners, social worker, pharmacist, chaplains, and clinical director can provide training in the domains of palliative care for your interdisciplinary team.

Learning Experience Offered:
The team can provide individualized mentoring with any member and include daily rounding, midday huddles, family meetings, pharmacy patient visits, new consults, and follow up care with an average daily census of 20 patients. Experience with educational programs offered to nursing students, medical students, residents, and geriatric fellows occurs throughout the year.

Curriculum Description:
Physicians and nurses will have the opportunity to gain exposure to inpatient consultative palliative care delivered by a well-established program within a major academic medical center. Opportunities also exist to observe in our large ambulatory palliative care practice and our community-based inpatient hospice unit.

During the week, observers will have the opportunity to ask questions about management issues, observe communication techniques and attend educational sessions. Ongoing long distance mentoring may be individually determined.

Learning Experience Offered:
Clinical training offering an observership experience with the option for follow-up, long-distance mentoring via telephone and e-mail.

Curriculum Description:
The Baylor University Medical Center Supportive and Palliative Care team offers training in the major domains of palliative medicine including the following aspects of care:

1. Structure and process
2. Physical
3. Emotional, social, and spiritual
4. Cultural
5. Imminently dying patient
6. Ethical and legal

Learning Experience Offered:
The trainee is given the opportunity to structure a learning experience designed to meet his or her unique needs based upon prior experience and personal learning objectives, by participating in daily huddle, weekly team meetings, new consults and daily rounds (average daily census 20 patients). They may chose to spend time working with board certified palliative medicine physicians and/or nurses and nurse practitioners, but will also have access to work with pastoral care, complimentary therapy providers, and others if desired.

For the trainee with an interest in clinical ethics, there will be opportunities to participate in our active clinical ethics consultation process as well (8-10 consults per month). This all takes place on a 1000-bed teaching hospital campus.

Curriculum Description:
The Virginia Initiative for Palliative Care, co-developed by VCU Massey and Capital Hospice of Falls Church, Virginia, provides highly individualized training to doctors, nurses, chaplains, social workers and other professionals who seek tangible ways to improve patient care.

The cost is $1,000 for physicians and $500 for other disciplines.

Learning Experience Offered:
Clinical training offering an observership experience. Participants are exposed to palliative care in settings that are similar to their own environment with the goal of understanding how to improve the clinical experience and learning when to call for help. This can include clinic, consults or inpatient unit.