Fellows spend 4 months training on the inpatient palliative consultation service, which is supported by a full interdisciplinary team. We see on average 1000 consults annually across all ages. Reasons for consult range from pain management to coping with a new diagnosis to exploring treatment goals in advanced illness.
Fellows spend 3 months on the home visit rotation. KP has its own Medicare-certified hospice agency to provide supportive care for individuals with a prognosis of < 6 months. KP also has a home-based palliative care program for individuals with limited life expectancy who choose concurrent palliative and active treatment, or who have a prognosis > 6 months. Fellows carry an average census of 20 patients throughout the year and see these patients monthly.
Fellows spend 1 month in long term care. The goal is to learn about systems and financing of caregiving in the United States. To manage patients on chronic mechanical ventilation or other high risk interventions. Fellows also conduct family meetings in this setting to help coordinate care for patients who have functional impairment related to their health conditions.
Fellows have 1 month vacation.
Fellows serve in a longitudinal palliative oncology clinic. Ambulatory patients with cancer are seen for symptom management, psychosocial support and advance care planning.
Fellows have 1 month experience in outpatient clinics in these departments: pediatric oncology, radiation oncology and interventional pain management.
Fellows have 1 month elective opportunity, which may include research.
Fellows spend 1 month at Children’s Hospital of Los Angeles learning about the diagnosis and management of pediatric illness, developmental stages, and how to communicate with children and families during an episode of serious illness.
There are two fellows per year. Educational rotations are organized in one-week blocks, to facilitate continuity of learning across care transitions. For instance, a patient may be seen in hospital one week and at home the following week.
There is one call weekend per month, from Friday through Sunday until 11pm each night. Call is taken from home.