Fellows will rotate through a wide range of settings including inpatient, consultative and ambulatory palliative care services, home hospice, home care, extended care and pediatrics, as well as an elective rotation. In addition to clinical rotations, fellows also complete a scholarly project (more details below).

Hospice Rotation

  • Site: Arbor Hospice in Ann Arbor, MI
  • Goals: Working with interdisciplinary hospice team, providing end-of-life care to patients at Arbor Hospice residential facility and to patients receiving home hospice services
  • Faculty: Ellen Hummel, Adam Marks, Thomas O'Neil
  • Duration: 2.5 months

University of Michigan Health System Adult Palliative Care Inpatient Consultation Service

Pediatric Palliative Care Inpatient Consultation Service

  • Site: Mott Children's Hospital
  • Goals: Providing palliative care consultation to the primary care teams of pediatric patients regarding goals of care, pain and symptom management, decision-making, care transitions, and end-of-life care
  • Faculty: James Azim, Patricia Keefer, Adam Marks, Terrence Murphy, Matthew Niedner, Kenneth Pituch, D'Anna Saul
  • Duration: 1 month (5 months for Pediatrics fellow. Peds fellow also spends 2 weeks on the Pediatric Acute Pain Service under the direction of Pediatric Anesthesia, and 2 weeks on the Pediatric Physical Medicine & Rehabilitation Service.)

Ambulatory Palliative Care Rotation

  • Site: VA Ann Arbor Healthcare System (Mott Children's Hospital for Pediatrics fellow)
  • Goals: Improving knowledge and skills of palliative and end-of-life care in the outpatient setting, working with outpatient clinic interdisciplinary team and providing palliative care consultation
  • Duration: One half-day per week throughout the training year

VA Palliative Care Consultation Service

  • Site: VA Ann Arbor Healthcare System
  • Goals: Being a member of interdisciplinary consult team, improving knowledge and skills in providing palliative and end-of-life care to patients and families in acute and extended care settings
  • Faculty: Daniel Hinshaw, Ellen Hummel, Marcos Montagnini, Caroline Vitale
  • Duration: 4 months (1 month for Pediatrics fellow)

Elective Rotation

  • Site/Faculty: Varies depending on fellow's chosen rotation
  • Options: Will depend on the fellow's goals. Elective rotations offered in the following areas: Anesthesia/Pain, Cardiology, Geriatrics, Hematology & Oncology, Radiation Oncology, Liver, Neurology, Physical Medicine & Rehabilitation, Psychiatry, Pulmonary

Scholarly Project

Fellows are required to develop a scholarly project as part of their training. Each fellow will have a month-long rotation devoted to development of the project. The subject of the project will depend on the fellow's career goals. Examples include writing a review paper or a case report, participating in a clinical research project or developing educational materials. Each fellow will be assigned to a faculty mentor, and encouraged to prepare abstracts, submit work for publication in peer reviewed journals and for presentations at local, regional and national meetings.