Clinical Rotations

Adult and Pediatric Hospice and Palliative Medicine (HPM) Fellows rotate through a wide range of settings including inpatient, consultative and ambulatory palliative care services, home hospice, extended care, as well as an elective rotation.

Ambulatory Palliative Care Rotation

  • Site: VA Ann Arbor Healthcare System for Adult HPM Fellows; C.S. Mott Children’s Hospital for Pediatric HPM Fellows.
  • 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

Hospice Rotation

  • Site: Arbor Hospice in Ann Arbor, MI
  • Goals: Working with interdisciplinary hospice team, providing care to patients receiving home hospice services in a concurrent care model and providing end-of-life care to adults at Arbor Hospice residential facility.
  • Site Director: Thomas O'Neil, MD
  • Duration: 10 weeks for both Adult and Pediatric HPM Fellows

University of Michigan Health System Adult Palliative Care Inpatient Consultation Service

  • Site: University of Michigan Adult Hospital
  • Goals: Providing inpatient palliative care consultation to the primary care teams of adult patients regarding goals of care, pain and symptom management, decision-making, care transitions, and end-of-life care. Also directly managing, along with members of the interdisciplinary team, two inpatient palliative care beds.
  • Site DirectorLaura Taylor, MD
  • Duration: three months for Adult HPM fellows; one month for Pediatric HPM Fellows

Pediatric Inpatient Palliative Care

  • Site: C.S. Mott Children's Hospital
  • Goals: Providing inpatient palliative care consultation to pediatric patients regarding goals and advanced care planning, symptom management, values guided decision support, care transitions, and end-of-life care.
  • Site DirectorD’Anna Saul, MD
  • Duration: one month for Adult HPM fellows; six months for Pediatric HPM Fellows

VA Palliative Care Consultation Service

  • Site: VA Ann Arbor Healthcare System
  • Goals: Improving knowledge and skills in providing palliative and end-of-life care to patients and families in acute care and in the VA extended care unit as a member of interdisciplinary consult team.
  • Site DirectorEllen Hummel, MD
  • Duration: four months for Adult HPM Fellows; one month for Pediatric HPM Fellows

Elective Rotation

  • Site/Faculty: Variable based on trainee request
  • Options: Elective rotations offered in the following areas: Anesthesia/Pain, Cardiology, Clinical Ethics, Hematology & Oncology, Radiation Oncology, Physical Medicine & Rehabilitation, Psychiatry, Psychology. Individual electives are typically focused on trainee’s goals and may include a variety of experiences.
  • Duration: one month for both Adult and Pediatric HPM Fellows

Scholarly Project

Both Adult and Pediatric HPM Fellows are required to develop a scholarly project as part of their training. Each fellow will have protected time to devote to development of their project(s). The subject of the project will depend on the fellow's career goals, and require a faculty mentor. Examples of past projects include writing a review paper or a case report, participating in a clinical research project or developing educational materials related to hospice and palliative medicine. 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.