Pediatric Track Hospice and Palliative Medicine Fellowship

The University of Michigan Hospice and Palliative Medicine Fellowship Program's Pediatrics Track, is also a one-year program with a designated focus on the new and innovative world of pediatric palliative medicine.  While providing relief and comfort may not take away from a child’s medical condition it allows both patients and their families specialized care to help relieve both the physical and emotional suffering associated with a serious illness.

Pediatric track HPM fellows will be eligible to obtain board certification in hospice and palliative medicine at the completion of their training. This unique opportunity allows trainees to meet all the board eligibility requirements while focusing on the inpatient and outpatient management of pediatric patients with serious life-threatening disease. They will also have exposure to adult patients with life-limiting illnesses during their training.

Clinical Rotations:

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

Pediatric Ambulatory Palliative Care Rotation

  • Site: Mott Children's Hospital
  • 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 end-of-life care to children and adults at Arbor Hospice residential facility and to patients receiving home hospice services
  • Site Director: Thomas O'Neil
  • Duration: 2.5 months

University of Michigan Health System Adult Palliative Care Inpatient Consultation Service

  • Site: University Hospital South
  • Goals: Providing 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
  • Site Director: Phillip Rodgers
  • Duration: 1 month for Pediatrics fellow

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
  • Site Director: Terrence Murphy
  • Duration: 5 months 

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 care and in the VA extended care unit
  • Site Director: Marcos Montagnini
  • Duration: 1 month

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, Ethics, Hematology & Oncology, Radiation Oncology, Physical Medicine & Rehabilitation, Psychiatry, to name a few
  • Duration: 1 month

Scholarly Project

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. 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.

Meet the Pediatric Team:

Patricia Keefer, Adam Marks, Terrence Murphy, Matthew Niedner, Kenneth Pituch, D'Anna Saul

How to Apply:

Application process follows the same guidelines as regular HPM Fellowship. Please identify interest in the Pediatrics track on your personal statement.

Apply now/FAQ