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Fellowship in Hospice and Palliative Medicine
The Fellowship in Hospice and Palliative Medicine (R. Portenoy MD, program director;
Myra Glajchen DSW, co-director) offers a broad training opportunity in palliative
care and hospice care. The hospice and palliative medicine fellowship is accredited
by a national accrediting body, the Palliative Medicine Review Committee.
Learning Objectives
Following the pain and palliative medicine care fellowship, the trainee will
be able to:
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Conduct a comprehensive history and physical/neurological
examination |
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Develop and implement a care plan for patients who require
specialist-level palliative care in either a hospice or nonhospice setting
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Integrate knowledge from various disciplines, diagnostic
tests and clinical data in developing care plans |
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Coordinate comprehensive palliative care plan for patients
with advanced illness |
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Function as a member of an interdisciplinary team in inpatient
and home care settings |
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Understand the pathophysiology of common symptoms in advanced
disease, including pain, fatigue, depression, dyspnea, delirium, cachexia
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Provide advanced symptom control |
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Understand the specific issues surrounding end-of-life care
and contribute to a care plan that optimizes the likelihood of a comfortable
and dignified death |
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Communicate with and educate patients and families |
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Engage in decision-making and conflict resolution related
to end-of-life care |
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Discuss advance directives and goals of care, and understand
the ethical considerations involved in end-of-life care, including DNR
orders, nutrition and hydration, and the withholding and withdrawal of
life-sustaining therapy |
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Make appropriate referrals to other disciplines and specialists
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Understand the structure, functioning and regulatory aspects
of hospice |
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Plan and coordinate outpatient follow-up |
Schedule of Rotations
| 3 months |
= |
inpatient unit |
| 2 months |
= |
consultation team |
| 4 months |
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hospice and palliative home care |
| 2 month |
= |
medical specialty and chairman's clinics |
| 1 month |
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vacation |
There is a rotation through the Acute Pain Service, a Continuity Clinic, and
a required exposure to research. Didactic opportunities include a weekly fellows'
lecture, clinical conferences, and journal club.
Description of the Department
The Department has two clinical divisions-the Pain Division and the Palliative
Care Division. A certified hospice program, Continuum Hospice Care/The Jacob
Perlow Hospice, is closely aligned to the department. In addition to the chair,
the pain medicine attending staff includes three anesthesiologists, two neurologists,
and two physiatrists. The palliative medicine attending staff includes a physiatrist
and a Family Medicine physician (a Hospice Medical Director) who are at Beth
Israel Medical Center, and five attendings--internists or Family Medicine attendings--who
are Hospice Medical Directors and work at other sites. The department's table
of organization also includes numerous advance practice nurses (nurse practitioners
and clinical nurse specialists), one social worker; one chaplain; research staff;
and support staff.
The clinical services of the Department of Pain Medicine and Palliative Care
are provided through separate inpatient consultation services for acute pain,
chronic pain and palliative care, an 18-bed Hospice, Pain and Palliative Care
Inpatient Unit (the "IPU"), and ambulatory practices at the Phillips
Ambulatory Care Center. Continuum Hospice Care has home care teams for the Bronx,
North Manhattan, South Manhattan, and Brooklyn/Queens; additional inpatient
units at North General Hospital and Long Island College Hospital; and a hospice
residence in the Bronx.
Application Process
If you are interested in applying for a fellowship, please download and complete
the following forms:
Applications are accepted on a rolling basis, beginning in the May prior to
the start of the training year. Applications are reviewed by members of the
Department’s Education Committee, however, owing to the volume of applications,
only selected applicants will be granted a face-to-face interview with Department
faculty. On site interviews take place in September and October, and fellowship
offers are made in November. After that time, applications will be kept on file
for future reference.
Contact Person
If you have other questions related to the fellowship, please contact Dr. Myra
Glajchen as listed below. Completed application packets should be mailed to:
If you are interested in applying
for a fellowship, please contact:
Myra Glajchen, DSW
Department of Pain Medicine and Palliative Care
Beth Israel Medical Center
1st Avenue at 16th Street
New York, NY 10003
Tel: (212) 844-1472
Fax: (212) 844-1503
Email StopPain@chpnet.org
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