Didactic Block #1
Occurs in conjunction with fellowship orientation activities at the beginning of the year. Core lectures and activities are included with initial patient exposures during a 5-8 day block.
Didactic Block #2
Occurs over a 10 day block during the winter with additional core lectures, activities, and fellow presentations.
Fellows meet one afternoon per month for core learning activities. A didactic session is followed by 2 hours of journal club, clinical case conference, or grand rounds. Monthly meetings with the fellowship director are also scheduled these days to discuss academic progress and feedback. In addition, fellows meet monthly with the team psychologist in a group or individual format to review challenging patients and aspects of self-care and resilience.
Yale HPM fellows participate with fellows from geriatrics, pulmonary/critical care/sleep, and hematology/oncology in a series of 3 half day workshops during the year. These are sequential in focused skill development progressing from relationship building and breaking bad news skills to discussing prognosis and goals of care to negotiation of code status. Role play and simulated patient cases are used in longitudinal small groups with faculty facilitation.
Faculty will work with fellows to identify a focus and content specific mentor for their scholarly project early in the year to allow for longitudinal work. The focus may be on quality improvement, clinician-educator development, or clinical research. Fellows are encouraged to identify an area of true interest in order to reap full rewards from the effort invested. Time will likely be split over two blocks to allow for intensive project work to be spread out over the year.
Fellows will also submit a clinical case report abstract in the fall for the American Academy of Hospice and Palliative Medicine Annual Assembly the following spring.
Fellows participate with Yale faculty in palliative care and communication skills teaching opportunities for Yale medical students during the year.
They also provide mentored teaching on opioid basics as part of monthly teaching sessions to the Yale-New Haven Hospital medical oncology ward team.
Fellows gradually assume the lead teaching role for other trainees rotating on the Yale-New Haven Hospital inpatient palliative care consultation service.
Lastly, fellows are encouraged to participate in educator training opportunities as part of the Yale Teaching and Learning Center and Yale’s Annual Medical Education Day.
Each fellow prepares and delivers:
- Palliative Medicine Grand Rounds presentation
- Midway and Final presentation on their scholarly project
- Two Palliative Care Journal Clubs
- Two Palliative Care Case Presentations
Fellows regularly attend when on campus:
- Monthly Smilow Cancer Center Schwartz Rounds
- Quarterly Smilow Cancer Center Case Notes
- Weekly Yale Internal Medicine Grand Rounds
- Monthly Yale-New Haven Hospital Bioethics Committee Meetings
- Monthly Yale Oncology Quality Council
Additional conferences sometimes attended:
- Monthly Yale Program for Medicine, Spirituality, and Religion Seminars
- Monthly Yale Transforming Healthcare Grand Rounds
- Monthly Geriatrics Grand Rounds, Research In Progress, Case Presentations
- Monthly Yale Bioethics Seminars
- Monthly Addiction Rounds
- Monthly Yale Humanities Seminars