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Hospice & Palliative Care Fellowship Program

This fellowship program is designed for candidates who have clinical or academic career goals in Hospice and Palliative Medicine(HPM). The one year ACGME accredited fellowship will prepare the future HPM clinician to work either academic or community based settings as an experienced HPM clinician. The fellow will work in multiple venues to include: inpatient consult service, outpatient clinic, long-term care facility, 15 bed inpatient hospice house, and home hospice.

Educational Program Summary

Hospice and Palliative Medicine Fellowship, SRHS

  1. Rotations

     The basic scheme—

     IP Palliative Care                                  14 weeks

     Hospice (Hospice Home and home)        13 weeks

     Discretionary (hospice or PC)                  3 weeks

     Home palliative care                               2 weeks

     Complex medicine                                  6 weeks

     Oncology                                               4 weeks

     LTC/nursing home PC                             4 weeks

     Pediatrics                                              2 weeks

     Elective(s)                                             4 weeks

     TOTAL                                                 52 WEEKS

Non-hospice palliative care AND Hospice (home and inpatient)

This is 30 weeks total required, allocated as above.  You may decide which area to spend your discretionary 3 weeks, depending on interests and career goals. 

Home Palliative Care

New rotation this year and we will be partnering with Aspire.

Supportive Care Clinic/outpatient PC

Longitudinal experience—Minimum of 1 afternoon weekly for the entire year.  When on inpatient palliative care, you may have additional clinic time

Long term care/Nursing home palliative care

4 weeks doing palliative care in SNFs with the Senior Health team and on the nursing facility palliative care consult service

Oncology subspecialties (med onc, rad onc, IR)

4 weeks

Pediatrics at GHS with their inpatient palliative care team

2 weeks

Complex Medicine (one week each of inpatient neuro, nephrology, GI, ICU, Cardiology, critical care)

6 weeks

Elective time

4 weeks—Many options are available within the System, so be considering what you would like to do so that we can set it up.  If you would like some ideas, we can provide those.

2. Fellowship project

Dr Powers will be supervising this, and can speak to the various opportunities available to you. 

3.  Evaluations of the fellow—Entire extended faculty (physicians and non-physician providers such as APPs, nurses, social worker, chaplains)

  • Situational Leadership Chart—the “big picture”
  • Milestones—summative evaluation with PD at 4, 8 and 12 months
  • Self-evaluation
  • “Instant feedback” process
  • 360 degree evaluation by the interdisciplinary faculty in hospice and palliative care
  • End of rotation faculty evaluations
  • In service exam—HPM Pass, which you will take as a proctored exam in January

4.  Resiliency training—Dr. Powers/Snipes

  • Monthly meeting with Maggie Gainey, PhD
  • Resiliency didactic curriculum
  • System wide “burnout prevention” training

5.  Patient contact requirements (easy to meet in our program)

  • New patients over the course of the program—100—This can be either hospice or non-hospice palliative care patients, and can be in any venue as long as you are participating in an evaluation on a patient who is new to the program you are working with. 
  • Hospice: 25 “hospice home visits” (that means house calls on hospice patients—could be initial visits, F2Fs, follow ups, etc.
  • Longitudinal experience: Must follow at least 10 patients across settings

6.  Meetings with program director/associate PD

You will have a meeting with the program director and associate program director the third week of each month on Thursday afternoon for debriefing, informal feedback, questions, concerns, etc.

7.   IHI quality modules

You will be assigned 7 of these


8.  Didactics—Entire faculty plus selected outside speakers

Core Topics—Dr. Powers—We provide a comprehensive series of core “lectures” (very interactive) both in the weekly “Core Topics” series and didactics specific to the rotations (ex hospice).  These will touch on essentially all the important topics in the field.  You will be expected to do 6-8 of these lectures yourself to partially fulfill the ACGME requirement that you participate as both “a learner and a teacher”. 


Journal Club—Dr. Snipes—Required activity.  This is monthly, on the 4th Thursday after Core Topics.  3 articles assigned each time, one of which is assigned to the fellow.  I will assign these at least 2 weeks prior the meeting.  You have twenty minutes to review the article, with these 3 questions in mind:

  • What was the study/article about?
  • What were the outcomes or key information presented?

How is the paper relevant for us as HPM providers?

9.  Communications training

  • Structured communication training using format provided (I will explain this to you).  This is particularly important in the first half of the Fellowship year
  • Didactics and role plays throughout the year
  • “Instant Feedback” process—New this year
  • Communications “Boot Camp” at University of Pittsburgh—This is a weekend session in January that you will attend at the expense of the Fellowship program
  • “Verbatim training”—New  this year

10.  Textbooks/core references

You will be provided with a copy of—

  • Primer of Palliative Care—AAHPM-loan
  • Care at the Close of Life—JAMA publication-provided
  • Essentials of Hospice and Palliative Medicine—AAHPM-loan
  • The Hospice Medical Director’s Manual-provided
  • A variety of review articles of interest

    We would suggest the following also:

  • A comprehensive HPM text of your choice (eg Oxford, Bruera, etc) if you are a textbook person
  • UptoDate has good articles on current state of the art in HPM
  • Palliative Care: Transforming the Care of Serious Illness—eds. Meier, Isaacs, Hughes
  • AAHPM has some great references available to you

Hospice & Palliative Care Fellowship Objectives

  • Demonstrate competency in symptom control  and end of life patient care
  • Teach and model communication and collaboration skills
  • Contributor to the field as an educator, clinician, and researcher
  • Exemplify professionalism, scholarship and compassion
  • Whole person assessment to include spiritual, cultural  and existential aspects of HPM
  • Evolve as a leader in advanced illness management
  • Eligibility

Candidates must have a MD or DO degree from an accredited medical school and have satisfactorily completed three postgraduate years of training at the time of appointment as a fellow in this training program. Eligible candidates must also have board eligibility or certification in one of the following specialties: internal medicine, family practice, pediatrics, psychiatry, neurology, oncology, anesthesiology, surgery, or radiation oncology.  

Ideal Candidates

  • successfully completed training in an ACGME/AOA-accredited residency program

  • demonstrated abilities and interest in working with clinical care teams

  • demonstrated commitment to life-long learning

  • a clear and balanced personal and emotional strength, and the ability for self-reflection and personal growth in challenging situations

  • a strong passion to serve and lead in hospice or palliative medicine as clinician, researcher, or educator

Application Process

This year our program will be accepting applications only through ERAS. If you do not have account with ERAS please create a new account and if you do then login to start your application process. 

We will need the following in the application:

  1. 3 letters of recommendation—one of those should be from your residency director if you are graduated from a residency in the last 3 years.
  2. Personal Statement of why you wish to pursue a career in Hospice and Palliative Medicine.

The Hospice and Palliative Medicine Match Day is Dec 2, 2015. We will be interviewing August through October and we are looking forward to meeting all our applicants.

If you have any questions please contact:

Jeannie Lenberg
Program Manager
Spartanburg Regional Healthcare System
Phone: 864-560-1551
Fax: 864-560-1565

Program Director's Welcome

As Program Director of the Hospice and Palliative Medicine Fellowship under the Spartanburg Regional Healthcare System, I am pleased that you are both interested in this specialty as well as our training program.  Our program is housed under a medium sized but progressively growing healthcare system in the city of Spartanburg located in the beautiful upstate area of South Carolina.  We are a small program (one fellow), but as the first accredited HPM Fellowship in the state starting in 2014, we have considerable experience in post-residency training in this field, and have continuously modified our program, shaped largely by feedback from our Fellows.  Our faculty, both physicians and other members of the team, love to teach and are committed to making this the best possible training experience for our Fellows.

The intent of this website is to provide you with enough information about our program, our faculty, our institution, and our area to decide if we may be a good fit for you. We consider ourselves the “little program that could”, and hope you will see us in the same way.

In any case, we wish you the very best as you make the important decision about where to pursue your advanced training in HPM, and hope that you will locate a spot that is just right for you.

Best regards, 

Garrett Snipes, M.D.

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