Hospice and Palliative Medicine Fellowship
The one year, ACGME-accredited fellowship program provides exposure to disease processes often referred to palliative and hospice care.
Nationwide Children’s Hospital, located in Columbus, Ohio, is one of the largest pediatric health care and research centers delivering care to more than one million patients every year. Here, health care and its delivery are being revolutionized. At the forefront of this delivery revolution is the Pediatric Palliative Care and Hospice Program.
The Palliative Care and Hospice Program is seeking physicians interested in developing expertise in the management of patients and their caregivers facing life-threatening conditions and end of life care for the new Hospice and Palliative Medicine Fellowship.This one year, ACGME-accredited fellowship program trains one fellow per year and provides exposure to disease processes often referred to palliative and hospice care. Emphasis is placed on symptom management, treatment plan deliberation and the psychosocial and spiritual aspects of health.
Palliative Care and Hospice Program faculty members will provide the following training:
- Teach learners how to partner with pediatric patients with complex life threatening conditions and their families through expert communication skills, superb symptom management, and adeptness in hospice care.
- Train individuals to excel in the palliative care management of high acuity, medically complex patients of varied cultural, spiritual and socioeconomic backgrounds in the multiple health settings these patients require, from the home up to and including the intensive care unit.
- Train learners that peruse careers in inpatient, consultative pediatric palliative care or pediatric home based hospice.
Graduates satisfy the American Academy of Pediatrics requirements for certification in Hospice and Palliative Medicine.
What You Need to Know
Fellows participate in a robust inpatient consultative service with exposure to a wide array of patients, including transplant candidates, intensive care patients in the NICU, PICU and CTICU, and complex health care patients. As part of the Comprehensive Pain Services at Nationwide Children’s, there is an emphasis on symptom management, especially opioid management. Adjuvant therapies, including non-pharmacological interventions such as self-hypnosis, acupuncture and mental health therapies, are also integral intervention techniques taught during the fellowship.
Education is advanced through scheduled didactic sessions, communication workshops, simulation, journal clubs and Palliative Medicine Grand Rounds. This curriculum is a collaborative endeavor between Nationwide Children’s Hospital (1 pediatric HPM fellow), The Ohio State University Wexner Medical Center (2 adult HPM fellows, 2 medicine/pediatric HPM fellows), and the Ohio Health Riverside Methodist Hospital (4 adult HPM fellows). All programs’ fellows participate jointly in the lecture and workshop series. This shared learning model provides community for the fellows, strengthens networking opportunities, and adds deep richness to the didactic experience of the fellowship. It is, in fact, a highlight of the fellowship.
During the one year pediatric fellowship, the clinical experiences are:
- 4 weeks didactic Boot Camp
- 18 weeks Nationwide Children’s Hospital Inpatient Consult Service
- 10 weeks Nationwide Children's Hospital Home Based Palliative and Hospice Medicine Program
- 4 weeks The Ohio State University Wexner Medical Center James Cancer Hospital Inpatient Consult Service
- 4 weeks The Ohio Health Riverside Methodist Hospital Kobacker Inpatient Hospice
- 2 weeks Nationwide Children's Hospital Acute Pain Service
- 2 weeks Pharmacology
- 4 weeks Research/Quality Improvement
- 4 weeks Elective
- 2 weeks (10 weekdays) vacation time
Additionally, there is an embedded year-long experience in both Ethics Program and our Perinatal Palliative Care Program.
Palliative Care and Hospice Program includes both Inpatient Palliative Care and Home-Based Palliative Care services. The Advanced Illness Management (AIM) team consults on more than 450 inpatients per year with wide representation across the hospital.
The Homecare Program has its own home based palliative and hospice program, with medical management provided by the palliative care faculty and fellow. This unique ability to interact daily with both the inpatient service and home based programs allows fellows to experience true continuity of care for their patients and families.
Fellows will also have the opportunity to train at partnering adult institutions: The Ohio State University Wexner Medical Center and the OhioHealth Riverside Methodist Hospital.
Fellows & Alumni
Priyal Patel, DO
- Medical School: New York Institute of Technology College of Osteopathic Medicine (08/2009 - 05/2013)
- Residency: Nationwide Children's Hospital (07/2013 - 06/2016)
- Additional Experience: Pediatric Hematology/Oncology Fellowship at Nationwide Children's Hospital (07/2016 - 06/2019)
Zach Rossfeld, MD
- Fellowship: 07/2017 - 06/2018 (Program’s inaugural fellow.)
- Current Position: Inpatient palliative care physician at Grant Hospital, OhioHealth
Hemangini Bhakta, MD
- Fellowship: 7/2018 – 6/2019
- Current Position: Pediatric palliative care attending at Cleveland Clinic Children’s
Application & Qualifications
- Completion of an ACGME approved residency in Family Medicine, Internal Medicine-Pediatrics or Pediatrics
- Board eligible or board certified in Family Medicine, Internal Medicine-Pediatrics or Pediatrics
How to Apply
Fellowship applications must be submitted online through the Electronic Residency Application Program. Submitted applications should include three letters of recommendation (including one from a residency program director or current employer) and a curriculum vitae.
Interviews will be conducted July - October.
Whether in the hospital or in the home our goal is to ensure every patient receives the necessary care and comfort when faced with a life–threatening and/or life-limiting condition through support, counseling and world-class care.Learn More