Palliative Medicine Fellowship at the Medical College of Wisconsin Affiliated Hospitals, Inc. (MCWAH)

The Medical College of Wisconsin's Palliative Care Center is a nationally recognized leader in palliative medicine. Our one-year, adult clinical fellowship program is an ACGME accredited fellowship in Hospice and Palliative Medicine and trains physicians to become skilled clinician-educators in preparation for a career in academic palliative medicine or community practice. MCW is a well-established leader in Hospice/Palliative Medicine fellowship training and is one of the first programs accredited by the ACGME.

Fellows work as part of interdisciplinary teams in a variety of settings - hospital consultation service, inpatient palliative care unit, palliative care outpatient clinic, inpatient hospice unity, home hospice agency, ample elective opportunities - to gain a solid foundation in hospice and palliative medicine. Candidates with an interest in academic medicine will be provided additional training and mentoring in medical education. Applicants who have successfully completed training in Internal Medicine and Family Medicine are preferred, but candidates from other specialties will be considered.

GME Benefits, Conditions & Terms of Employment

 Program Director's Welcome

Sean Marks, MDThank you for your interest in our Hospice and Palliative Medicine Fellowship Program at the Medical College of Wisconsin. Please explore our Web site and learn more about our fellowship in hospice and palliative medicine.

Our Palliative Care Program was founded in 1993 by Dr. David E Weissman and is a nationally respected program that has been looked upon by institutions such as the Advisory Board Company and the Center to Advance Palliative Care as a beacon program in the field. Our Palliative Medicine Fellowship has a proud tradition of innovation and advancement in the field of Hospice and Palliative Medicine.

As a former graduate of our fellowship program, I can assure you that our fellowship offers a comprehensive educational experience that will make you well prepared for a career in academic or non-academic Hospice or Palliative Medicine. We have a 100% pass rate among our board eligible graduates on the Hospice and Palliative Medicine Board exams. Graduates from our program have gone on to have successful careers in Hospice and Palliative Medicine, becoming Medical Directors of academic Palliative Care Programs, clinician educators at major academic medical centers, Medical Directors of palliative care programs at private hospitals and hospice physicians.

Beyond teaching the needed clinical skills and knowledge to become an astute clinician in the field of hospice and palliative medicine, our fellowship places extra emphasis on training fellows to become effective educators and leaders in the field. I along with several other faculty in our program our editors of a internationally accessed peer-review Web site on Palliative Medicine related topics called Fast Facts and Related Concepts. Additionaly we have several faculty engaged in clinical research that is presented at national conferences. Hence, our fellows have plenty of opportunities to engage in meaningful scholarship and collaborate with leaders in the field.

Our fellows train under the supervision of clinical faculty from a multitude of specialties including neurology, internal medicine, geriatrics, oncology, pediatrics, psychiatry, psychology and med/peds. This allows our fellows to benefit from a broad training perspective. We also offer a wide variety of clinical experiences. This includes a well established palliative medicine consult service at Froedtert Hospital that is fully integrated into the hospital system; clinical rotations at the Zablocki VA Medical Center which includes a busy consult service and dedicated palliative care unit; an outpatient continuity Palliative Medicine clinic; a rich residential hospice rotation at the Aurora VNA Zilber Family Hospice where fellows learn under the direct supervision of Dr. Glenn Ragalie and a month long home hospice rotation that includes home visits with Dr. Kathryn Denson who is board certified in geriatrics and hospice and palliative medicine.

We look forward to hearing from you and hope that you seriously consider our program!

Thank you,

Sean Marks, MD
Assistant Professor and Fellowship Director
Hospice and Palliative Medicine Fellowship
Medical College of Wisconsin

 Overview / Philosophy

The Medical College of Wisconsin's Palliative Care Center is a nationally recognized leader in palliative medicine. Our Palliative Care Center resides within the Division of Hematology and Oncology and hence is highly integrated within the Oncologic practice at MCW. Our one-year, adult clinical fellowship program is accredited by the American Board of Hospice and Palliative Medicine and trains physicians to become skilled clinician-educators in preparation for a career in academic palliative medicine or community practice. Fellows work as part of interdisciplinary teams in a variety of settings -- hospital consultation service, inpatient palliative care unit, palliative care outpatient clinic, residential hospice, and with a home hospice agenc. There are also ample elective opportunities in a wide variety of specialties within our tertiary referral health care systems. Candidates with an interest in academic medicine will be provided additional training and mentoring in medical education. Applicants who have successfully completed training in Internal Medicine and Family Medicine are preferred, but candidates from other specialties will be considered. Indeed recent fellows include Emergency Medicine physicians, Interventional Radiologists, Neurologists, and Pediatricians.

 Accomplishments / Activities of Former Fellows

2013-2014 Fellow

  • Palliative Medicine Physician for Aurora Health Care, Milwaukee, WI

2012-2013 Fellow

  • Hospice and Palliative Medicine Physician - Midwest Hospice and Palliative Care Center; Glenview, IL

2011-2012 Fellow

  • Staff Physician Internal Medicine, Director of the Transitional Care Unit and Director of the Palliative Care Outpatient Clinic, Clement J. Zablocki VA Medical Center, Milwaukee, WI

2010-2011 Fellow

  • Assistant Professor at the Medical College of Wisconsin
  • Clinical Researcher in Palliative Medicine

2009-2010 Fellows

  • Assistant Professor in Palliative Care, Cleveland Clinic
  • Started Palliative Care Program at ProHealth Care Hospitals, Waukesha and Oconomowoc, WI
    • Director of Palliative Care Program at Wheaton Franciscan Medical Program

2008-2009 Fellow

  • Assistant Professor of Internal Medicine, Medical College of Wisconsin

2007-2008 Fellow

  • Assistant Professor at the Medical College of Wisconsin
  • Palliative Care Fellowship Director, Medical College of Wisconsin
  • Editor in Chief of Fast Facts and Related Concepts

2006-2007 Fellows

  1. Started Palliative Care Program at St. Luke's Hospital in Milwaukee, WI
  • Director of Palliative Care for Aurora Health Care, Milwaukee, WI
  1. Hospice Physician in Aurora, CO

2005-2006 Fellow

  • Director of the Palliative Medicine Program University of Minnesota Fairmount
    • Started blog: Pallimed.org
    • Editor of Fast Facts and Concepts
    • Nominated by AAHPM for "30 Visionairies in Hospice and Palliative Medicine"


Medical College of Wisconsin has 100% board pass rate on the HPM board exam for board eligible fellow graduates!

Medical College of Wisconsin

 Educational Programs

Quality and Patient Safety Conference
This hour-long Palliative Care Conference is held quarterly. All members of the interdisciplinary team at Froedtert are invited including invited including physician faculty, midlevel faculty, resident/medical student/fellow level rotators on the service. The fellow will be expected to present a PC Case Conference two times/year. The intent of the Palliative Care Case Conference is to perform a thorough chart review of a sentinel palliative care case that analyzes the efficiencies and structure of the systems based practice in which palliative care is delivered throughout the health system.

Fellow Lecture Series
Physician and other non-physician faculty lead weekly hour-long didactic lectures on key topics essential to the medical knowledge and board preparation of a palliative medicine fellow. The lecture series is also attended by Hematology/Oncology fellows, social work fellows, and psychology fellows.

Quality Improvement Project
Throughout the year-long fellowship, the fellow will receive protected time to obtain instruction on quality improvement and systems-based change theory. This will come via a didactic lecture provided by Dr. Lamb via the Department of Medicine Fellows Lecture series, as well as via mentorship by Dr. Katherine Recka, the designated physician leader of the QI project for the palliative care fellows. The QI project is designed to provide protected time, training, guidance, and supervision necessary in developing a project that leads to improving processes of care delivery.

Psycho-Social Rounds
All practitioners in palliative medicine need protected time and space to safely explore the emotional issues of providing care and presence for patients and families facing end of life issues. Psycho-Social Rounds is designed to give this protected time and occurs monthly throughout the fellowship. During psycho-social rounds, physician and non-physician faculty meet with our team psychologist Associate Professor Jo Weis PhD who leads the rounds in exploring such issues as establishing appropriate boundaries in a palliative care practice, how to identify signs and symptoms of clinical burn-out, and difficult emotional and social issues that arise in caring for ill patients.

Journal Club
The Palliative Care Journal Club meets twice monthly, on the 1st & 3rd Wednesday of the month, to critically review recent research relevant to palliative care clinical practice. Palliative Care faculty, fellows, as well as medical student and resident rotators are invited to present interesting articles.

Schwartz Rounds
The Schwartz Center Rounds are a multidisciplinary forum where clinical caregivers can discuss confidential difficult emotional and social issues that arise in caring for patients. Offering a safe, open and relaxed place where you can share your concerns, experiences, thoughts, and feelings.

Psychological Supervision
Medical trainees need professional development training as they care for patients and their families during serious illness and end of life. Supervision is a professional activity in which trainees develop understanding and awareness of influences such as beliefs and culturally embedded values that contribute to clinical practice. It involves observation, evaluation, feedback and facilitation of self-assessment. It provides opportunities to discuss difficult or emotionally charged encounters with patient and families, which promotes the development of a self-reflective and self-respectful approach to clinical practice. This study examines the effects of bi-weekly supervision with a licensed psychologist on the professional development of medical doctors working with the seriously ill through quantitative and qualitative methods.

American Academy of Hospice & Palliative Medicine (AAHPM) Annual Assembly
Attendance at the the AAHPM Annual Assembly is an important educational asset to palliative care fellows and expenses to attend are covered in full by personal development and palliative care funds.

PalliTalk
Fellows are provided funding and protected time to attend a 3-day long regional communication skills building conference at Madison WI. The curriculum is designed especially for Hospice and Palliative Medicine Fellows

 Psychological Supervision

Jo Weis, PhDMedical trainees need professional development training as they care for patients and their families during serious illness and end of life. Supervision is a professional activity in which trainees develop understanding and awareness of influences such as beliefs and culturally embedded values that contribute to clinical practice. It involves observation, evaluation, feedback and facilitation of self-assessment. It provides opportunities to discuss difficult or emotionally charged encounters with patient and families, which promotes the development of a self-reflective and self-respectful approach to clinical practice. This study examines the effects of bi-weekly supervision with a licensed psychologist, Jo Weis, PhD, on the professional development of medical doctors working with the seriously ill through quantitative and qualitative methods.

 Training Sites

Froedtert Hospital

Clement J. Zablocki VA Medical Center

Children's Hospital of Wisconsin

Aurora VNA Zilber Family Hospice

Horizon Hospice

 Sample Schedule

Weekly
Interdisciplinary continuity clinic; Home visits

July
Palliative Care Inpatient Service *

August
Palliative Care Inpatient Service *

September
Home Hospice

October
Clement J. Zalocki VA Medical Center

November
Residential Hospice

January
Clement J. Zalocki VA Medical Center

February
Psychiatry (2 weeks) / Radiation Oncology (2 weeks)

March
Pediatric Palliative Care/Elective

April
Palliative Care Inpatient Service *

May
Pain Clinic (2 weeks) / Chaplaincy (2 weeks)

June
Palliative Care Inpatient Service *

* Includes palliative care consultation service and inpatient unit

 Application Process, Forms, and Information

We currently have funding for one fellowship position per year. Funded positions are filled for 2014-2015 and 2015-2016.

Application Process
The MCW Hospice and Palliative Care Fellowship Program will join the NRMP Match program for fellowship positions July 1, 2016 and years after. Please contact Brooke Lessmiller, blessmil@mcw.edu, if interested.


HPM Match Participation Timeline

ERAS Registration
Spring 2015

NRMP Online Program Information Update
May 1, 2015

ERAS Opens
July 15, 2015

Match Opens
July 29, 2015

Rank List Opens
September 20, 2015

Quota Change Deadline
October 28, 2015

Rank List Deadline
November 11, 2015

Match Day
December 2, 2015

ERAS Closes
May 31, 2016



Additional contact information is located below.

Application Information for ERAS:

US Medical Graduates (Please provide the following in your ERAS Application)

  • Common application form

USMLE Transcript (Steps 1, 2, and 3)

  • Complex scores (DO)
  • MSPE
  • At least three letters of recommendation (one has to be from your current program director)
  • Medical School Transcript
  • Personal Statement
  • CV

International Medical Graduates (Please provide the following in your ERAS Application)

  • Common application form
  • USMLE Transcript (Steps 1, 2, and 3)
  • MSPE
  • At least three letters of recommendation (one has to be from your current program director)
  • Medical School Transcript
  • ECFMG Status Report
  • Personal Statement
  • CV
  • J-1 visa candidates (visa has to be sponsored by the ECFMG)
 Medical College of Wisconsin Affiliated Hospitals, Inc. Links

MCWAH Overview

Institutional Policies

Benefits

Licensure Process Guide

VISA Issues

Resident Spouse Association

Housing Information


Fellowship in Palliative Medicine Contact Information

Brooke Lessmiller
Dept of Medicine
Educational Programs
9200 W. Wisconsin Ave.
Milwaukee, WI 53226

(414) 805-0516
(414) 805-0535 (fax)
blessmil@mcw.edu

Medical College of Wisconsin
8701 Watertown Plank Road
Milwaukee, WI 53226
(414) 955-8296
Directions & Maps
© 2014

Page Updated 12/17/2014
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