Community Based-Hospice and Palliative Medicine Fellowship
There is a great need for Hospice and Palliative Medicine (HPM) to meet the needs of patients and families living with serious and life-limiting illness. Currently options for HPM Fellowships are limited and not able to train the number of new physicians needed. In addition, may physicians in mid-career find that they would like to train and work in HPM but returning to a traditional HPM Fellowship is not feasible.
The Community Base-Hospice and Palliative Medicine (CB-HPM) Fellowship is part of the response to the need to create new pathways for mid-career providers. Other teams are focusing on part-time, shared or competency-based training within existing HPM Fellowships which would still required fellows to spend considerable time at the academic medical center.
The CB-HPM Fellowship is designed to meet the needs of mid-career providers to obtain training will continuing to live and work in their community supported through on-line and distance learning technology with supervision provided by the HPM faculty here at the University of Colorado Anschutz Medical Campus. This program has been approved by the Accreditation Counsel for Graduate Medical Education (ACGME), American Board of Internal Medicine (ABIM), American Board of Family Medicine (ABFM) and other supporting Boards as a 5-year demonstration projects.
Fellows who successful complete the CB HPM Fellowship will be eligible to take the HPM Board exam.
Physicians will enroll in the Master of Science in Palliative Care here at the University of Colorado Anschutz Medical Campus. This program is interprofessional and fellow students will be physicians but also nurses, PA, pharmacist, social workers and spiritual care providers. This program is designed to emulate the in person clinical experience in a primarily on-line setting and fulfills many of didactic and other non-clinical requirements of the HPM Fellowship. (Click here for information about the Master of Science in Palliative Care).
After applying to the MSPC, physicians can then apply the CB-HPM Fellowship Seminar which support them to build a clinical portfolio to meet the clinical requirements. Successful completion of both the MSPC and CB-HPM are required to become board eligible.
Community Base-HPM Fellowship Seminar and Portfolio
These courses will be completed over a 2-year period that will overlap, at least in part, with the MSPC. CB-HPM Fellows will be part of the HPM Fellowship here at the University of Colorado but will complete their clinical work off campus in their community.
In the seminar physicians will submit written work-ups of their patients, work on video assignments to develop and improve communication and assessment skills, which are paired with assigned readings. Fellows will receive feedback and mentoring on-line from faculty. These clinical experiences will come from your own practice in your community. Every 2-weeks during a 2 hours video conference of CB-HPM Fellows with the faculty, you will orally present cases, receive feedback, hear other fellows’ cases and discuss the on-line content.
There are 6 seminar courses over 6 semesters (2-years).
Your portfolio will include your clinical experiences with feedback, HPM patient logs, 360 evaluations from your clinical sites, as well as selected items from the MSPC such a Quality Improvement Projects. At the end of each semester fellows will present their portfolios to the Clinical Competency Committee (CCC) which evaluates all HPM Fellows at the University of Colorado using the recently approved HPM Milestones.
Accepted into the MSPC degree program
Established in their community practice
5 or more years since the completion of their last residency or fellowship training
Complete application for the CB-HPM Fellowship
Maintain board certification in their primary board and obtain letter of support from the board for participation in the CB-HPM.
Maintain your state license(s), DEA to support prescription authority, privileges at all practice sites and your current Malpractice Insurance
Memo of Concurrence with your practice, hospital or healthcare system to participate in the CG-HPM Fellowship and demonstration of access to needed clinical patient populations
Number of Fellowship Slots
The CB-HPM Fellowship is approved for 6 slots starting in August of 2020 for a 2-year program. Six additional fellows will start in 2021 for a total of 12 fellows. With the success of the program and based on demand it is planned to expand the number of CB-HPM Fellowship slots. Applicants who are currently enrolled in the MSPC and demonstrate ability to thrive in the on-line and distance learning environment will strengthen their application for this completive program.
These programs, both the MSPC and the CB-HPM Fellowship are supported through your tuition. Please see (link) for information regarding the cost of the MSPC which has both an instate rate (applies to the 14 WICHE states).
The tuition cost for the CB-HPM Fellows Seminar and Portfolio is approximately $20,000 a year for two year.
The entire cost for the MSPC and CB-HPM Fellowship varies between $65,000-$80,000 depending on state residency. We are not able to offer scholarships. Students maybe able to obtain support from their own community hospital, healthcare system or practice as this training supports Palliative Care services locally.
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