DIVISION OF GENERAL PEDIATRICS

Pediatric Hospice and Palliative Medicine Fellowship

The pediatric track in the hospice and palliative medicine fellowship at The University of Texas Health and Science Center at San Antonio adds a rich experience to the pediatric adult fellowship program, and for pediatric fellows, the program does place an emphasis on pediatric complex care training.

UTHSCSA has a well-developed three-pronged pediatric palliative program including fully integrated inpatient, outpatient and hospice services.  The outpatient complex care program has a dual purpose: primary care for pediatric patients with medical fragility as well as outpatient palliative care.  Fellows will have weekly clinic experiences and learn to develop care plans that address condition specific, primary care needs in the context of the whole family and quality of life. 

Other clinical time will be evenly divided between the pediatric and adult palliative services.  Fellows will graduate with the ability to competently address the needs of an aging medically complex pediatric population.  Pediatric fellows will have the opportunity to master the adult competencies addressed on the hospice and palliative medicine board exam.  Graduating fellows will be able to comfortably practice both adult and pediatric palliative care, which is often delivered by one physician at smaller hospice agencies and rural community hospitals.

Palliative medicine is an interdisciplinary field and the hospice and palliative fellowship at UTHSCSA is an interdisciplinary training program.  Fellows will train alongside other non-physician fellows from other disciplines including social work, psychology, chaplaincy and nursing.  Fellows from the various disciplines actively work together on cases and learn to practice with an interdisciplinary approach.

Research
The program is research oriented.  Each fellow will be paired with a faculty mentor and will be expected to develop at least one research project and submit an abstract to the Annual Assembly of Hospice and Palliative Medicine and other applicable conferences.  The curriculum does include 4 weeks of dedicated research time, which includes a 2 week formal research-training course in the fall.  Ongoing research is conducted throughout the fellowship and additional elective research rotations are available.   All fellows also participate in a quality improvement project.

Contact
For more information or questions regarding the pediatric hospice and palliative medicine fellowship please send an email to vandermeer@uthscsa.edu or call 210-743-2110.