Rotations in the following settings provide exposure to a variety of patients and family members, and facilitate preparation for all types of careers within palliative medicine.
Hospice Inpatient Care Center: The 24-bed Inpatient Care Center (ICC) located on San Diego Hospice’s main campus is the primary inpatient environment for some of the most seriously-ill patients. Most patients and families have multiple acute physical, psychological, social, practical, and spiritual issues. Fellows become an integral member of the interdisciplinary team, participating in daily rounds and in developing and managing each patient’s plan of care.
Home Hospice/Long Term Care: The Hospice Care at Home and the Long-Term Care teams care for the majority of the patients and families receiving hospice care. Patients in these settings present a wide range of acute and chronic issues as well as management challenges for family caregivers and healthcare providers. Each fellow is assigned to different care teams to provide palliative care to patients and families. They learn skills specific to the home care environment, such as adapting to limitations in the home as a setting for care, as well as how to provide palliative care in a long-term care facility, and facilitate continuity of care.
Consultation Services: Fellows provide consultative services with palliative care teams at Scripps and UCSD hospitals, and to physicians throughout San Diego County. They consult on symptom control, and help to determine the patient and family goals of care by facilitating family meetings in an acute care hospital and outpatient clinic. The fellow teaches palliative care skills to residents, nurses and other hospital staff, and facilitates the progression of care to hospice, end-of life, and bereavement care when appropriate.
In addition, IPM’s International Program offers a limited number of fellows the opportunity to serve as teaching faculty in places such as Jordan, Ukraine, and Mongolia during elective time.