Hospice and Palliative Medicine Fellowship
The hospice and palliative medicine fellowship at Spectrum Health, in partnership with Michigan State University College of Human Medicine, is an ACGME-accredited one-year program located in Grand Rapids, Michigan. The first two fellows begin in July 2021. This fellowship offers both an adult and pediatric track. Fellows will spend a significant portion of their adult inpatient experience at Spectrum Health Butterworth Hospital, a 556-bed, level 1 trauma center. The pediatric palliative care blocks will be at Spectrum Health Helen DeVos Children’s Hospital, a 234-bed regional referral center and teaching hospital, ranked in eight specialties by U.S. News and World Report 2020-2021, and is located on the same campus as Butterworth Hospital.
From The Program Director
Thank you for your interest in the hospice and palliative medicine fellowship at Spectrum Health, in partnership with Michigan State University College of Human Medicine! Our mission is to provide exceptional training focused on interdisciplinary, patient-directed care across the health care continuum. Upon completion of training, fellows will have the experience and training to work in any environment within the field of hospice and palliative medicine. This program focuses on practicing evidence-based medicine, seeking innovative solutions to optimize patient care, understanding the impact of health disparities and the complex relationship with social determinants, and continual quality improvement. We view medical care through the lens of equity and this is reflected in all that we do. Working in urban and community environments, fellows in our program will serve patients in alignment with our institution’s mission of improving health, inspiring hope and saving lives. This includes the quality of lives.
Our adult and pediatric teams provide a comprehensive educational experience. Working with high functioning interdisciplinary teams, fellows will have exposure to a variety of advanced and serious illnesses and will develop skills in complex symptom management and communication and goals of care discussions. Our interdisciplinary teams include physicians, advanced practice providers, nurses, social workers and chaplains. Throughout Spectrum Health, we have an integrated and respected inpatient palliative care service, ambulatory and virtual palliative clinics, home-based palliative care service, as well as inpatient and community hospice teams who provide seamless care for our patients. Fellows will follow patients across the continuum of care which enhances their learning experience and continuity with patients and families.
You will find a supportive, familial environment in this fellowship program as we strive to provide exceptional, compassionate care to our patients in addition to focusing on team and individual wellness, resiliency and self-care. We accept applicants from diverse backgrounds and specialties and encourage applicants from all phases of their career. We hope to personalize your training, provide mentorship and career-development based on your goals and passions.
I can assure you that upon completion of this fellowship you will feel well trained for any career in the field of hospice and palliative care. We hope you find this information useful in your decision-making process. Thank you for considering us for your fellowship training and please reach out with any questions.
Gretchen Roe, MD
Program Director, Hospice and Palliative Medicine Fellowship
Site Lead – Spectrum Health Palliative Care
Assistant Professor, Michigan State University
- Integrated and respected inpatient palliative care service, ambulatory and virtual palliative clinics, home-based palliative care service, as well as inpatient and community hospice team
- Spectrum Health Butterworth Hospital is a referral center for advanced cardiac therapies including extracorporeal membrane oxygenation and left ventricular assist devices (LVADs), and transplant center for heart and lung transplants. Palliative care is involved as part of the pre-assessment for all heart and lung transplants and LVADs, playing an integral role on the LVAD selection committee
- Fellows will see a variety of medically complex and critically-ill children at Helen DeVos Children’s Hospital, a 234-bed regional referral center and teaching hospital, ranked in eight specialties by U.S. News and World Report 2020-2021
- All hospice and palliative medicine faculty are board-certified and come from diverse backgrounds and specialties, including internal medicine, pediatrics, family medicine and emergency medicine and bring experiences from multiple health systems across the country
- Spectrum Health is home to 32 ACGME-accredited residency and fellowship programs in partnership with Michigan State University College of Human Medicine
- There are extensive opportunities to partner with other fellowship programs within our institution including the fellowship research and QI didactic series
- Our affiliation with Michigan State University College of Human Medicine allows for a unique, hybrid community and academic practice environment
- Fellows have research support through Spectrum Health and Michigan State University
We are proud of the relationships our physicians have built with patients and families. Through inspiring stories, Health Beat provides an editorial platform to bring patients and physicians together, sharing information on innovative care and personal journeys. Read about our innovative care and the brave families who inspire us.
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Fellows will have a weekly half-day continuity clinic throughout fellowship. During 10 of these blocks, this will occur in the adult palliative oncology clinic. This includes opportunities for telemedicine and virtual visits. There will also be opportunities for spending time in the palliative advanced heart failure clinic and lung transplant clinic during the home palliative care rotation and geriatrics clinic during the geriatric rotation. Pediatric fellows will have additional pediatric pain and palliative clinic experience built into their pediatric rotations. Each of these clinics has an interdisciplinary approach.
- Weekly didactics with interactive lectures, we will partner with other hospice and palliative programs in our region to have provide a joint didactic experience
- Monthly journal club
- Monthly Schwartz Rounds
- Protected time to attend the annual assembly of the American Academy of Hospice and Palliative Medicine
- Three Questions: The Framework to Goals of Care Discussions, Checking Implicit Bias and Ensuring Equity
- Curriculum includes Spectrum Health Clinical Teacher Program and Spectrum Health Quality and Safety curriculum
- Two-week business of medicine curriculum offered to all fellows
- Case presentations during daily team huddles with teaching from a diverse group of practitioners with a large depth and diversity of experience
- Fellows have the opportunity to teach resident and medical student rotations with our hospice and palliative teams
Fellows have protected time to complete a scholarly activity during their fellowship and will be provided mentorship for their scholarly activity by our faculty. Examples of options for scholarly activity include presenting at a local or regional conference, submission of a case report or other article, or a quality improvement project. Spectrum Health provides many opportunities in clinical, quality and safety-based research. Spectrum Health and Michigan State University have a growing interest in multi-center collaborative research networks.
- AAHPM Annual Assembly Poster 2016 – Medicare Care Choices Model Reduced Hospital Utilization Cost of Care
- Intravenous Lidocaine Administered as Twice Daily Bolus and Continuous Infusion for Refractory Cancer Pain and Wound Care Pain – Journal of Palliative Medicine 2019
- AAHPM Annual Assembly Poster 2019 - Combined Radiofrequency Ablation and Cementoplasty For the Treatment of Painful Osseous Metastases - A Highly Effective Yet Underutilized Therapy
- AAHPM Annual Assembly Poster 2019 - Development Of A Toolkit To Evaluate Telemedicine Delivery Of Palliative Care
- AAHPM Annual Assembly Poster 2019 - Pain Relief for The Whole Person: The Impact Of Neuraxial Analgesia And The Interdisciplinary Team for Advanced Cancer-Related Pain
- CAPC Annual Assembly Poster 2019 - Increasing hospital reimbursement with the use of Advance Care Planning codes in the Palliative Care setting
- AAHPM Annual Assembly Poster 2020 – Intravenous Ketamine for Refractory Headache in Metastatic Melanoma: Fulfilling An End Of Life Wedding Wish
- A completed application/profile
- At least three letters of recommendation
- Curriculum vitae
- Medical school transcript and dean’s letter
- Personal statement describing career goals and reasons for selecting continued training
- USMLE transcript
- For international medical graduates, an Educational Commission for Foreign Medical Graduates status report
As the second largest city in Michigan, Grand Rapids is an amazing place to work, live, play and explore. This vibrant city is known for some of the best festivals in the world, like ArtPrize, and is only a short 45 minute drive to Lake Michigan. The city has been recognized by numerous sources, including The New York Times, where Grand Rapids was ranked as one of the 52 Places to Go. Additionally, Thrillist consider Grand Rapids the best food city in the state of Michigan, and in 2018, Trulia chose Grand Rapids as the Hottest Real Estate Market to Watch in the country. Grand Rapids is a city with endless experiences for people of every age. Learn more.