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Curriculum

Throughout the year, fellows will have a dedicated half-day of didactic teaching sessions every week with no clinical responsibilities during that time. These sessions are a safe space for small-group learning, exploration, and growth through interactive discussions. Sessions are led by interdisciplinary palliative care faculty at 黑料网 and Transitions LifeCare as well as experts from throughout the 黑料网 Health System. Below is the anticipated list of didactics for the 2025-2026 fellowship year:

Advanced Disease Processes:
    1. Advanced Heart Failure
    2. Depression and Anxiety
    3. Neurocritical Care and Neuroprognostication
    4. Neuropsychology
    5. Renal Palliative Care
    6. Liver Disease
    7. Dementia ACP Training
    8. Sickle Cell Disease
    9. Parkinson鈥檚 Disease
Communication
    1. How to Introduce Palliative Care to Patients and Families
    2. Consultation Etiquette
    3. Best Case/Worst Case Communication
    4. Code Status Discussions
    5. Best Practices for Family Meetings
    6. Supporting Children of Seriously Ill Patients
    7. Acceptance and Commitment Therapy for Palliative Care Providers
    8. Capacity Assessment
    9. Advance Directives
    10. Assessing Decision-Making Capacity
Caring for the Diverse Population of North Carolina
    1. Best Practices in Using Interpreters
    2. Social Location and Worldview
    3. Worldview and Power Dynamics
    4. Cultural Considerations at End of Life
    5. Disparities in Pain Management
    6. Stories of African-American Mistrust
    7. Correctional Palliative Care
    8. Isms in the Clinic
Hospice/End-of-life Care
    1. Intro to Hospice
    2. Artificial Nutrition/Hydration at End of Life
    3. Syndrome of Imminent Death
    4. Palliative Sedation
    5. Principle of Double Effect
    6. Prognostication
    7. Hospice Documentation- CTI鈥檚 and F2F鈥檚
    8. Care at the Time of Death
    9. Compassionate Extubation
    10. Medical Aid in Dying
Professional Development
    1. CV鈥檚, Cover Letters, Networking, Interviewing
    2. How to Craft the Right Job for You
    3. Working with the Interdisciplinary Team
    4. Mentoring
    5. Interprofessional Communication and Collaboration
    6. Practical Ethics
    7. Interactive Ethics Case Review
    8. Financial Planning
    9. Professionalism
    10. Teaching Communication in Real Time
    11. Preparing for the HPM Boards
Resiliency
    1. Things No One Told You About Hospice and Palliative Medicine
    2. Writing Condolence Notes
    3. Narrative Writing Curriculum (five sessions)
    4. Being a Woman in Medicine
      **Fellows will have an additional half-day per month of protected time as part of their resiliency curriculum.
Scholarship
    1. Intro to Scholarship
    2. Career Planning
    3. Writing a Scientific Abstract
    4. Simulated Root Cause Analysis
    5. Clinical Practice Guideline Development
      **Many sessions throughout the year are also set aside for fellows to work on their QI projects
Symptom Management
    1. Intro to Opioids
    2. History of Opioids
    3. Opioid Conversions
    4. PCA鈥檚 and Fentanyl
    5. Methadone
    6. Buprenorphine
    7. Ketamine
    8. OUD and Palliative Care
    9. Psychopharmacology
    10. QTc Monitoring
    11. Delirium
    12. Nausea and Vomiting, Mucositis, Hiccups
    13. Psychedelics
    14. Malignant Bowel Obstruction
    15. Anorexia Cachexia Syndrome
    16. Medical Cannabis
    17. Pain and Dyspnea Assessment for Non-verbal Patients
    18. Management of Dyspnea
    19. Radiation Oncology and Palliative Care
Whole Person Concerns
    1. Writing Condolence Letters
    2. Introduction to Spiritual Care/Chaplaincy
    3. The Role of Spiritual Care
    4. Spiritual Care Assessment Models
    5. Dignity Therapy
    6. Caregiving
    7. Miracles and God Language
Pediatrics
    1. Intro to Pediatric Palliative Care
    2. Ages and Stages of Grief
    3. Pediatric Spiritual Care
    4. Pediatric Pain Management
    5. Management of Non-Pain Symptoms in Pediatric Palliative Care
    6. Peds Oncology Palliative Care
    7. Caring for Children with Severe Neurologic Impairment
    8. Peds Concurrent Care Hospice