Block Schedules

Fellow A

Block 1
(7/7 - 8/3)
  • Orientation (7/7 - 7/11)
  • Ryan House Inpatient
  • Hospice Inpatient Unit: Adult (M/W/F) and Pediatrics (T/Th) with 1 week of Adult Home Hospice
HOV onlyDEI module
Block 2
(8/4 - 8/31)		Phoenix Children's Inpatient - Team 1, Team 2, Team 3Phoenix Children's only 
Block 3
(9/1 - 9/28)
  • Rehab (2 weeks)
  • Specialized area (2 weeks)
  
Block 4
(9/29 - 10/26)		Pediatrics Home Hospice (4 weeks) Pediatrics Boards
Block 5
(10/27 - 11/23)		Phoenix Children's Inpatient 
  • PCR Presentation
  • NICU JC with NICU presenting
Block 6
(11/24 - 12/21)		Mayo Vital talks
Block 7
(12/22 - 1/18)
  • Pediatrics Home Hospice (2 weeks)
  • Electives (2 weeks)
  
Block 8
(1/19 - 2/15)		Phoenix Children's Outpatient 
  • ADH Resident Lecture
  • PCR (2/11)
Block 9
(2/16 - 3/15)
  • Phoenix Children's Inpatient (1 week - Team 1)
  • Interdisciplinary team or specialized area (1 week)
  • PAIN (2 weeks)
 
  • Observe Resident
  • Difficult Communication
Block 10
(3/16 - 4/13)		Phoenix Children's Inpatient NICU JC with Palliative presenting
Block 11
(4/14 - 5/10)		Phoenix Children's Outpatient 
  • Guide Resident
  • Difficult Communication
Block 12
(5/11 - 6/7)
  • Pediatrics Home Hospice (2 weeks)
  • Electives (2 weeks)
 Didactic Lecture
Block 13
(6/8 - 7/4)
  • Team 1 (2 weeks)
  • Phoenix Children's Inpatient (6/20 - 7/3)
  

Fellow B

Block 1
(7/7 - 8/3)
  • Orientation (7/7 - 7/11)
  • Phoenix Children's Inpatient - Team 1, Team 2, Team 3
Phoenix Children's onlyDEI module
Block 2
(8/4 - 8/31)
  • Ryan's House Inpatient
  • Hospice Inpatient Unit: Adult (M/W/F) and Pediatrics (T/Th) with 1 week of Adult Home Hospice
HOV only 
Block 3
(9/1 - 9/28)
  • Rehab (2 weeks)
  • Specialized area (2 weeks)
 PCR (3/10)
Block 4
(9/29 - 10/26)		Phoenix Children's Inpatient Pediatrics Boards
Block 5
(10/27 - 11/23)		Pediatrics Home Hospice (4 weeks) 
  • PCR Presentation
  • NICU JC with NICU presenting
Block 6
(11/24 - 12/21)		Phoenix Children's Outpatient Vital talks
Block 7
(12/22 - 1/18)		Mayo  
Block 8
(1/19 - 2/15)
  • Pediatrics Home Hospice (2 weeks)
  • Electives (2 weeks)
 ADH Resident Lecture
Block 9
(2/16 - 3/15)		Phoenix Children's Inpatient 
  • Observe Resident
  • Difficult Communication
  • JC (3/11)
Block 10
(3/16 - 4/13)
  • Phoenix Children's Inpatient (1 week - Team 1)
  • Interdisciplinary team or specialized area (1 week)
  • PAIN (2 weeks)
 NICU JC with Palliative presenting
Block 11
(4/14 - 5/10)
  • Pediatrics Home Hospice (2 weeks)
  • Electives (2 weeks)
 
  • Guide Resident
  • Difficult Communication
Block 12
(5/11 - 6/7)		Phoenix Children's Outpatient Didactic Lecture
Block 13
(6/8 - 7/4)
  • Team 1 (2 weeks)
  • Phoenix Children's Inpatient (6/8 - 6/19)
  

Ambulatory Clinical Experiences

  • General Palliative Care Clinic

  • Perinatal Palliative Care Clinic

  • Embedded Palliative Oncology Clinic

  • Embedded Palliative Neuromuscular Clinic

  • Pediatric Home Hospice Rotation with an average census of 20 patients

  • In patient hospice unit experience at Ryan House with an average of 1-2 hospice patients per week

Weekly Clinics / Protected Didactics

 MondayTuesdayWednesdayThursdayFriday
AM MeetingsWeekend Sign Out
  • Palliative Care Didactics (8:30 - 10 a.m.)
  • HOV IDG meeting
Inpatient IDG meeting (8:30 - 9:30 a.m.)City Wide Consortium (8 - 10 a.m.) 
AM Clinics
  • DMD 3rd and 4th Mondays
  • CCBD Palliative Clinic
  • Perinatal Clinic
  • General Palliative Clinic
CCBD Palliative Clinic
  • General Palliative Clinic
  • CCBD Palliative Clinic
CCBD Palliative Clinic
Noon MeetingsPalliative Care List Run Palliative JC / PCR 2ndBi-Annual Join NICU JC 3rd 
PM ClinicsCCBD Palliative Clinic
  • Perinatal Clinic
  • CCBD Palliative Clinic
  • General Palliative Clinic
Longitudinal Fellow Clinic
  • General Palliative Clinic
  • CCBD Palliative Clinic
  • CCBD Palliative Clinic
  • Weekend Sign Out

Citywide Fellow Consortium

Topics

  • Intro to hospice and palliative care
  • Hospice 101 / Prognostication
  • Opioids for cancer related pain / Opioid use and safety in hospice
  • Respiratory symptoms / Nausea
  • Communication prep session / Fellow Hygge Session #1
  • Contracts - TBA / Communication Workshop #1 (4 hours)
  • Career / Culturally Sensitive Communication
  • Pain adjuvants / Heart failure
  • Compassionate extubation / Withdrawal of life sustaining treatments
  • Communication workshop #2 (6 hours)
  • Board review questions #1 / Journal club #1-2
  • Methadone / Palliative emergencies
  • Impending death / Radiation oncology 101
  • Anorexia and cachexia / Nutrition in oncology + cannabis / Journal club #3-4
  • Buprenorphine / Withdrawal of life sustaining tx / Palliative Sedation
  • Hospice pulmonology and O2 management / Addiction
  • Fellow Hygge Session #2
  • ESLD / Depression & anxiety
  • Communication Workshop #3 (4 hours)
  • Dementia
  • The Business of Death
  • Board review questions #2 / Journal club #5-6
  • *FULL DAY / TBA / Existential distress
  • Fellow Hygge Session #3
  • Board review questions #3 / Journal club #7-8
  • 4Ms / Deprescribing
  • Grief and bereavement
  • GI (ascites, MBO, refractory nausea)
  • Interventional pain management / Prognostication in dementia
  • MAiD, No cure for being human / Communication #4 (4-6 hours)
  • Overview pediatrics palliative management / Adolescent decision making
  • AAHPM (No Consortium)
  • ESRD
  • Fellow Hygge Session #4
  • ALS
  • Needs of Bereaved Children / Pediatrics pain and symptom management
  • Perinatal / Pediatric Neurology
  • Pediatric ethical issues (2 hours)
  • Board review questions #4

Pediatric Palliative Didactics

Topics

  • Basics of Pediatric Palliative Care: Consults, Communication and more / Case Discussions - Defining Goals of Care and Initiating ACP
  • Pain Management - Basics
  • Pain Management - Advanced
  • Arizona Resources / Social work role in Palliative Care
  • On-call Conundrums - 1
  • Non-Pain Symptom Management
  • Oncology and Palliative - 1
  • Pulmonary Hypertension / Transplant Medications Pearls / Preparedness Planning
  • WOLST Case Discussions
  • Case Discussions - Developmental understanding of grief bereavement
  • Oncology and Palliative - 2
  • On call Conundrums - 2
  • Case discussions - Adolescent decision making and advance directives / Decision Making in Pediatrics - Tools and resources
  • Cardiology - Interstage, Transplant and VAD support
  • Perinatal Palliative
  • Oncology Case Discussions
  • Spiritual Care
  • Health Disparities and Costs in Health Care
  • Case Discussions - Effective Use of the IDT
  • DEI Initiatives in Palliative Medicine
  • Fellow Led Didactic - Research Update (SA)
  • Ethical Case Discussions - Futility, ANH and more
  • Fellow Led Didactic Topic

Research

Scholarly Activity  
Quality Improvement ProjectStart in September during research month and complete in February / MarchRequired
Research ProjectStart in September during research month and complete by year endEither case presentation or research required
Case presentation for AAHPM or other academic conferenceComplete by submission deadlineEither case presentation or research required

Electives

  • International Elective with Hospice of Otago
    • Takes place in New Zealand for 4 weeks
    • Traditional Bush Housing is provided
    • Call free weekends to explore
  • Ethics / Spiritual Care
    • Pain / Addiction Medicine
    • Complex Care
    • Choose your own adventure
  • Out of Training Research Year
    • 12 months of extended research time to complete and publish works started during fellowship
    • Research Mentorship with Dr. Cuviello
    • Includes ongoing clinical time to maintain skills