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Hospice & Palliative Medicine Fellowship

Palliative medicine fellowship faculty pose in a group together outside the Health Learning Building.

The Hospice and Palliative Medicine Fellowship at Dell Medical School aims to train physician leaders who wish to transform health care. The program provides fellows with excellent clinical training and equips them to address larger challenges in health care.

To accomplish the latter, the fellowship offers a unique, longitudinal curriculum with dedicated time focused on health equity, leadership, teamwork and wellness. Throughout their training, fellows will work in a variety of health systems and care settings with diverse patient populations and graduate fully prepared to practice in inpatient, outpatient, hospice or palliative care settings. Additionally, fellows will supplement their clinical knowledge by engaging in a year-long board-focused didactic curriculum and accessing board review materials. 

The fellowship program believes that successful physicians must be equipped with training that engages with the challenges of modern health care, which includes a thorough understanding of the drivers of health, skills to enact systemic change, and tools to maximize well-being.

Fellows will spend dedicated time learning about health equity, social determinants of health and how to be a disruptor in this system that still perpetuates inequity. Fellows will also undergo leadership training and participate in the Distinction Program for Care Transformation, sharpening skills in systems-level thinking, teamwork, negotiation and influence. A complementary series of wellness sessions will equip fellows with a toolkit to reduce burnout and find joy in their work.

The Hospice and Palliative Medicine Fellowship is affiliated with the Department of Internal Medicine

Training Facilities

Palliative care fellows train at various sites around Austin, including Dell Seton Medical Center at The University of Texas, Hospice Austin and Ascension Seton Medical Center.

Ascension Seton Medical Center.

Fellows spend 10 weeks at Ascension Seton Medical Center Austin, the area’s largest medical-surgical community hospital. Here, palliative fellows are exposed to tertiary cardiac care, including heart transplants and LVADs, and work alongside fellows from other specialties.

Dell Seton Medical Center at UT Austin.

Fellows spend 10 weeks at Dell Seton Medical Center, the primary teaching hospital of Dell Medical School and the safety net hospital for the region. Dell Seton also serves as the region’s only Level I Trauma Center. Here, palliative fellows work with larger learning teams, including medical students, residents and fellows.

Hospice Austin courtyard.

Fellows spend four weeks at Hospice Austin’s Christopher House, which is the area’s only inpatient hospice unit, and with teams providing home hospice care. Fellows also spend four weeks with Hospice Austin’s Austin Palliative Care team to provide community-based palliative care to patients in their homes.

Dell Children's Medical Center of Central Texas.

Fellows spend two weeks at Dell Children’s Hospital, the only Pediatric Level I Trauma Center and Level IV NICU Care Center in Central Texas. Dell Children’s is a tertiary referral center that treats medically complex children, performs solid and liquid organ transplants, and serves as a high-volume pediatric cardiac surgery center. Palliative fellows work with an interdisciplinary team that focuses on nuances of treating children and families with serious illness.

Austin outpatient clinic.

Fellows’ outpatient experience occurs at Austin’s VA outpatient clinic, the largest standalone VA clinic in the United States. On all rotations, except elective weeks, fellows work here one day per week to provide longitudinal training in the outpatient setting.

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