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Hospice and Palliative Medicine Fellowship

Mission

Dartmouth-Hitchcock Medical Center (DHMC) is a rural academic 396-bed tertiary care referral center attracting patients from Vermont, New Hampshire, Western Massachusetts and parts of Maine. Our patient population is predominantly low socioeconomic status, Caucasian, non-religious, uninsured/underinsured, and have challenges with healthcare access.

Our palliative care team sees a wide variety of patients, such as those cared for by hematology-oncology (including hematological malignancy and transplant patients), ospital medicine, cardiology, neurology, surgical specialties, and the intensive care unit. Our team consists of physicians, nurse practitioners, nurses, social workers, healing arts practitioners, volunteers, creative arts specialists and chaplains.

We have outpatient and inpatient services as well as a primary service at the Jack Byrne Center for Palliative & Hospice Care (same link as is currently on the page) serving our community. Rotations include a local home hospice program with Visiting Nurses of NH and VT, a unique long term care facility experience at Kendal of Hanover, and pediatric palliative care at Boston Children's Hospital. Electives include spirituality and interventional pain. Our faculty are nationally recognized for communication education, substance use disorder in palliative care populations, narrative medicine, and healthcare delivery science research in end-of-life care. We are one of nine sites nationally offering an interdisciplinary training program for advance practice nurses.

Our program offers fellows the opportunity to train in Dartmouth-Hitchcock's unique Leadership Preventative Medicine Residency (LPMR), a fully funded two-year training program. LPMR graduates earn either an MPH or MS from The Dartmouth Institute for Health Policy and Clinical Practice (TDI). See an example of the work one of our previous fellows did as part of this program (scroll to the bottom of the page). Ask us about the program when you interview!

Aims

Our aim is to train well rounded clinicians who can manage the vulnerable populations in our region. This is obtained through interdisciplinary mentorship/education with a focus on advanced communication techniques, management of palliative care patients living with substance use disorder (SUD), collaborative interdisciplinary teamwork, the capacity for self-reflection and ability to value others' perspectives.p>

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