Dartmouth Hitchcock Medical Center offers educational conferences that are both palliative medicine specific, and part of the Internal Medicine, Pediatric, or Geriatric specialties.
The sections below highlight the recommended and required educational conferences and presentations for an example fellowship year.
Geriatrics Grand Rounds
Varying geriatric topics, often including important palliative care and case discussions.
M and M Medicine Conference
A weekly, interactive, quality improvement conference that often covers important end of life topics, challenging decision making, and communication issues. Internal Medicine residents present, and Dartmouth Hitchcock Medical Center faculty discuss the issues that arise.
Schwartz Rounds (Adult and Pediatric)
Adult and pediatric case presentations with a focus on how caring for patients affects us and self-care. Run by Dr. Matt Wilson.
Medical Grand Rounds
Varying medical and subspecialty topics.
Palliative Medicine Core Didactics
- Intro to Fellowship
- Intro to Hospice and Palliative Medicine
- Pain Management Basics
- Dyspnea and Cough
- PCA Management
- Deactivation of AICD/PPMs
- Hospice 101
- Imminent Death Syndrome
- Withdrawal of the Ventilator
- Medical Marijuana
- Substance Use Disorder in HPM, Part 1 and 2
- Urine toxicology Interpretation
- Non-Oral Routes of EOL Medications
- Bereavement Risk Assessment and Grief
- Hope and Denial at EOL
- Anxiety/Depression at EOL
- ADs: History and Ethics
- Artificial Hydration and Nutrition
- Requests for Hastened Death
- Palliative Sedation
- Subanesthetic Dosing of Ketamine
- How to Run an IDT (followed by session on "IDT Check In" and "Take Home Points")
- Understanding Complex and Common Family Dynamics
- Legacy Building
- Healing Arts
- Consult Etiquette in Hospice and Palliative Care
- How to Teach - Tips and Tricks in Palliative Care
- Neuropathic Pain
- Billing in Hospice and Palliative Medicine
- The Business of Hospice and Palliative Medicine
- POLST Completion
- Introduction to Chaplancy
- Introduction to Social Work
- Introduction to InterProfessional Education and Learning
- Introduction to the Leadership Preventive Medicine Residency
- X-Waiver online training (8 hours)
- Yellowbelt Quality Improvement Science online training (8 hours)
- Spiritual Assessments
- Geriatrics and Frailty
- Symptom Review Jeopardy
- Complex Symptom Case Review Series
Palliative Care Team Weekly Educational Conference
- Fellow Presentations
- Regional Hospice and Palliative Care Video Case Conferences
- Research In Progress
- Professional Development in Education
- Section Meetings
- Journal Clubs
- Visiting Discussants
Our fellowship offers an intentional and longitudinal communication training program.
Our curriculum utilizes role play, drills, and VitalTalk-powered communication coaching to teach progressive communication skills.
We use the Serious Illness Conversation Guide as a scaffold and work on specialty-specific skills that will allow fellows to excel in serious illness communication both clinically and academically.
Lastly, we assure fellows learn the principles and practice of being a communication coach to help educator others.
2020-21 Communication Training Series Sessions
- Holding Space
- Recognizing Information vs Emotional Cues
- Responding to Emotions
- Responding to Emotions in the Resistant Patient
- Serious Illness Conversation Guide (SICG) Training
- SICG – Setting Up the Conversation
- SICG – Understanding of Illness
- SICG - Discussing Prognosis
- SICG – Goals Elicitation Part 1
- Goals Elicitation Part 2: Wise Mind and Listening for Inferences
- SICG – Making a Recommendation
- How to Run a Family Meeting: Taking all Perspectives into Account
- Responding to Patients who Believe in Miracles
- Responding to Patients who Request Hastened Death
- Bedside Coaching Skills for Communication Educators - Powered by VitalTalk – 3 workshops on Pre-Briefing, Stepping In and Handing It Back, and De-Briefing
- Mastering Tough Conversations with the REMAP framework – Powered by VitalTalk
Narrative Medicine Sessions
Regular sessions occur throughout the year during which learners come together with faculty to read short texts — including poems, excerpts from fiction and art — and respond to writing prompts. The sessions are designed to promote development of narrative skills that enable more effective "reading" of patients and their families. Sessions also allow fellows to practice reflection, perspective taking, and develop comfort with ambiguity and uncertainty.
Program Director Meetings
Held approximately every other month, Program Director meetings are designed to elicit feedback about the program from fellows. The program director will:
- Communicate feedback, received from program faculty, to the fellow
- Plan for talks, journal clubs or scholarly/QI activities
- Review patient logs and examine gaps in patient experience
- Offer personal reflection about the impact this work has on the fellow
Job counseling will occur during this meeting, usually around mid-year.
We spend 30 minutes of our interdisciplinary team meeting every Wednesday in a facilitated team discussion about a communication encounter that brought us to our learning edge. Both fellows or interdisciplinary faculty present, think through differentials, and brainstorm new communication strategies or skills with the larger team.
Treatment Challenge Tuesdays
We spend 30 minutes of our interdisciplinary meeting every Tuesday considering a current challenging case that we can have a more in-depth discussion about and get real-time input from various disciplines for next steps. Like a tumor board at a cancer center, we hope these recommendations can be put to use by clinicians after the meeting. Discussions often times focus on symptom management, system issues, or brainstorming resources.
Medications for Addiction Treatment ECHO sessions
MAT-ECHO is a learning community that enables a culture that understands addiction as a chronic disease and is prepared and capable to address a range of issues, including (but not limited to) clinical management, compassion fatigue, stigmatization, and mental health conditions that emerge during the process of treatment.