The didactic component of the fellowship is designed to augment the clinical experience, as well as to cover topics not traditionally found in a clinical setting. The program will focus on the epidemiology and pathophysiology of progressive chronic illnesses in persons of all ages; the management of these diseases in multiple clinical settings; and the psychosocial issues associated with death and dying. Emphasis will be placed on communication and team building skills.
The program will consist of a conference series, a formal lecture series, round table discussions, and a journal club. Conferences will be supported by physician faculty from both The Children's Hospital of Philadelphia and the Hospital of the University of Philadelphia .
The conference series will provide the fellow with the opportunity to learn—in a case-based or didactic forum—the epidemiology, pathophysiology and natural history of many chronic illnesses across multiple disciplines in pediatric palliative care. A highlight of these conferences include:
The Pediatric Advanced Care Team meets for a multidisciplinary conference to discuss the clinical and ethical aspects of patients care.
This conference is meant to foster skills that are essential to be a successful leader in any medical field or large institution. The skills stressed in this series will be valuable to foster institutional change and be a leader in the growth of pediatric palliative care.
The formal lecture series will focus on both pediatric and adult topics specific to palliative care. The intent of this series is to provide a basis for the year and will be given in the first two months of the fellowship.
A journal club will be sponsored by PACT. Topics will be presented monthly and will focus on clinical aspects of pediatric palliative care and on interpreting the medical literature. The fellow will be responsible for presenting topics at least four times during the fellowship.
In an effort to develop communication and teaching skills, the fellow will be expected to lead patient discussions at the weekly PACT conference; lecture as part of the palliative care resident lecture series; and provide bedside teaching to the medical students, residents and nurses involved in either the pediatric palliative care elective or in direct patient care.