Integrated dual training in palliative care and oncology
Kathryn DeCarli1, Rachel Rodenbach2, Ramy Sedhom3
1Division of Hematology/Oncology, The Warren Alpert Medical School of Brown University, Providence RI.
Current Problems in Cancer
|September 15, 2023
Summary
Integrated fellowship training in Hospice and Palliative Medicine (HPM) and Hematology/Oncology (Hem/Onc) offers a new pathway for physicians. This dual training aims to improve patient-centered cancer care and advance research in symptom management.
Area of Science:
- Oncology
- Palliative Care
- Medical Education
Background:
- Hospice and Palliative Medicine (HPM) and Hematology/Oncology (Hem/Onc) fellowship training share roots in holistic cancer care.
- Growing demand exists for integrated training pathways, with the first integrated fellowship Match occurring in 2022.
Purpose of the Study:
- To provide historical context for the overlap in HPM and Hem/Onc fellowship training.
- To outline limitations of standard training and introduce the new integrated pathway.
- To explore applications and challenges of dual HPM and Hem/Onc training.
Main Methods:
- Review of historical training paradigms in HPM and Hem/Onc.
- Overview of the ACGME-accredited integrated fellowship pathway.
- Exploration of clinical, program development, and research applications of dual training.
Main Results:
- An integrated fellowship pathway has been developed and accredited.
- Dual-trained physicians can enhance patient-centered care and foster collaboration.
- Potential exists to address unmet needs in advanced communication and symptom management.
Conclusions:
- Integrated HPM and Hem/Onc fellowship training can cultivate physicians for significant cultural change.
- Dual-trained physicians are poised to improve care for cancer patients.
- This pathway can fill critical needs in specialized cancer care and research.
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