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Hospice and Palliative Medicine Fellowship

Overview

Thank you for your interest in Stony Brook Medicine’s Hospice and Palliative Medicine Fellowship!

The Hospice and Palliative Medicine Fellowship at Stony Brook Medicine is a one year ACGME-accredited fellowship designed to train physicians to become academic leaders in the field. The fellowship position is available to individuals who have completed successfully an ACGME-accredited residency in one of the ten American Board of Medical Specialties that accepts Hospice and Palliative Medicine as a subspecialty. We are excited to be accepting our first fellow for the 2020-2021 academic year.

The fellow will participate in a variety of clinical care settings throughout the year, including inpatient care, outpatient care, home-based and inpatient hospice, and long term care. The fellow will have an opportunity to work with a diverse patient population (well balanced between young and old, varying socioeconomic backgrounds) and be exposed to a broad spectrum of disease pathology (including leukemia/lymphoma, solid tumors, trauma, heart failure, concomitant substance use disorder, complex pain syndromes, advanced neurological conditions to name a few). Additionally, each member of the Palliative Care interdisciplinary team is formally trained and/or certified in palliative medicine, and are all committed to serving as mentors and educators to our fellow. Our team members have varied backgrounds and expertise in advanced pain management involving methadone and ketamine, wound care, overcoming barriers related to the care of immigrant patient population, and extensive community hospice experience.

Our comprehensive curriculum will allow the fellow to gain expertise in communication skills (including those needed for delivery of serious news, code status discussions, and care planning), dealing with complex family dynamics, prognostication, and assessing and managing complex physical, psychological and spiritual symptoms faced by patients with serious or life-limiting illnesses and their families. The fellow will also be required to participate in a research or quality improvement project and submit his/her work for presentation or publication by the end of the academic year.

A significant amount of the fellow’s time will be spent at Stony Brook University Hospital, an over 600 bed academic medical center located in eastern Long Island. Stony Brook University Hospital is a level 1 trauma center with a bone marrow transplant unit, dedicated oncology unit, children’s hospital, LVAD program. It services a relatively large patient population with developmental disabilities which in itself provides a unique experience for trainees. For more information about Stony Brook Medicine or living on Long Island, please visit the following websites.

After completion of the fellowship program, the fellow will be eligible to take the Hospice and Palliative Medicine Board Certification Exam.


Requirements

 Applicants must meet the following criteria:

  • Have completed an ACGME-accredited residency program
  • Must be board certified or board eligible in either internal medicine, pediatrics, physical medicine and rehab, surgery, anesthesiology, family medicine, OB/gynecology, psychiatry, neurology, radiology, radiation oncology, or emergency medicine
  • Successful candidates must be licensed 

Curriculum

Clinical Rotations:

  • Inpatient Adult and Pediatric Palliative Care Consult Service at Stony Brook University Hospital - 28 weeks.
  • Inpatient Hospice at Good Shepherd Hospice - 4 weeks
  • Home Hospice in the surrounding community - 6 weeks
  • Long Term Care at the Long Island State Veterans Home - 4 weeks
  • Outpatient Continuity Clinic at Stony Brook Primary Care Center’s Geriatric Medicine Clinic, (weekly half day sessions for a total of 32 weeks throughout the year)
  • Research - 2 weeks
  • Electives - 4 weeks (available electives include but are not limited to: Interventional Pain Management, Radiation Oncology, Psychiatry)
  • Vacation - 4 weeks

Core Academic Curriculum:

  • Weekly Palliative Care didactics/conferences
  • Grand Rounds
  • Clinical Case Presentations
  • Journal Club
  • Online Modules
  • Lectures/didactics specific to rotation site
  • Additionally the fellowship program uses Stony Brook’s state-of-the-art Simulation Lab for communication and clinical skill building.

How to Apply

Applications are accepted starting in July via the Electronic Residency Application Service (ERAS). The Stony Brook Hospice and Palliative Medicine Fellowship Program participates in the National Resident Match Program (NRMP) Specialties Matching Service (SMS).

All completed applications will include:

  • Curriculum vitae
  • A personal statement (a statement of applicant’s interest in palliative care and future career goals)
  • At least three letters of support, one of which should be from the applicant’s department head, program director, or division chief
  • Test scores

Program Director

Samantha Nagengast, MD
Assistant Professor of Clinical Medicine
Health Sciences Tower, Level 15, Rm 053
Stony Brook, NY 11794-8151
Phone (631) 444-2292
Fax (631) 444-3811
Samantha.nagengast@stonybrookmedicine.edu

Assistant Program Director

Grace La Torre, DO
Assistant Professor of Clinical Medicine
Health Sciences Tower, Level 15, Rm 053
Stony Brook, NY 11794-8151
Phone (631) 444-2292
Fax (631) 444-3811
Grace.latorre@stonybrookmedicine.edu