Global Directory of Educational Programs in Palliative Care

Course affiliated with (name of Organization/University)	Division of Palliative Medicine, University of Toronto, Department of Supportive Care, UHN
Country	Canada
State	Ontario
City	Toronto
Address	610 University Avenue, 5th floor, Toronto, ON M5G 2M9
The program leads an official or formal degree?	Yes
Degrees	Fellowship
Target audiences	Physicians
Fields	Palliative Care Palliative Medicine
Languages	English
Frequency	Once per year
Length	1-2 years
Modalities	Bedside teaching Classroom Hands-on Training
Cost of full tuition and fees	Free for selected applicants/regions
Director	Dr. Ebru Kaya and Dr. Ahmed Al-Awamer
Website	https://www.uhn.ca/PrincessMargaret/Education/Trainee_Programs/Department_Supportive_Care/Documents/Palliative_Care_Clinical_Fellowship.pdf
Contact name	Norine Mark, Education Coordinator
Email	[email protected]
Learning objectives 1	Medical Expert: Fellows will develop advanced knowledge of the therapies used in the symptom management of patients with advanced cancer and non-malignant illnesses; knowledge of the role of radiation and chemotherapy in the management of cancer patients and knowledge of side-effects of these treatments and basic management of these side-effects; and skills to manage multiple clinical issues simultaneously, both acute and chronic, often in a context of medical uncertainty.
Learning objectives 2	Communicator and Collaborator: Fellows will develop an understanding of the value of maintaining hope when working with patients with palliative needs and patients’ families and demonstrate skills in discussing palliative and end-of-life issues with patients and patients’ families, including treatment choices, location of care, advance care planning, requests for hastened death, withholding/withdrawing of treatment, and palliative sedation. Fellows will learn to organize, participate in, and, when appropriate, lead clinical encounters or family meetings in goals of care discussion, while respecting patient autonomy and maximizing the involvement of the patients and patients’ families. They will identify challenges to effective communication such as anger, confusion, denial, culture, language, educational level, deafness, and modify approach to ensure understanding of information and explanations. They will learn to explain a palliative care philosophy proficiently to patients and patients’ families and identify patients who would benefit from assessment and management by a Palliative Medicine Specialist. Fellows will learn to participate in the interprofessional and multidisciplinary care of patients across settings of care (community, outpatient, inpatient).
Learning objectives 3	Research & Education: Fellows will learn how to provide evidence-based care, i.e., posing an appropriate learning question related to the care of patients with palliative needs and patients’ families, and answering it using an appropriate research or literature review approach. Fellows will complete a scholarly research, quality assurance or educational project relevant to Palliative Medicine that is suitable for peer reviewed publication or presentation at an academic meeting. Fellows will develop skills to provide effective teaching to trainees in a clinical environment.
Description	Affiliated with the University of Toronto, the Division of Palliative Care, Department of Supportive Care at the University Health Network (UHN), Canada’s largest hospital, offers three fellowship streams for Canadian and international applicants: • a one-year Clinical Fellowship with a focus on malignant illnesses • a one-year Clinical Fellowship with a focus on non-malignant illnesses, and • a two-year Research and Clinical Fellowship. The purpose of the fellowship is to train physicians to be competent in practicing palliative care at a consultant level. Fellows will develop outstanding clinical experience through providing palliative care for a wide spectrum of patients with malignant and non-malignant illnesses in different palliative care practice settings, such as community and tertiary palliative care units, inpatient consultation service, residential hospice, and outpatient clinics. Fellows in the research stream will have the opportunity to develop research proposals, prepare presentations for international meetings, and write papers suitable for peer-reviewed journals. Fellows will participate in an interdisciplinary academic environment with ample opportunity for feedback and presentation at local rounds, including the Manuscript Review Seminar, Pain and Symptom Management Rounds and Departmental Grand Rounds. Opportunities for collaboration with the well-

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This directory is partially funded by a grant from the US Cancer Pain Relief Committee.

Palliative Medicine Clinical Fellowship

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