Palliative Medicine

This program prepares residents for rewarding careers in the practice of palliative medicine. Our faculty and inter-professional teams, together with our excellent curriculum and resources, strive to offer you the best possible training.

Goals and Objectives

  • To train physicians who will provide primary and consultant palliative care services to have added competency in palliative medicine; and,
  • To provide clinical and basic academic training for physicians who may be going on to academic careers in palliative medicine.

Successful residents will acquire a broad-based understanding of the principles, philosophy, and core knowledge, skills and attitudes of palliative medicine.

Program Structure

The year is divided into 13 blocks, each of which is 4 weeks in length. You will attend your blocks at different sites across Ottawa.

Élisabeth Bruyère Hospital – Palliative Care Unit (minimum of 4 blocks)

Your blocks at the Palliative Care Unit (PCU) will be divided into two separate rotations. To enhance learning, increase responsibility and evaluate your progress, the first rotation of two blocks (PCU-1) takes place at the beginning of the training year. The second (PCU-2) occurs near the end of the year. During the PCU-2 rotation, you will act as a preceptor for other learners on the PCU, in a junior staff role.

The palliative care unit (PCU) consists of 31 in-patient beds. Inter-professional teams are dedicated to each wing of the unit. Persons with advanced incurable illnesses are admitted to the unit for symptom management and/or end of life care.

You will work as a member of the inter-professional team providing care to patients and their families. You will be responsible for the daily care of patients, including team rounds and family meetings.

The Ottawa Hospital (4 blocks)

You will spend these blocks with the Supportive and Palliative Care Consultation Service under the supervision of a Palliative Medicine Consultant. Two of these blocks will take place at the General Campus, and two at the Civic Campus. The Service is an inter-professional team of health care professionals who provide in-patient and outpatient ambulatory consultation services. These services include symptom control and psychosocial support.

You will have the opportunity to provide care to patients with non-oncological diseases at the Civic Campus. It is also where The Ottawa Heart Institute is located. The Ottawa Hospital Cancer Centre is located at the General Campus. It is a designated centre of integrated oncology and palliative care, recognized by the European Society for Medical Oncology (ESMO).

The Regional Palliative Consultation Team (RPCT) (minimum of 1 block)

The RPCT supports, educates and assists primary care professionals in the community to provide high quality palliative care to patients. Services include 24/7 telephone consultation, educational sessions, information on community palliative care resources and community-based consultation visits (in homes, long-term care facilities, community hospices and other residential facilities) when they are unable to access ambulatory palliative care services in the Ottawa area.

Working under the supervision of a Palliative Medicine Consultant and the Advanced Nurse Practitioner Service Coordinator, you will provide telephone and home consultation. You may also provide education to off-service residents, and assist with the care of the Family Medicine residents’ patients in the community, particularly those in community-based hospices.

Pain Service (1 block)

The Ottawa Hospital Chronic Pain Service holds regular outpatient clinics for patients with chronic pain and complex cancer pain. The team works closely with the Supportive & Palliative Care Service to provide interventional pain control for patients with incurable illness who have not been able to achieve adequate relief with other treatment modalities. Treatments may include neurolytic blocks, as well epidural and intrathecal infusions.

You will be supervised by the Department of Anesthesia faculty working in the Chronic Pain Service. You will assist in the assessment of referred patients, as well as observe and assist with procedures. Your main focus will be palliative care patients referred to the service.

Oncology (minimum 1 block)

Palliative medicine residents without prior training in oncology spend a minimum of one block in a combined medical/radiation oncology rotation. The Ottawa Hospital Cancer Centre addresses the oncology needs of patients in eastern Ontario. Under the supervision of attending medical and radiation oncologists, you will participate in the care of patients attending medical and radiation oncology ambulatory clinics at the Cancer Centre. Learning objectives focus on the most common malignancies seen in palliative care.

Electives (2 blocks)

You will have two blocks in which you can choose an elective that is related to Palliative Medicine and your career goals. The Pain rotation may be substituted for a third elective. Both clinical and academic/research electives are available. The Program Director will help you select your electives to achieve your learning goals.

Longitudinal Clinics

You will attend a Palliative Care Clinic at the Irving Greenberg Family Cancer Centre at the Queensway Carleton Hospital once every three weeks over the course of the program. You will work closely with a Palliative Medicine Consultant to provide longitudinal follow up of ambulatory palliative care patients.

You will gain experience in following patients as their symptom burden and psychosocial needs change over the illness trajectory. Similar to the RPCT rotation, these clinics offer you skills to manage the unique aspects of community and ambulatory palliative care. The clinics will allow you to gradually increase your independence as you work with a consistent supervisor over the course of the program.

Scholarly Project

Along with clinical experience, you will carry out a scholarly project under the supervision of a Division of Palliative Medicine faculty member. One half-day per week is set aside for you to work on your project or other academic pursuits.

You will attend formal teaching sessions, including:

  • Weekly Academic Half-Day Seminars
  • National Academic Half-Day Seminars
  • Palliative Care Research Seminar Series
  • Weekly Journal Clubs
  • Bi-weekly Palliative Care Regional Academic Rounds

You will also be assigned a mentor from the Division of Palliative Care, and will be invited to participate in the program’s social activities that encourage wellness.

Eligibility

The program is jointly accredited by the Royal College of Physicians and Surgeons of Canada and the College of Family Physicians of Canada. You must have an FRCPC or a CCFP designation and hold (or be eligible for) an educational or independent practice license in Ontario in order to apply to the program.

How to Apply

For more information, visit the PGY3 Enhanced Skills Applicants page. Note that the Palliative Medicine program applications are not administered through CaRMS.

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