HOSPICE & PALLIATIVE MEDICINE (HPM)
Welcome to the Hospice and Palliative Medicine (HPM) Fellowship Program at the University of California San Francisco (UCSF) Fresno. Our program has recently been fully accredited by the ACGME.
The one-year HPM Fellowship exists in conjunction with and is an integral part of the fully-accredited Family Medicine Residency Program (FMRP). The HPM program director, Dr. Michael Nisco, and other family physicians work with a cadre of specialists to provide a comprehensive approach to training in hospice care.
Our principle training site is Community Regional Medical Center (CRMC), a 733 bed hospital offering a full range of inpatient services including 1800 ICU admissions annually. CRMC is part of Community Medical Centers (CMC), a nonprofit, locally owned health care system that operates four acute-care hospitals and a variety of other health care facilities. The Regional Medical Center provides inpatient and comprehensive outpatient services to patients of all ages. Special hospital services include a level 1 regional trauma center, a level 1 regional burn center, and the only birth center in the region designated to handle high-risk pregnancies.
UCSF Fresno HPM fellow will start with an intensive month of didactics and care of hospice patients under supervision. The following months include doing palliative care consultations at CRMC for part of the day with time set aside for interdisciplinary team meetings, visits to patients’ homes, visits to affiliated nursing homes, and home visits to hospice patients. The fellow is an integral member of an interdisciplinary team (IDT) that includes nursing, chaplaincy, and a psychologist. Comprehensive care is provided to 4-6 patients each day.
The fellow will do one month emphasizing palliative care in the intensive care unit setting and one month involving pediatric palliative care at Children’s Hospital of Central California. Each fellow will have one month of elective time as well. A research project using resources in the sponsoring family medicine department will be a longitudinal experience.
Fellowship applicants should have completed a Family Medicine or Internal Medicine residency program and be board-certified or board-eligible. Applicants should have a demonstrated interest in palliative care. One highly qualified fellow will be selected each year.
Fresno is a medium-sized city and a cultural and financial center of California's Central Valley. Some of the cultural offerings include a symphony orchestra, repertory theatres, art museums, and diverse cuisine including Asian, European, Basque, and Mediterranean. San Francisco and Los Angeles are approximately three hours away by car and the Monterey Peninsula and Morro Bay is approximately two hours. Recreational opportunities in the area are rich and varied, and include three nearby national parks — Yosemite, Sequoia and Kings Canyon.