Our Educational Goals

The following educational goals are based on the competencies for the field of hospice and palliative medicine and follow the six domains set by the American Council on Graduate Medical Education. The curriculum for the training experience includes clinical rotations, didactics, seminars, etc. and will focus on assisting the fellow achieve competence in Hospice and Palliative Medicine and these learning objectives. Appropriate evaluation methods will be utilized to assess the fellows in each area.

Patient and Family Care

  1. Demonstrates ability to gather, synthesize, and apply comprehensive and accurate clinical information from all sources pertinent to patients’ medical condition(s) PC1
  2. Demonstrates ability to assess and manage complex patient symptomatology including physical, psychosocial, and spiritual suffering utilizing an interdisciplinary approach PC2
  3. Understands and manages patients with the full spectrum of advanced, life-limiting, and life-threatening conditions including cancer and non-cancer diagnoses as well as patients with sudden acute illness PC3
  4. Assesses and effectively communicates prognosis PC4
  5. Coordinates, directs and facilitates key events in patient care such as family meetings, goals of care consultations, advance directive completion, conflict resolution, withdrawal of aggressive medical interventions, etc. utilizing an interdisciplinary approach PC5
  6. Demonstrates care that shows respectful attention to age, developmental stage, gender, sexual orientation, culture, belief system, physical disabilities as well as family dynamics PC6
  7. Seeks to maximize patients’ level of function and quality of life as patient defines PC7
  8. Seeks to provide appropriate patient and family education PC8
  9. Recognizes signs and symptoms of impending death and provides appropriate care for the imminently dying patient and their care-givers PC9
  10. Recognizes appropriate needs for bereavement care and initiates treatment for complicated grief in patients and/or care-givers PC10
  11. Recognizes and refers patients and/or care-givers to other health care professionals to assess, treat, and manage complex issues outside the scope of palliative care practice PC11
  12. Collaborates effectively with other referring physicians on issues related directly to patient care PC12

Medical Knowledge

  1. Describes the scope and practice of hospice and palliative medicine MK1
  2. Recognizes and describes role of the interdisciplinary team and its individual members MK2
  3. Describes the appropriate strategies and instruments for assessing prognosis, disease trajectories, as well as strategies for effectively communicating these to patients and care-givers MK3
  4. Recognizes the presentation, management, disease patterns and trajectories and various treatment modalities for common cancers MK4
  5. Recognizes the presentation, management, disease patterns and trajectories and various treatment regimens and modalities for non-cancer advanced illnesses MK5
  6. Explains principles of assessing pain and other non-pain symptom complexes MK6
  7. Describes and understands the role of opioids in pain and non-pain symptom management MK7
  8. Describes and understands the use of non-opioid analgesics, adjuvant analgesics, and other pharmacologic approaches to the management of both pain and non-pain symptom complexes MK8
  9. Describes and understands the pharmacologic and non-pharmacologic approaches to the management of common non-pain symptoms MK9
  10. Describes the etiology, pathophysiology, diagnosis, evaluation and management of common neuropsychiatric disorders encountered in palliative care practice such as depression, delirium, seizures, and brain injury MK10
  11. Recognizes, assesses and initiates treatment for common psychological, spiritual or social stressors facing patients and care-givers with advanced, life-limiting, or life-threatening illness MK11
  12. Able to recognize, evaluate, and support diverse cultural values and customs of patients and care-givers in the development of the palliative care treatment plan MK12
  13. Recognizes the elements of appropriate care for the imminently dying and their care-givers including immediate and post death care MK13
  14. Describes the basic components, epidemiology, clinical features, natural course and management options for normal and pathologic grief and understands the interdisciplinary nature of treatment for grief MK14
  15. Describes ethical and legal issues in palliative care and their subsequent management in an interdisciplinary approach MK15

Practice-Based Learning and Improvement

  1. Maintains safe and competent practice, including self-evaluation and continuous learning PBL1
  2. Accesses, analyzes, and applies the evidence base to the clinical practice of palliative care PBL2
  3. Demonstrates competencies as an educator for other trainees PBL3
  4. Demonstrates knowledge of the process and opportunities for research in palliative care PBL4
  5. Demonstrates common approaches to quality and safety assurance PBL5

Interpersonal and Communication Skills

  1. Initiates informed relationship-centered dialogues about care IC1
  2. Demonstrates empathy in relationships with patients, care-givers and staff IC2
  3. Demonstrates ability to recognize and respond to own emotions IC3
  4. Demonstrates ability to engage and educate families and care-givers about the various domains associated with advanced, life-limiting or life-threatening illness IC4
  5. Uses age, gender, and culturally appropriate concepts and language when communicating with patients and care-givers IC5
  6. Demonstrates above skill set in paradigmatic situations with patients, care-givers and other health care providers common to palliative medicine IC6
  7. Organizes and leads a family meeting IC7
  8. Collaborates effectively with others as member or leader of an interdisciplinary team IC8
  9. Develops effective relationships with referring physicians, consultants, and other health care providers IC9
  10. Maintains comprehensive, timely, and legible medical records IC10


  1. Achieves balance between needs of patients/family/team, while balancing one’s own need for self care P1
  2. Recognizes personal role and the role of the system in disclosure and prevention of medical error P2
  3. Demonstrates accountability to patients, society, and the profession; and a commitment to excellence P3
  4. Describes role of hospice medical director P4
  5. Fulfills professional commitments P5
  6. Demonstrates knowledge of ethics and law in the provision of care to patients and care-givers in situations common to palliative medicine practice P6
  7. Demonstrates respect and compassion towards all patients, care-givers, and other health care providers P7
  8. Demonstrates the capacity to reflect on personal attitudes, values, strengths, vulnerabilities, and experiences to optimize personal wellness and capacity to meet the needs of patients and care-givers P

Systems Based Practice

  1. Demonstrates care that is cost-effective and represents best practices SBP 1
  2. Evaluates and implements systems improvement models or projects within various institutions SBP2
  3. Integrates knowledge of health care system in developing plan of care SBP3
  4. Demonstrates knowledge of the various settings and related structures for organizing, regulating, and financing care for patients at end of life SBP3
  5. Collaborates with all elements of the palliative care continuum, including hospitals, palliative care units, nursing homes, home and inpatient hospice, and other community resources SBP 5
  6. Advocates for quality patient and care-giver care and assists patients and care-givers in dealing with system complexities SBP6
  7. Partners with health care managers and health care providers to assess, coordinate, and improve patient safety and health care while understanding how these activities can affect system performance SBP7

"One of the most important skills that I learned during my pallative care/hospice rotation was effective pain management for my patients." --  Geriatric Medicine Fellow

"I enjoy working with the extraordinary physicians and nurses at CarePartners who effectively utilize a multidisciplinary approach to best serve their patients and to care for their physical, psychosocial and spiritual needs.”   -- Family Medicine Resident

"The inpatient consult service provided by CarePartners at Mission Hospital is an excellent resource for physicians in the Asheville community. The staff are thorough in their assessments and are very helpful in assisting patients and their families in making challenging decisions. The staff offer a wide range of services from pain management to education about the MOST form, etc.”  --  Family Medicine Resident