2025 Hospice & Palliative Medicine APP Postgraduate Interprofessional Fellowship

The Dartmouth Health Postgraduate Fellowship Programs offer Advanced Practice Providers an intensive 12-month experience of advanced training. Your training will be comprised of didactic and clinical curriculums that will occur concomitantly. Our Postgraduate Advanced Practice Provider Fellowships give you the opportunity to:

• Further refine critical thinking and highly marketable skills to a specialized patient population.
• Provide high-quality care to a wide variety of patients in the chosen specialty.
• Be part of an organization dedicated to training the next generation of health care providers.
• Learn and work alongside colleagues in all areas of healthcare who are committed to team-based patient care.
• Access MD, APP, and other staff participating in world-class research, teaching, and leadership through Dartmouth College, TDI, the Value Institute and Geisel School of Medicine, Biomedical and Science Libraries, DHMC Patient Safety Training Center (PSTC), gross anatomy lab, POCUS Training.
• Earn a competitive annual stipend, full and comprehensive benefits, and continuing education credits are available at no cost by participating in and attending lectures, conferences, grand rounds, and journal club.
• Live in a diverse social, cultural and artistic community in a Northern New England setting that offers a wide range of year-round outdoor recreational activities with easy access to major metropolitan areas.

The Hospice & Palliative Care Interprofessional APP Fellowship is an intensive 12-month training program focused on preparing you for a successful career in Hospice and Palliative Medicine. APP fellows will be integrated with the physician fellows and be fully integrated into this nationally recognized palliative care service which includes an interdisciplinary inpatient consult team (physicians, nurses, social workers, chaplains, and healing arts) an outpatient clinic, and the Jack Bryne Center for Palliative & Hospice. Your training will include parallel clinical and didactic curriculums that will provide you with a solid foundation in the management of complex acutely ill patients. Clinical experiences will primarily take place at the Dartmouth Hitchcock Medical Center (DHMC), a quaternary care facility with air and ground transport services that care for Northern New England’s most critically ill patients. Upon completion of the program, you will be equipped with the following skills:

• Gain the foundational knowledge to be successful in Hospice and Palliative Medicine
• Build confidence in managing complex symptoms in seriously ill patients
• Develop confidence in having serious illness conversations with patients and families
• Ability to lead an interdisciplinary team

The goal of the program is to help you grow and develop the acute and long-range medical and critical thinking skills required to build a successful career in Hospice and Palliative Medicine. DHMC is located in the Upper Valley region of New Hampshire; a diverse social, cultural, and artistic community that offers a wide range of year-round outdoor recreational activities with easy access to major metropolitan areas. We look forward to learning about you and what you will bring to our program and our community! Curriculum: The mission of Postgraduate APP Fellowship Programs is to provide didactic and clinical curriculums to provide trainees with a solid foundation in the diagnosis and management of patients. The goal of the program is to help trainees grow and develop medical, and critical thinking skills required to build successful careers in their chosen field. The Dartmouth Health Postgraduate Fellowship Programs offer Advanced Practice Providers an intensive 12-month experience of advanced training. Your training will be comprised of didactic and clinical curriculums that will occur concomitantly. The Advanced Practice Provider Fellowship in Hospice and Palliative Medicine is a one-year program focused on providing the APP with further education on caring for the critically ill patient and their family. Program graduates will be skilled clinicians in managing complex symptoms, discussing what matters most to patients and families, and providing team-based interdisciplinary care. In addition to this, they will be able to teach others how to add primary palliative care skills to their practice to increase the reach to rural and vulnerable patients, families, and communities. Fellows will learn symptom management during interactive faculty-led local and regional sessions throughout the year and use that learning to manage complex symptoms in a variety of contexts including patients with co-morbid substance use disorder. They will be mentored to teach these skills to medical school and GME learners at the bedside and in the classroom. Fellows will practice communication frameworks and associated skills that build over the year in complexity while receiving bedside coaching from our faculty in a progressively independent way over the year. They will be mentored in how to provide bedside feedback to colleagues to spread skills. Fellows will be taught and mentored by interprofessional faculty, experience interprofessional education with nurse practitioners and physicians trained side-by-side, and gain competency to leverage an interdisciplinary team for patient and family care. Website: Additional details about the program, curriculum, schedule, and application process can be found at: https://gme.dartmouth-hitchcock.org/palliative Accreditation Status: Dartmouth Hitchcock Medical Center and Clinics Postgraduate Advanced Practice Provider Fellowship Program is accredited with distinction as an Advanced Practice Provider Fellowship Program by the American Nurses Credentialing Center’s Commission on Accreditation in Practice Transition Programs. Admission Requirements: To be considered for admittance to the Hospice and Palliative Medicine Advanced Practice Provider Postgraduate Fellowship Program, candidates must meet the following requirements:

• Be a graduate of an accredited Adult Geriatric Acute Care, Adult Acute Care, or Family Nurse Practitioner program or an accredited master's degree APRN program or Physician Assistant program
• Be eligible for RN or PA licensure in the state of New Hampshire before the start of the program
• Participate in a personal interview
• A criminal background check and a urine drug screen will be performed as a part of the pre-employment requirements for final selected candidates

Any offer of acceptance is contingent on final candidates successfully completing the standard DHMC pre-employment criminal background check and health screening and clinical credentialing process before matriculation. How to Apply: Application packages due December 23, 2024 Applications for Postgraduate APP Fellowship Programs must include the following:

• A recent copy of your CV/resume (including school name and GPA)
• A brief personal statement describing your interest in pursuing a career in Hospice & Palliative Medicine  (500-1,000 words)
• Three letters of reference on letterhead
  • At least one clinical reference
  • At least one academic reference

Letters can be addressed to the associate director of interprofessional fellowship: Lisa Stephens, MSN, ANP-BC, APRN, ACHPN, FPCN and emailed to HPM.APPFellowship@hitchcock.org

• • If you are currently enrolled in an APRN or PA academic degree program one reference must be from your Program or Medical Director

The anticipated start date is July 2025 (the exact date will be coordinated with selected candidates based on your licensing and credentialing timeline). Dartmouth Health is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, veteran status, gender identity or expression, or any other characteristic protected by law.