Development of Subspecialty-Specific Reporting Milestones for Hospice and Palliative Medicine Fellowship Training in the U.S.

The role of palliative care in lung transplantation

“…Hospice and Palliative Medicine was certified as a subspecialty in 2006 and fellowship training has been required for board certification since 2014. Fellowship entails 1-2 years of interdisciplinary training with defined milestones for knowledge of serious illness, comprehensive patient assessment, addressing suffering and distress, refractory symptoms, communication skills including facilitating complex decision making, and interdisciplinary teamwork (14,15). Certification programs also exist for nurses, social workers, and chaplains (16).…”

Launching the Next Steps to Improve Hospice and Palliative Medicine Fellow Performance Assessment: A Look Back to the Initial Toolkit of Assessment Methods

“…HPM has been an official subspecialty of the American Board of Medical Specialties since 2006 with ACGME oversight and accreditation of HPM fellowships since 2008 ( Table 1). Since that time, the American Academy of Hospice and Palliative Medicine (AAHPM) J o u r n a l P r e -p r o o f has supported multiple national workgroups, led by educators in the field, tasked with creating fellowship standards, including consensus competencies for HPM fellowships [13][14][15][16] and, more recently, developmental milestones 17,18 with additional, complementary education guidelines [19][20][21][22] that align with ACGME recommendations (Table 1). In 2010, the national HPM Competencies Workgroup curated a set of assessment tools and created the HPM Toolkit of Assessment Methods 23 with instructions for use.…”