Fellowship Details & Requirements
Our program provides intense, comprehensive training in Pediatric Palliative Care and Supportive Oncology under the professional mentorship of clinical and research faculty experts who are establishing the standard of care.
Trainees in our program will work with interdisciplinary teams and practice benchmark-setting clinical care, especially in the pain and symptom management of pediatric cancer patients undergoing cancer surgery, hematopoietic stem cell transplants, and complications of cancer treatment.
Trainees also will learn how to incorporate pediatric integrative medicine, including acupuncture, aromatherapy, arts in medicine, energy balance, massage, mind body therapy, music therapy and yoga, into pediatric clinical care.
This program also includes rotations to MD Anderson’s Department of Palliative, Rehabilitation and Integrative Medicine and The Institute for Rehabilitation and Research (TIRR) Memorial Hermann, a national leader in medical rehabilitation and research.
Eligibility, Prerequisites & Application Process
Our GME Office has preliminary eligibility requirements that all prospective trainees must meet before applying for a training program at our institution. Successful completion of an Accreditation Council for Graduate Medical Education (ACGME)-accredited General Pediatrics residency is required. In addition, our program also requires all applicants to be board-eligible or board-certified in pediatrics or one of its sub-specialties.
July: Application submission begins in ERAS.
August-September: Application review
September-October: Interviews will be conducted during this time
November: Match results
Instructions
1. Apply through ERAS or the Match Program (NRMP)
2. Curricula Vitae
3. Personal Statement: Single page
4. Parts "A" and "B" below:
(a) Letter of support from your program director
(b) Letters of recommendation from other evaluators
5. USMLE or COMLEX transcript
6. Medical school transcript
7. If a graduate of a medical school outside the United States, Canada or Puerto Rico, valid ECFMG certificate or one that does not expire prior to the start of the fellowship
8. Recent Photograph
Additional Information:
- Positions available: Two per year
- Compensation and Benefits: Learn more about GME trainee benefits
- Vacation: 4 weeks
- Sick Leave: 100 hours
- Parking subsidy: Parking is available at 1MC, Pressler and Braeswood garages at 50% subsidy.
- Contact: We encourage open communication with the program director and coordinator throughout the application process.
- Karen Moody, M.D., Director, Pediatric Hospice and Palliative Medicine Fellowship Program: KMoody@mdanderson.org
- Kate Gazouleas, B.S., Associate Program Manager: KGazouleas@MDAnderson.org
Program Goals & Objectives
Patient and Family Care
The fellow should demonstrate compassionate, appropriate, and effective care based on existing evidence in pediatric palliative medicine and aimed at maximizing the well-being and quality of life for patients with chronic, complex, and/or life-threatening conditions and their families. The fellow should provide care in collaboration with other subspecialists and within an interdisciplinary team.
Medical Knowledge
The fellow should demonstrate knowledge about established and evolving biomedical, clinical, population and social-behavioral sciences relevant to the care of patients with life-threatening conditions and to their families and relate this knowledge to the palliative care practice.
Practice-Based Learning and Improvement
The fellow should be able to investigate, evaluate and continuously improve personal practices in caring for patients and families and appraise and assimilate scientific evidence relative to palliative care.
Interpersonal and Communication Skills
The fellow should be able to demonstrate interpersonal and communication skills that result in effective relationship building, information exchange, emotional support, shared decision making, and collaboration with patients, patients’ families and professional associates.
Professionalism
The fellow should be able to demonstrate a commitment to carrying out professional responsibilities, awareness of his or her role in reducing suffering and enhancing quality of life, adherence to ethical principles, sensitivity to a diverse patient population and appropriate self-reflection.
Systems-Based Practice
The fellow should be able to demonstrate an awareness of and responsiveness to the larger context and system of health care, including hospice and other community-based services for patients and families, and the ability to effectively call on system resources to provide high-quality care.
Program Structure & Curriculum
Rotation Schedule:
Fellows complete 16 weeks of inpatient palliative care with 1:1 or 1:2 attending coverage. On call is scheduled on the afternoons of the clinic day and until 10pm.
Rotation | Duration |
Pediatric Palliative Care Inpatient Service | 16 weeks |
Adult Palliative Care Consult Service | 4 weeks |
Adult Palliative Care Inpatient Service | 4 weeks |
Pediatric Neuro-Oncology | 4 weeks |
Pain Management Outpatient Clinic | 2 weeks |
Hospice Outpatient | 10 weeks |
Pediatric Palliative Care Inpatient at Memorial Hermann TMC | 4 weeks |
Pediatric Rehab at TIRR Memorial Hermann | 4 weeks |
Pediatric Outpatient Clinic | Weekly |
Elective: Child Life, Integrative Medicine, Research/QA, Adult ICU, Adult Sarcoma, or self-designed | 4 weeks |
Didactics:
- Pediatric Supportive Care Lecture Series
- Pediatric Hem-Onc Lectures Pediatric Morbidity & Mortality Conference
- Pediatric Supportive Care Clinical Rounds
- Pediatric Patient Care Conference
- Pediatric Grand Rounds
- Annual Vital Talk Pediatric HPM Oncology Seminar
- Adult Fellowship and Faculty Clinical Rounds
- Adult Palliative, Rehabilitation & Integrative Medicine (PRIM) Grand Rounds
- Adult PC Grand Rounds / Chief’s Rounds
- Annual Assembly of Hospice and Palliative Care
- Annual State of the Science in Hospice and Palliative Care
- Adult PRIM Grand Rounds
- Pediatric Hem-Onc Fellows Friday Lecture Series and Board Review Prep
- AAHPM Journal Club
- TCH Palliative Care Grand Education Rounds =
- Pediatric Palliative Care Research Network (PPCRN) Monthly Meeting
Trainee Success & Program Outcomes
- Oral and poster abstracts accepted at ASPHO, Supportive and Palliative Care Clinical and Research Symposium, UT Health Research Day, and AAHPM
- Published as first author in Children, The Journal of Immunology, Pediatric Blood & Cancer, and Cognition
Fellow Publications
Program Faculty & Leadership
Karen Moody, M.D.
Director, Pediatric Palliative Care and Supportive Oncology
Director, Pediatric Hospice and Palliative Medicine Fellowship Program
Associate Professor, Pediatrics and Palliative, Rehabilitation and Integrative Medicine
Avis Harden, M.D.
Assistant Professor, Palliative Care and Supportive Oncology
Nelda Itzep, M.D.
Assistant Professor, Palliative Care and Supportive Oncology
Kevin Madden,
M.D.
Assistant Professor, Palliative Care and
Rehabilitation Medicine
Assistant Professor, Pediatrics
Rhonda S. Robert, Ph.D.
Professor of Psychology, Division of Pediatrics
Ursula Campbell, M.S.N., R.N.
Advanced Practice Registered Nurse
Pediatrics-Patient Care
Jaci Whittaker, M.S.N., R.N.
Advanced Practice Registered Nurse
Pediatrics-Patient Care
Bonny Bowen, R.N.
Clinical Nurse, Outpatient, Pediatric Supportive Care
Keyana Williams, M.Ed.
Pedi Educ & Creative Arts
Nicole Rosburg, M.S., C.C.L.S.
Child Life, Adolescent & Young Adult Life Program
Zachary Gresham, M.A., M.Ed.
Arts in Medicine
Melissa Melo, B.S.
Board-Certified Music Therapist
Kate Gazouleas, B.S.
Associate Program Manager
Why This Program
Exceptional training that makes us unique
Dedicated pediatric interdisciplinary teams: Primary oncology team, palliative care faculty, nurses and advance practice providers, social workers, chaplain, child psychologists, dieticians, educators, pharmacists, and child life specialists.
Innovative clinical research and mentorship: Karen Moody, M.D., Program Director, recently awarded NIH R01 funding for a study that will potentially change practice standards to improve outcomes for children and their families, particularly those who reach end of life.
Phase I/II Clinical Trials: Providing palliative care and psychosocial support to patients facing complex medical decision making.
In addition to gaining unparalleled education and training experience, MD Anderson trainees have access to exceptional resources and benefits to help them build meaningful careers and lead fulfilling lives.
Institutional benefits and support
GME trainees’ salary stipends are updated every year based on the ACGME’s recommendations, and because our trainees are considered workforce members, they also enjoy MD Anderson’s employee benefits, including health insurance, retirement planning, disability insurance and six weeks of parental leave.
Our GME House Staff Senate offers trainees the opportunity to experience a leadership role in a medical field career, and the institution’s Academic Mentoring Council provides avenues to secure tailored academic mentoring from faculty. Our GME trainees benefit from the extensive support offered to our research trainees, too; they are invited to participate in grant application workshops, apply for pilot grants to support their research ideas and receive monetary awards for securing extramural grant funding.
Trainee wellness is also of utmost importance at MD Anderson.
Our trainees have access to MD Anderson’s employee networks, fitness center and other wellness resources provided by the institution. Additionally, our Graduate Medical Education Committee (GMEC), which provides oversight of our accredited programs, regularly assess our trainees’ needs and implements various initiatives, such as providing free call meals and discounted parking to GME House Staff, to address those gaps. The committee even has a subcommittee entirely dedicated to supporting the wellness of our trainees.
Our efforts to ensure a welcoming and supportive education and training experience have been commended nationally. In 2023, the Office of Graduate Medical Education received the DeWitt C. Baldwin, Jr. Award, a prestigious national award that recognizes our institution for its respectful and supportive environment for delivering medical education and patient care.
Beyond MD Anderson
MD Anderson’s location has many benefits, too. Our main campus is nestled inside the Texas Medical Center, the world’s largest medical center which boasts about 10 million patient encounters each year. Many of our faculty are involved in interorganizational research collaborations, both within the TMC and across the nation, exposing trainees to groundbreaking advancements in medical care in real time.
Most importantly, the city of Houston is a great place to call home and raise a family. We are one of the most culturally diverse cities in the nation. More than 145 different languages are spoken across the city, placing us behind only New York and Los Angeles. In fact, about 30% of the city’s population speaks a language other than English at home. And, paychecks here stretch farther than most U.S. metro areas, thanks to our low cost of living.
Visit our Why Houston page to learn more about our city’s affordable housing, fine dining, entertainment scene, nationally renowned museums and other great attributes.
MD Anderson Cancer Center is committed to encouraging good health and staying true to our mission to end cancer. If you are applying for a GME fellowship or residency program starting on or after July 1, 2016, please be advised that MD Anderson will have instituted a tobacco-free hiring process as part of its efforts to achieve these goals. If you are offered an appointment, you will be subject to a Pre-Employment Drug Screen for tobacco compounds in compliance with applicable state laws. If you do not pass the urine drug screening which includes testing for tobacco compounds, you CANNOT be appointed at MD Anderson. Should you fail to meet this contingency, MD Anderson will withdraw your offer of appointment for the academic year. You may reapply for the following academic year, but there are no guarantees that you will be offered a position as many of our programs are already filled for several years out.
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