Hospice & Palliative Medicine Fellowship

Message from the Program Director

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Ingrid Berg

How do you feel about new beginnings? While I worked as a COVID-era hospitalist in the upper Midwest, I realized how unprepared I was to respond to patient suffering and the dying process. That difficult time led me to study medical humanities through Creighton University, which inspired me to pursue a fellowship in Hospice and Palliative Medicine. During my fellowship, I continued my exploration of the intersection of healthcare and the arts. When a position opened up at CHI Health in Omaha, affiliated with Creighton University, I knew I had found my professional home.

You see, my coursework at Creighton became a lifeline during a time when patients, families, and healthcare teams were overwhelmed and taxed in ways few had predicted. Now as a palliative care physician and fellowship program director, I have an opportunity to pay that forward, to provide a welcoming and nurturing training ground for a new Hospice and Palliative Medicine fellowship. What a privilege! And I have a lot of great teammates who are here to help—each with their own palliative care origin story.

Our team has found that stories—and the opportunity to share them—define us and heal us. Everyday we encounter the precious and the poignant—the wife who plants a big smooch on her newly extubated husband; the patient struggling with neuropathic hand pain who uses chunky markers to write out a homemade thank you card for our team. These are everyday reminders that patient-centered, compassionate care, begins with a commitment to and honoring of the patient story.

Come join us for a meaningful educational experience at a top-notch referral center! Whatever your primary board or career stage, we are eager to create a learning environment that is trainee-centered. Sure, we’ll help shore up your toolbox to respond to complex symptom management and grow your skill set in serious illness conversations. And we’d also like to be colleagues for life—for all of us to support one another on this journey where we have pledged to center the patient story in our work, minimize suffering, and promote self-care. Our team strives for excellent patient care and personal wellness. Piqued your interest? Come find a new beginning with us.

Living in Omaha

Omaha boasts a great food, arts, and music scene, hosting many nationally touring acts. Sports fans have lots to cheer about as well: from the College World Series to Creighton athletics to other professional leagues. And Husker football is less than an hour away west on I-80. For families, Nebraska’s largest city is home to a world-class zoo, botanical gardens, and a children’s museum. With short commutes and a reasonable cost of living, you might just want to stick around in Omaha after graduation. We’re happy to have you!

About the Program

Mission Statement

The Creighton University fellowship in Hospice and Palliative Medicine (HPM) is dedicated to creating transformative physician leaders who will, through excellent clinical care, operational innovation, and scholarly rigor, contribute to the promotion of local, regional, and national practice of hospice and palliative care.

Vision

Through a nuanced pedagogy incorporating ethics and medical humanities training into clinical and academic work, graduates will emerge as experts in both managing complex suffering and contextualizing its presence in a complex world.

Program Aims

We hope that through their practice of hospice and palliative medicine, graduates will live out Creighton’s Ignatian values of:
●    Cura Personalis: caring for the whole person—body, mind, and spirit
●    Forming & Educating Agents of Change: Adopting critical reflection and responsible action as moral thinkers and ethical leaders
●    People For and With Others: Pursuing equity and justice for the marginalized
Fellows will perform at an aspirational level of "expert" in direct observation of their care of the holistic needs of patients, families, and colleagues. (Cura Personalis)

Fellows will complete a scholarly project that addresses quality improvement or healthcare inequities related to hospice and palliative medicine. (For and With Others)

Fellows will be experts in teaching foundational principles in hospice and palliative medicine, as evidenced by their evaluations as teaching instructors with medical students, residents, and other colleagues. (Agents of Change)

ABIM Subspecialty Exam

Graduates of the fellowship program are expected to take the American Board of Internal Medicine (ABIM) subspecialty examination in Hospice and Palliative Medicine (HPM) offered annually in the fall. Fellows participate in board review sessions during the fellowship. Graduates are expected to perform well on board exams and have ample employment opportunities in their subspecialty. Fellows may also need to maintain certification in their primary board to maintain certification in HPM. They should be sure to consult their primary board for up-to-date information.

Training Locations

The principal fellowship training facility is the CHI Health Creighton University Medical Center, with additional clinical experience at Children’s Hospital and Medical Center, and in ambulatory, home based, and long term care settings. All training facilities are in Omaha, Nebraska and are a short driving distance from each other. Automobile transportation is strongly recommended.

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CHI med center

Application Process

Creighton University offers a one-year subspecialty training program for physicians who have completed postgraduate training in an Accreditation Council for Graduate Medical education (ACGME) residency program. The fellowship is accredited by the ACGME and is approved for one fellow per year.

Qualifications

Our program is accredited through the ACGME. Fellowship applicant eligibility guidelines are outlined in the ACGME Hospice and Palliative Medicine Program Requirements.

To be eligible for the Hospice and Palliative Medicine Fellowship, an applicant must have completed an Accreditation Council for Graduate Medical Education (ACGME)-accredited residency.

Timeline

Our recruitment for academic year 2024-2025 will participate in the NRMP Fellowship MATCH and will use ERAS for applications.


Our fellowship benefits from a strong interdisciplinary presence. Team members include physicians, advanced practice providers, a social worker, a chaplain, and a nurse.

Inpatient Academic Consult Service at CUMC-Bergan Mercy

  • Owais Akmal, MD
  • Erika Begler, MD
  • Ingrid Berg, DO, MA
  • Lisa Gepson, RN
  • Lindsey Kreikemeier, LCSW
  • Rev. Barb Lenz, MDiv

Advanced Practice Providers (multiple campuses)

  • Nina Bouchard, APRN
  • Pauline Felker, DNP, ACHPN
  • Mary Hall, PA-C
  • Lyndsey Hinsley, APRN, FNP-BC
  • Melissa Hohenstein, APRN
  • Haelee Isaacson, PA-C

Inpatient Consult Service at the VA

  • Lou A. Lukas, MD

Ambulatory Palliative Care

  • Kate McKillip, MD

Hospice

  • Clayton Hoberman, DO

Long Term Care

  • TBA

Pediatric Palliative Care

  • Patrick Lloyd, DO

Electives

  • Hadi Zahra, MD (radiation oncology)
  • Leslie Kuhnel, DBe, MSHCE, MPA, HEC-C (ethics)
  • PaulaJo Malin, MD (inpatient psychiatry)
  • Heather Morgan, MD (geriatrics)
  • Ingrid Berg, DO, MA (medical humanities)

Fellows will spend seven months on inpatient palliative care consult services at CUMC and at the VA. Three months are devoted to the hospice curricular experience. A one-month rotation is provided at Children’s Hospital and Medical Center. Elective experiences in radiation oncology and inpatient psychiatry are available. Ambulatory and long-term care training is interwoven longitudinally throughout the year along with training in bioethics and the medical humanities.

Lectures are provided to the fellow by CUMC interdisciplinary staff. The Creighton fellow will also participate in an integrated Core Lecture Series along with other fellows in the Omaha area. Weekly Grand Rounds are held through the Department of Medicine at CUMC.

Sample Schedule

  • Monthly
    • July: Inpatient consults at CUMC
    • Aug: Inpatient consults at VA
    • Sept: Hospice 1 with St. Croix Hospice
    • Oct: Inpatient consults at CUMC
    • Nov: Inpatient consults at VA
    • Dec: Hospice 2 at St. Croix Hospice
    • Jan: Inpatient consults at CUMC
    • Feb: Pediatrics at Children’s
    • Mar: Hospice 3 with St. Croix Hospice
    • Apr: Electives at CUMC
    • May: Inpatient consults at VA
    • June: Inpatient consults at CUMC
  • Longitudinal experiences throughout the year
    • Lectures from CUMC interdisciplinary team
    • Core Lecture Series and Grand Rounds
    • Long-term care
    • Ambulatory Palliative Care
    • Ethics
    • Medical Humanities

Contact Us

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Joseph Koch

Joseph Koch, Program Manager
josephkoch1@creighton.edu

Creighton University Medical Center-Bergan Mercy
7710 Mercy Road
Medical Education Building Suite 301
Omaha, NE 68124-2362