Palliative Care Elective Rotation - Toronto Western Hospital
Any learner registered in a Canadian UGME training program. For non-Canadian electives, please contact education coordinator,
The Toronto Western Hospital (TWH) Palliative Care Clinical Rotation can be 2-4 weeks in length.
We provide care primarily through our inpatient consultation service, as well as our outpatient Supportive Care Memory Clinic.
Our multidisciplinary team includes Physicians, a Clinical Nurse Specialist, a Social Worker, and a Spiritual Care Specialist. We serve patients and their families living with both malignant and non-malignant (non-cancer) serious illness.
The movement disorder, neurodegenerative, and neurosurgical care programs at Toronto Western Hospital and the Krembil Brain Institute are world renowned, and our rotation offers exceptional access to collaborate and care for patients in these programs.
65% of our referrals are for patients with non-cancer illnesses allowing us to offer unique, practical teaching and opportunities to build serious illness communication skills around variable illness trajectories and prognostic uncertainty.
Our team can be asked to provide consultation for any inpatient with a serious or life-limiting illness where there is need to support:
- Pain or other symptoms
- End-of-life care (e.g., a dying patient)
- Advance Care Planning
- Goals of Care
- Arranging home/clinic palliative care supports
- Screening for and applying to a Palliative Care Unit/Hospice
Our team strives to provide you with a tailored, high yield educational experience. During orientation we help learners build 2-3 specific learning goals for their rotation. Beyond this, formal educational opportunities include:
- Tuesday afternoon half day seminars through the Temmy Latner Centre for Palliative Care. Topics include:
- Pain and Dyspnea
- Communication Skills
- GI Symptoms
- Psychosocial issues, Mood, Fatigue, and Delirium
- Access and protected time to complete two high yield, 20 minute e-modules which outline how to navigate a goals of care discussion using:
- An evidence based structured conversation guide
- Specific, easy to remember strategies on how to navigate strong emotion from patients and families
- 20 minute one-on-one simulation based teaching with a staff MD to practice above e-module skills
- Opportunity for observed encounters where learners practice managing symptoms, and leading foundational serious illness conversations
Additional educational activities:
- Daily multidisciplinary morning rounds
- Department of Supportive Care Grand Rounds
- Pain & Symptom Management Rounds