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Our program

Palliative Care is integrated throughout Children’s Mercy. PaCT met its first patient in May 2002, and continues to grow. In 2021 we consulted on >300 new pediatric patients, met >100 women in the Fetal Health Center for prenatal palliative care, and maintained longitudinal relationships with ~650 infants, children, and adolescents.

The core Palliative Care Team (PaCT) includes 4 Hospice and Palliative Medicine fellowship-trained physicians and 5 certified hospice and palliative nurses. We work collaboratively with Child Life, Spiritual Services, Social Work, Psychology, and the Aftercare Program.

Your clinical experience

Children’s Mercy partnered with University of Kansas Medical Center to welcome our first pediatric fellow in 2016. The pediatric fellow joins three adult fellows to create a cohort of four learners per fellowship year.

This well-rounded fellowship incorporates unique learning from all four of the sponsoring sites.

  • Children’s Mercy is the only free-standing children’s hospital between St. Louis and Denver. There are 366 inpatient beds, including the PICU, CICU, and NICU.
  • The University of Kansas Medical Center is a university-based academic institution affiliated with The University of Kansas Health System (TUKHS). The palliative medicine team was established in 1997, and includes physicians, advanced practice provider, nurses and social workers. They have five inpatient physician-led consult teams and a robust interdisciplinary outpatient palliative care program.
  • Kansas City Hospice and Palliative Care is a not-for-profit hospice established in 1980 serving the greater-KC-metro. Their services include a 32-room hospice house  and a robust pediatric and perinatal program known as Carousel.
  • North Kansas City Hospital is a community medical center with an active Palliative Care Team. Their team provides exposure to a highly efficient multidisciplinary team of physicians, nurses, social workers and chaplains.
More about your clinical experience and rotations

Academic curriculum

Thursday morning didactic time is protected for the four HPM fellows. In addition to covering core HPM topics, didactics include four series:

  • Mindfulness-Based Stress Reduction
  • Geripal (interdisciplinary ethics case discussion)
  • Board Prep
  • Journal Club

Fellows also experience both high- and low-fidelity simulation.

Fellows receive mentorship for presenting a Geripal case and two didactic core topics each year.

More about the academic curriculum

Research and scholarship

Each HPM fellow is expected to complete a minimum of one scholarly project during the course of the fellowship year. Fellows must also prepare and submit one case abstract for the American Academy of Hospice and Palliative Medicine Annual Assembly.

Apply for the program

Applications for the Hospice and Palliative Medicine fellowship are accepted through the Electronic Residency Application Services (ERAS). The fellowship program participates in the NRMP Medical Specialties Match. To find the Pediatric HPM Fellowship, look for the following NRMP Program ID: 1208540F1

Hospice and Palliative Care leadership team

Lori Nelson, MD
Program Director

Jennifer Linebarger, MD, MPH, FAAP, FAAHPM
Pediatric Site Director

Cheryl Jacobson
Fellowship Coordinator
(913) 588-0348