Fellowship | Hospice and Palliative Medicine

The Department of Pediatrics at Washington University School of Medicine offers an ACGME accredited one-year clinical fellowship in Hospice and Palliative Medicine, as the Pediatric Track of the Washington University School of Medicine and Barnes-Jewish Hospital Hospice and Palliative Medicine Fellowship.

The fellow will receive a comprehensive education in the field of Hospice and Palliative Medicine, with a strong pediatric focus, utilizing the resources of the Washington University School of Medicine, St. Louis Children’s Hospital, Barnes-Jewish Hospital and Barnes-Jewish Hospice. The goal of the program is to prepare individuals for an academic career in Pediatric Palliative Care.

The Pediatric Advanced Care Team (PACT) is a highly-specialized team dedicated to providing palliative care to support to children with complex and serious illnesses. PACT cares for children of all ages – from the perinatal period through young adulthood. PACT offers an additional layer of support by specialists to provide relief from the symptoms, pain and psycho-social, emotional and spiritual stress of serious illness for both the patient and the family. Our goal is to support families and help provide the best quality of life for both the child and family.
Palliative care is a family-centered approach to care that supports decision-making, provides interventions to minimize symptoms causing discomfort and pain, helps ensure optimal communication with families and healthcare providers, and offers additional psychosocial support.
PACT includes physicians, nurse practitioners and a social worker, all with unique background and training to provide comprehensive interdisciplinary palliative care. PACT sees children and their families in inpatient, outpatient and antenatal settings.

Clinical Education

The curriculum of pediatric track of the hospice and palliative medicine fellowship is designed to ensure fellows gain the knowledge and skills to provide high quality palliative care to children and adults across the spectrum of care, with a distinct focus in pediatrics.

Clinical Rotations include:

  • Pediatric Palliative Care rotation with PACT at St. Louis Children’s Hospital (6 months). This rotation is predominantly inpatient based, but includes outpatient palliative care visits for both new consults and return patients, and antenatal palliative care consultation through the Barnes-Jewish Hospital Fetal Care Center.
  • Inpatient consult with the Palliative Care Service at Barnes-Jewish Hospital (1 month).
  • Inpatient hospice house rotation at Evelyn’s House (1 month). Evelyn’s House is a stand-alone Hsopice house that is a part of Barnes-Jewish Hospice.
  • Home Hospice Experience with BJC Hospice & Home Care and with BJC WINGS program (6 weeks).
  • Long-term Care Rotation at Ranken-Jordan Pediatric Bridge Hospital (1 month)
  • Multiple elective opportunities, in both adult and pediatric medicine, including rotations with the Adult and Pediatric Pain Management Services, Jefferson Barracks VA Hospital Inpatient Hospice Unit, Chaplaincy and Child Life

Educational Opportunities

Fellows participate in a rich didactic curriculum, including St. Louis-wide Palliative Care Bootcamp and Journal Club, interactive communication curriculum, and sessions in advanced topics in Hospice and Palliative Medicine, Quality Improvement and Medical Education. Pediatric Fellows have the benefit of receiving formal teaching in Pediatric Palliative Care, as well as adult-focused content in Hospice and Palliative Medicine.

Faculty and Staff

Joan Rosenbaum, MD
Director, Pediatric Advanced Care Team
Jonathan Mullin, MD
Director, Pediatric track of WUSM/BJH Hospice and Palliative Medicine Fellowship.
Associate Program Director, WUSM/BJH Hospice and Palliative Medicine Fellowship
Erin Hickey, MD
Will Johansen, MD
Carol Massmann, RN, MSN, CPNP
Pam Piel, RN, MSN, CPNP-PC
Diana Kinslohr, LCSW
Jessica Bray, LCSW


The Fellowship participates in ERAS and National Resident Matching Program for Hospice and Palliative Medicine in the Medical Specialties Matching Program. The pediatric track accepts candidates board eligible/certified in Pediatrics, Family Medicine, IM-Peds, Child Psychiatry, Pediatric Neurology, or other Pediatric Subspecialty on a case-by-case basis.

For more information, please visit the Fellowship Website or contact:
Melissa Euler, Fellowship Coordinator

Jon Mullin, Director, Pediatric track of WUSM/BJH Hospice and Palliative Medicine Fellowship.
Associate Program Director, WUSM/BJH Hospice and Palliative Medicine Fellowship

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