Nurse Practitioner Fellowship Program
in Hospice and Palliative Medicine

The purpose of the Hospice and Palliative Medicine Nurse Practitioner (NP) fellowship training program at Michigan Medicine and the School of Nursing is to promote excellence in palliative care education, to develop experts in the field, and to ensure patients with serious illness receive evidence based, high quality patient centered care.

This one-year comprehensive post-graduate fellowship program will allow new graduates and experienced nurse practitioners to acquire clinical expertise in hospice and palliative care through a variety of clinical, educational and research opportunities during their training.

RNsHPM NP fellows will actively engage other nurse practitioners, faculty and medical teams to increase the level of awareness of palliative care as an emerging nurse practitioner sub-specialty. They will serve as ambassadors to other advanced practice nurses for expert serious illness care, as members of the palliative care team.

Over recent years, Michigan Medicine and the VA Ann Arbor Healthcare System (VAAAHS) have developed and supported highly successful interdisciplinary palliative care programs. The robust palliative care clinical structure at Michigan Medicine and the strong educational structure of the existing HPM physician fellowship will serve as the foundation for the NP Fellowship program. The HPM NP Fellows will be an integral part of the existing Hospice and Palliative Medicine fellowship program and will be taught and supervised by highly qualified UM interdisciplinary faculty.

Goals and Objectives
  • Enhance comprehensive patient and family centered care that optimizes quality of life and prevention and treatment of physical, emotional and spiritual suffering.
  • Expand access to quality palliative care across all settings.
  • Expand the role of advanced practice nurses as independent practitioners and as members of interdisciplinary palliative care teams.
  • Participate in interdisciplinary scholarship and research initiatives to support evidence based palliative care practice.
  • Facilitate continuing education and mentorship in the provision of palliative care.
  • Develop expertise in Hospice and Palliative Care for NP fellows
Application Information

Fellowship Application, Candidate Review and Interview Selection Process

  • The application is available at this link:
  • Application Open: March 11, 2019
  • Application Deadline: April 5, 2019
  • Qualified candidates will be reviewed by a selection committee and interviews will be conducted.
  • Final candidate selection and notification will completed by end of April. .

Nurse practitioner graduates interested in specializing in palliative care are encouraged to apply to the program.

How to Apply

  • Our application for the July 2019 program is now open.
  • Applications must be received by April 5, 2019. Selected applicants will be contacted for interviews after April 5, 2019.
  • Selected Fellows will be notified by April 30, 2019. The program officially begins July 1st, 2019.

Application Requirements

  • Ability to obtain or currently hold licensure as a Registered Nurse and current specialty certification as a Nurse Practitioner in the State of Michigan
  • A graduate of an accredited Nurse Practitioner program.
  • Board certification prior to start of program as a Nurse Practitioner by a national credentialing organization in one of the following specialties: Adult-Gerontology Acute Care Nurse Practitioner, Primary Care Nurse Practitioner or Family Nurse Practitioner.
  • Completed application
  • Updated Resume/CV
  • Three recommendation letters, including one from a clinical preceptor and one from an academic instructor or mentor. Letters should indicate that the applicant is personally known to the letter writer, and should include an assessment of medical knowledge, clinical skills, and academic and/or leadership potential.
  • Written essay reflecting commitment to hospice and palliative medicine (500 words or less)


For any questions about the program or application process, please contact:

Mary Pat Mullin, DNP

Program Structure and Stipend

Program Structure

The curriculum is organized over a 12-month period consisting of clinical, educational, and scholarly/research experiences to meet the objectives of the program and to address the particular career interests of the HPM NP fellow. Preceptors will consist of nurse practitioners and physicians in palliative care. Education and learning will occur within the clinical setting as well as classroom sessions using seminar and occasional lecture formats. Online resources will also be available using a platform that supports both availability of readings and lectures in combination with discussion formats.

HPM NP Fellows will be supported through curriculum and clinical experiences to accomplish post-master's nursing certification and available national certifications or credentials in palliative care with the goal of Advanced Certified Hospice and Palliative Nurse (ACHPN) certification within one year of completion of the program.


  • One-year competitive stipend position.
  • CME opportunities and funding.


Impact of a Nurse Practitioner Fellowship

The palliative care fellowship program will serve as a venue for palliative and end-of-life care clinical experiences for the nursing community and interdisciplinary clinicians such as psychology, social work, chaplaincy, and pharmacy. Through this process we anticipate that more health care team members will be introduced to this work, inspired to consider how they can improve end of life care and potential expand their scope by applying to the fellowship or similar discipline fellowships in the future.

HPM NP fellows will participate in teaching conferences to highlight palliative care teaching points. This will occur both within the health system where those in clinical practice will benefit and in the School of Nursing where incoming students will benefit and be introduced to this type of an opportunity.

HPM NP fellows will share results of their scholarly projects with others during institutional Research Day events and will be encouraged to present their projects at national and regional opportunities.


The curriculum is innovative and comprehensive including competencies related to knowledge, patient care, practice based learning and improvement, systems based practice, professionalism, and inter-professional and communication skills applied to hospice and palliative care.

The following educational domains will be strongly emphasized throughout the curriculum:

  • The hospice and palliative care approach to dying
  • Death and dying
  • Psychological and spiritual support
  • Bereavement support for the family
  • Pain assessment and management in cancer and non-cancer patients
  • Assessment and management of non-pain symptoms
  • Dementia, depression and delirium
  • Medical co-morbidities and complications with life-threatening diseases
  • Optimizing function as it pertains to quality of life
  • Nutrition
  • Clinical communication
  • Ethical and legal decision making
  • Interprofessional Teamwork
  • Advanced Care Planning
  • Quality improvement and research methodology in populations with advanced illnesses
Clinical Experiences and Research Opportunities

Clinical Experiences

The clinical rotations will take place at Michigan Medicine and VA Ann Arbor Health Care System (VAAAHS) and Arbor Hospice in order to expose the HPM NP fellow to a diverse patient population. The HPM NP Fellows will be directly supervised by a faculty member at each clinical site and they will interact with all members of the palliative care interdisciplinary teams. In addition to the requirements of the core curriculum, nurse fellows will have dedicated focus on assessment skills utilizing evidence based standardized tools to implement appropriate interventions to address symptoms such as pain, dyspnea, constipation, anxiety, fatigue, nausea, vomiting, and altered cognition. The HPM NP fellow will also have a significant role in developing the interdisciplinary plan of care and will be expected to integrate theory into practice.

Rotations at MM include the adult palliative care consult service and oversight of direct patient care in two inpatient palliative care beds. Rotations at VAAAHS include a palliative care consult service, a palliative care outpatient clinic, inpatient hospice care beds in the community living center. Home and residential hospice experiences will be provided through Arbor Hospice.

Research Opportunities

The HPM NP Fellows will be encouraged to participate in research project during the program under the supervision of a nurse mentor. The research project will reflect the individual’s interest. The research project may take the form of development of original evidence to improve care or as a quality improvement, evaluation project to support enhanced care outcomes. The HPM NP Fellows may participate in classroom sessions in the School of Nursing to support development of research or quality improvement project knowledge and skills. The type of course support will be individualized based on the fellows’ individual needs and the mentor’s recommendations. The HPM NP fellows will have the opportunity to present their work at local, regional and national meetings.

For More Information - Websites of Interest


Apply HERE now 3/11/19 through 4/5/19!








Target Audience: Nurse Practitioner Graduates | Author/Contact: MaryPat Mullin, DNP | Last reviewed: 3/19