Adult Palliative Medicine

Welcome to the subspecialty Training in Adult Palliative Medicine at the University of Alberta.

Our mission for this training program is to prepare residents to be competent in the delivery, as part of the Inter-Professional team, of compassionate and ‘whole-person’ specialist palliative medicine to the patients and families throughout the trajectory of life-threatening illness. They will be prepared with robust clinical skills to provide specialist palliative care in a variety of settings, in a sustainable and fulfilling future practice.

Social accountability is a guiding principle in this mission, and in the delivery of this program, from admissions process to delivery of learning experience and curriculum content. Opportunities to do the work of Reconciliation, vital for all Canadians, will be integrated intentionally into this program. Highlighting the importance of cultural humility and respect for diversity, alongside sessions on honing communication skills, seminar sessions will include topics such as trauma-informed care, combating racism, and Indigenous health. Residents will have the opportunity to participate in Indigenous Cancer Patient Rounds with the Interprofessional team during their rotation with the Cross Cancer Institute Palliative Care team. The wellbeing program and sessions on teamwork and dealing with conflict help promote career sustainability and fulfilment and therefore optimise future care of patients and their families. In addition, ongoing commitment to improving the learning experience and program delivery will be key.

Dr. Sarah Burton-MacLeod
Program Director, Palliative Medicine

  • Established

    Palliative Care Program was founded in the early 1990s
  • Renowned

    Internationally known clinical program of integrated palliative care in the Edmonton Zone
  • Innovative

    Edmonton Symptom Assessment System (ESAS) and Edmonton Classification System for Cancer Pain (ECSCP), created here. Clinical program built on a strong history of research, which continues, and on innovation

Interview/CARMS specific information

Interview Format

Interviews will be offered virtually and in panel format.

Selection Process Goals

We are looking for applicants with outstanding verbal and non-verbal communication skills. They need to be able to actively listen and convey empathy. They must be able to inspire confidence and earn the trust of patients and families. They must also work well within the team environment, respecting the rights and dignity of each and every patient, family, and co-worker. They must also have strong clinical strengths regarding their ability to gather, synthesize, and act upon complex clinical information.

Applicants must have their L.M.C.C. They must also either have Royal College of Physicians and Surgeons of Canada (RCPSC) Certification or be eligible for the RCPSC examination in Internal Medicine, Anesthesiology, or Neurology, or be enrolled in a residency program in one of those disciplines. Other disciplines may be considered. A maximum of one year of training may be undertaken during the fourth or final year of residency training with joint program director approvals. Please see the Adult Palliative Medicine Training Experiences and Subspecialty Training Requirements in Adult Palliative Medicine for the RCPSC for additional details.

International applicants

At this time, we are only able to consider applicants with RCPSC certification or enrolled in RCPSC Residency Training Programs. Unfortunately, due to constraints in educational capacity, our previous International Fellowship program is on hold.

Contact

Dr. Sarah Burton-MacLeod
Program Director, Palliative Medicine
smb5@ualberta.ca

June Carter
Program Administrator
june.carter@albertahealthservices.ca | (780) 391-7678

Program dates

A two-year program: July 1 (year 1) until June 30 (year 2).

Please refer to the Royal College of Physicians and Surgeons of Canada for specific information on the mandated objectives for Residency Training Programs.

Our staff

Sarah Burton-MacLeod MD CCFP (PC)

Sarah Burton-MacLeod MD CCFP (PC)

Program Director

Originally from Nova Scotia, Sarah came to Alberta for Family Medicine Residency and after working as a Family Medicine locum physician briefly, she returned to finish a third year in Palliative Care. She is involved in both undergraduate and postgraduate medical education and truly believes that the palliative approach to care is something everyone in health care can help to provide. Clinically, she is currently part of the palliative care consultation teams in the acute care hospitals.

Vickie Baracos

Vickie Baracos

Assistant Director for Research

Dr. Baracos is the Associate Director for Research, supporting the Division in planning and implementation of Resident training in research. She has been involved for ~16 years in the planning and execution of Palliative Care research including Alberta Cancer Board and CIHR Strategic initiatives and served as Scientific Officer of the CIHR Palliative and End of Life Care research panel. She has also had extensive experience in the formation and mentorship of MSc, PhD and clinician investigators, as well as formal roles in academic mentorship, tenure and promotion decisions. She has published 312 peer reviewed articles. Her citation-based metrics: >28,047 total citations (H-index=76, 31 papers cited >200 times).

Program highlights

Systematic use of clinical assessment tools

Comprehensive integrated clinical program within the Edmonton Zone

Strong history of research with experienced research mentors available

Wellbeing program integrated into this residency training program

Residency at a glance

Palliative Medicine is a two-year subspecialty program meeting the requirements of the RCPSC for subspecialty certification. The program will launch as competency-based learning as of July 2023.

Stages of CBC in the program

Transition to discipline

2 blocks

This stage is a general orientation to the field based on the Tertiary Palliative Care Unit (TPCU).

Foundation of Discipline

7 blocks

Typically, this stage consists of rotations in Community Palliative Care consultation, Medical Oncology, Radiation Oncology, Pediatric Palliative Care, Acute Care Palliative Care consultation, selective and year 1 longitudinal clinics (Neuro Palliative Care).

Core of Discipline

14 blocks

This is the main stage of training where residents rotate through TPCU, Cross Cancer Institute Ambulatory Palliative Care consultation, Research, Selectives, Community/Home/Hospice consultation, non-cancer rotations and longitudinal clinics.

Transition to Practice

3 blocks

The final stage in training where residents will be in the Junior Attending role on the TPCU, staff physicians always being available for support at any time.

Program rotations

Longitudinal rotations, mostly outpatient-based collaborative clinics, in:

  • Neurology
  • Pulmonary medicine
  • Cardiology
  • Liver transplant

Block rotations in a variety of settings:

  • Tertiary Palliative Care Unit (TPCU)
  • Acute Care Consult Teams
  • Pain & Symptom Outpatient clinic 
  • Community Consult Team
  • Oncology Rotations
  • Pediatric Palliative Care
  • Research
  • Selectives – Inner City, Hospice, Community Pulmonary, Rural, Research

Remuneration

Residents will be paid according to the PARA (Professional Association of Residents of Alberta) agreement concerning remuneration of residents commensurate with their number of years of postgraduate training.

Resident responsibilities

Calls

Residents will have on-call responsibilities, carefully following PARA (same link as above on remuneration) guidelines, intermittently on weekends throughout the course of their two-year residency. Weekend on-call expectations are that they will round with the staff physician on each weekend day but then take calls from home following this. In addition, while rotating on the TPCU they will also be expected to take evening and overnight calls from home during the week.

On-call duties are only for coverage for the Tertiary Palliative Care Unit (TPCU). It is a home call. During the week call is taken on weeknights from home, then, throughout the two years, there is occasional weekend call to cover TPCU also. Weekend call entails coming in to round but then taking calls from home afterwards. No mandatory in-house call.

Research

Residents are required to complete a project during their residency, on scholarly research, quality improvement, program development or educational projects.

Program supports

Your education and health are our priority! We encourage all residents to take advantage of academic half-days, and resources to help you research, engage in rounds, participate in journal clubs and help deliver teaching on Tertiary Palliative Care Unit (TPCU).

We also facilitate a number of supports to ensure your success, including:

  • Access to a wellbeing program developed specifically for residents in this program led by a Psychologist in our Division which includes an intrinsic seminar series as well as dedicated Wellness days
  • A comprehensive fatigue-risk management policy specifically recognizing the emotional and psychological fatigue in the field of Palliative Medicine
  • Participation in an established mentorship program where you will be assigned a mentor within the first month of residency. 
  • Advocacy through the Residency Program Committee to ensure your voice is both heard and represented at all times, as well as regular meetings with the Program Director

Additional resources