
Start Your Journey in Hospice & Palliative Medicine
A career in hospice and palliative medicine begins with specialized clinical training designed to build expertise in compassionate, interdisciplinary care.
For physicians, completing a hospice and palliative medicine fellowship is required to become board-certified through the American Board of Medical Specialties (ABMS), American Osteopathic Association (AOA) or the Hospice Medical Director Certification board (HMDCB).
Use this guide to navigate each step from exploring fellowship programs to advancing your career after training.

Understand the Training Path
- Complete a residency in an eligible specialty
- Apply to and complete an accredited hospice and palliative medicine fellowship
- Meet eligibility requirements set by your primary specialty board
- Pass ABMS or AOA board certification exams

Important Note: Certification requirements vary. Always confirm details with your primary board.

Explore Fellowship Programs
Start by researching accredited programs and identifying the best fit based on your goals, specialty, and interests.
Make sure to explore:
- ACGME Fellowship Program Directory
- Pediatric-Specific Fellowship Programs
- Program structure, length, and clinical focus areas

Apply Through the Match (NRMP)
The hospice and palliative medicine subspecialty participates in the National Resident Matching Program.

Why it matters:
- Standardized application and selection process
- Ability to evaluate multiple programs before committing
- Required for most ACGME-accredited fellowships
Next Step: Learn how to register, apply and prepare for Match Day

Consider Alternative Pathways
For eligible, board-certified physicians, the AIRE (Advancing Innovation in Residency Education) pathway offers a flexible route into hospice and palliative medicine training.

Key Highlights:
- Designed for mid-career physicians
- Approved by multiple specialty boards
- Available at select institutions across the U.S.
George Washington University (Washington, DC)
Icahn School of Medicine at Mount Sinai (New York, NY)
Kaiser Permanente Southern California (Los Angeles, CA)
Massachusetts General Hospital/Dana-Farber Cancer Institute (Boston, MA)
Penn State School of Medicine (Hershey, PA)

Supplement Your Training (Optional)
Enhance your expertise with additional academic training in palliative care.
Options include:
- Master’s degrees in palliative care
- Graduate certificate programs
- Communication and supportive care training
Important: These programs do not replace fellowship training or qualify you for board certification.

Prepare for Fellowship Success
Understand how your performance will be evaluated during fellowship.
Explore core resources:

Plan & Apply with Confidence
Prepare a strong application and explore funding options:

Transition to Practice
Continue your career journey with tools designed to support your transition into practice.