Hospice & Palliative
Medicine Fellowship

Wellstar Kennestone Regional Medical Center

Our palliative medicine fellows develop the skills, training & support to deliver evidence-based, compassionate care

Letter from Program Director, Pamela Gordon, MD, HMDC, FAAHPM

Thank you for your interest in our fellowship program!

Our program provides a unique training opportunity as it is a perfect blend of community and academic medicine — the best of both worlds. We have a large, committed faculty within a supportive training environment. Wellstar is committed to the care of patients living with serious illness, and we have our own clinic that provides hospice and hospital-based services. Our fellows, therefore, have unrivaled continuity — something that can be challenging when some of these services are provided by outside agencies. Our inpatient pediatric program is expanding with a new Pediatric Intensive Care Unit and a growing perinatal palliative care program on site. Our scholarly work is developed as a year-on-year body of work to ensure there is a focus on quality improvement and clinical research.

Our program is committed to constant improvement and innovation. Since starting in 2019, we have listened to feedback, and we strive to enhance the quality of the learning experience for our fellows. For example, we partner with the Ethics Fellowship so learners can discuss and debate multiple perspectives of ethical issues. We also have a diverse group of faith leaders teach our fellows about palliative care in their specific spiritual context. We listened to our fellows when it comes to balancing the need for continuity vs the emotional impact of long consult rotations, and now, consults are three-week blocks rather than whole months.

Geographically, we have the best of all worlds. We have had fellows live in downtown Atlanta, close to the hospital in historic Marietta or in small town North Georgia. We believe in a satisfying work-life balance and want you to make the most of your year at Wellstar.

As I reflect on our program, I am so grateful to all the people who make it special — the patients, the families, the faculty, and the fellows who inspire us every day. We hope you will consider joining us.

Pamela Gordon, MD, HMDC, FAAHPM
Program Director
Pamela Gordon
Program Contacts
Pamela Gordon
MD, HMDC, FAAHPM

Program Director

Nikhita Ananthula
MD

Associate Program Director

Valerie Braddock

Program Coordinator

valerie.braddock@wellstar.org

About Our Program

We’re committed to cultivating knowledgeable, compassionate physicians in hospice and palliative medicine. We strive to empower our fellows with the knowledge, skills and sensitivity required to provide exemplary patient care. Our program distinguishes itself with a large, dedicated faculty, constant interdisciplinary collaboration and a diverse patient population in multiple clinical settings. We are dedicated to advancing the highest standards of care for individuals facing serious illness while ensuring that each one receives comprehensive, person-centered support.

Program Highlights

  • Large Fellowship Trained Faculty
    Including seven core faculty, a program director and associate program director within a collaborative environment
  • Full Interdisciplinary Team
    Including dedicated social workers and chaplains
  • Four Fellows Per Year
    Allowing faculty to provide meaningful, individualized education while fellows have a congenial group of peer support
  • A Range of Care Environments
    Wellstar has our own palliative medicine clinic, home hospice, home palliative care and inpatient hospice units. This infrastructure provides unrivaled continuity of education, feedback and patient care.
  • Fully Integrated Palliative Care Program
    Wellstar Kennestone is at the 99th percentile for proportion of palliative care consults compared to similar hospitals. This demonstrates the acceptance and collaboration with all departments in the hospital.
  • Advanced Procedures
    As the tertiary referral center for the second biggest healthcare system in Georgia, fellows are exposed to advanced procedures and therapies including ECMO, LVAD, interventional neurology and pediatric ICU.
  • Opportunities To Grow as a Teacher
    Resident students rotate through our inpatient palliative consult service and inpatient hospice unit.
  • Dedicated Outpatient Palliative Care Team
    Sees patients with cancer, dementia, advanced heart failure, etc., in the clinic and at home
  • Care for More Patients
    Wellstar Hospice Care is one of the largest providers of hospice care in the state.
  • Priority Is Always on Education
    All fellows are released from clinical duties for educational opportunities throughout the year including AAHPM national conference, didactics, wellness sessions and childhood bereavement camp—without people needing to miss out to cover the floor.
  • Focus on Fellow Wellbeing
    Fellow wellness and resiliency is an integrated part of the curriculum, not an additional thing to do on your own time. Every quarter, fellows have protected time to learn about and practice physician wellbeing. This ranges from reflective journaling to yoga with llamas to art therapy.

Goals and Objectives of the Program

The main objective of our fellowship is to build the foundation for specialist physicians to provide patient-centered care in a population with increased healthcare utilization that will benefit from hospice and palliative medicine expertise.

Our fellows will:

  • Develop excellent communication skills to assist patients and their families in determining their values, preferences and understanding of disease state and trajectory in an empathetic and compassionate manner.
  • Learn the pathophysiology of symptoms in patients living with a serious illness and will manage these symptoms with pharmacologic and non-pharmacological interventions.
  • Care for patients throughout the various stages of their serious illness, from concurrent symptom management upon disease diagnosis to compassionate end-of-life care.
  • Be knowledgeable about the pathophysiology, trajectory and prognostication of various serious illnesses.
  • Thoughtfully tend to a wide variety of patient ages, socioeconomic backgrounds and cultures.
  • Utilize an interdisciplinary approach to patient care to address psychosocial distress.
  • Cultivate self-care and resilience to foster their own well-being.
  • Practice lifelong scholarship through didactics, evidence-based medicine and the Specialist Series.
  • Navigate patient care in the healthcare system in multiple settings, including the hospital, clinic, nursing home and inpatient hospice.

Curriculum

  • Rotations
  • Teaching

Rotations

  • Hospice (12 wks)
  • Consults (16 wks)
  • Long-term care (4 wks)
  • Pediatrics (3 wks)
  • Outpatient oncology (4 wks)
  • Home-based palliative care (3 wks)
  • Palliative Care clinic (every 2 wks)
  • Home calls (fellows take call 1 in 5 from home during consult and hospice rotations. They do not need to come into the hospital.)

Elective options include (3 wks)

  • Ethics
  • Advanced heart failure
  • Interventional pain
  • Wound care
  • Pulmonary clinic

Fellows participate in one half day per week of educational time. Our curriculum includes:

  • Communication skills
  • Symptom management
  • Spiritual care
  • Ethics
  • Pediatrics
  • Quality improvement and patient safety
  • Board review questions throughout the year
  • Specialist Series, a set of lectures spread throughout the year where experts discuss common topics that overlap between their field and palliative medicine
  • Wellness

In addition, fellows work with the program director to develop an individual learning plan of specific, self-directed learning that reflects their own educational needs.

We have moved to a weekly block schedule where fellows get three weeks minimum blocks of consults and hospice broken up by elective and less intense rotations.

Research Opportunities

As one of the largest palliative care programs in the state, there are multiple longitudinal projects fellows can be a part of as well as the opportunity to design and complete a quality improvement project. All fellows are required to submit a case to the AAHPM annual assembly.

Program Success

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2023

  • James Eun (Internal Medicine) – Inpatient Palliative Medicine Consults, Wellstar Paulding
    Medical Center
  • Rossitza Iordanova (Emergency Medicine) – Inpatient Palliative Medicine Consults/Hospice,
    Wellstar
  • Kevin Isaak (Internal Medicine) – Inpatient Palliative Medicine Consults/Hospice, Wellstar
  • Alissa Kim (Internal medicine) – Inpatient Palliative Medicine, North Texas Health

2022

  • Jennifer Brouner (Family Medicine)
    Inpatient Palliative Medicine Consults, Wellstar
    Kennestone Regional Medical Center
  • Michael Cranford (Family Medicine) – Inpatient Palliative Medicine Consults, Wellstar Kennestone Regional Medical Center
  • Jasmina Hira (Family Medicine) – Inpatient Palliative Medicine Consults, Huntsville Hospital, Alabama
  • Radu Zamfir (Family Medicine) – Inpatient Palliative Medicine Consults, Piedmont Athens, Georgia

2021

  • Ashley Fedusenko (Family Medicine) – Palliative Care Director, Erlanger Health System, Tennessee
  • Rediet Gebeyehu (Internal Medicine)
    Hematology Oncology Fellowship Wake Forest, North Carolina
  • Bradley Restivo (Internal Medicine) – Outpatient Palliative Medicine City of Hope, California

2020

  • Renee Breen (Family Medicine) – Inpatient Palliative Medicine Consults, Northside Health System, Georgia
  • Gail Knight (Emergency Medicine) – Inpatient Palliative Medicine Consults, Wellstar West Georgia Medical Center
  • Catherine Trippe (Internal Medicine) – Faculty Wellstar Palliative Medicine Fellowship

Where Our Fellows Live and Work

Perfectly positioned between the north Georgia mountains and the city of Atlanta, Marietta is the ideal place for young professionals and growing families. Equal parts hip and hometown, it’s a bustling city with a small-town feel.

Marietta’s historic downtown square is alive with activity, hosting regular farmers markets, concerts, and festivals. The Battery and Truist Park (home of the Atlanta Braves) provide entertainment for everyone in the Vinings neighborhood. Marietta is also a short drive to Downtown Atlanta and the Hartsfield-Jackson Atlanta Airport.

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What Our Fellows Say About Us

Fellowship has allowed me to practice the kind of medicine we all dream of! I now spend most of my time at the bedside fostering relationships and actively helping people feel better. Our learner-centric program has truly shaped me into a more well-rounded physician.

Dr. Kevin Isaak

I chose this fellowship because of all the amazing mentors who make this program so great. They have not only prepared me for a career in palliative medicine but have also helped me grow as a person.

Dr. Rossitza Iordanova

Wellstar has a large palliative medicine presence and a large palliative medicine team, which allow for fellows to receive many different perspectives on end-of-life communication and treatment, which I found invaluable. There is also a great sense of teamwork. As a fellow I was treated incredibly well and recognized as a colleague with valuable input rather than just as a learner. There is also a great deal of hospital administration support of the palliative medicine program, which results in a very busy and educational inpatient consult service that provides a diverse educational experience for fellows.

Dr. Jennifer Brouner

FAQs

Q:Where are the main clinical sites?
A:

Wellstar Kennestone Regional Medical Center (677 Church St., Marietta), Wellstar Hospice Care at Kennesaw Mountain inpatient hospice unit (475 Dickson Ave. NW, Marietta), and Palliative Medicine clinic. Fellows will also have rotations where they go to patients’ homes and nursing homes for home hospice visits and home palliative care visits.

Q:What is the scholarly activity expectation?
A:

Each fellow must complete a quality improvement project during the fellowship year. Fellows will normally participate in a project already run by the department the first six months and in the second six months develop their own project, which they will then hand on to the next class. Each fellow will submit an abstract for the AAHPM national conference for poster or oral presentation. If accepted, the fellow must attend the AAHPM national conference.

Q:Do fellows have the opportunity to attend the AAHPM national conference?  
A:

While it’s not mandatory for fellows to attend, it’s strongly encouraged. Conference fees, registration, hotel, and flight costs will be covered by the fellowship program.

Q:What is the fellows’ call schedule like?
A:

Fellows will take one day of home call per five days while on inpatient palliative consults and hospice, along with a supervising attending.

Q:How much vacation time do fellows have?
A:

Three weeks of vacation time. In addition, fellows are allowed up to five days off for interviews and do not work major holidays (Fourth of July, Christmas Day, Thanksgiving and New Year’s Day).

Q:Is there a separate meals stipend?
A:

All cafeteria food at Wellstar Kennestone Regional Medical Center is free for fellows. All Specialist Series lectures are catered.

Program Leaders & Faculty

  • Program Leaders
Pamela Gordon
Pamela Gordon
MD
Program Director
Pamela Gordon
Pamela Gordon
MD
Program Director

Dr. Gordon started her training in the UK, where she graduated from the University of Manchester. She pursued training in medicine obtaining MRCP (Edi). She pursued further training in acute care before moving to the United States for more training. She completed internal medicine training at St. John Medical Center in Detroit, and was appointed chief resident before pursuing a hospice and palliative fellowship at Cleveland Clinic. Following her fellowship, she came to Wellstar and has worked in palliative care consults for over 10 years. Her research interests include increasing scholarly activity in a community palliative setting, resident well-being, and quality improvement. She is VitalTalk faculty, EPEC trainer, a member of the item writing task force for the ABIM Hospice and Palliative Medicine Fellowship board exam, and a fellow of the AAHPM.

Nikhita Ananthula
Nikhita Ananthula
MD
Associate Program Director
Nikhita Ananthula
Nikhita Ananthula
MD
Associate Program Director

Dr. Nikhita Ananthula has been with Wellstar as an inpatient palliative medicine physician since September 2019. She started a new role as the Hospice and Palliative Medicine Fellowship assistant program director in July 2023. She is board-certified in both internal medicine and hospice and palliative medicine.

She was drawn to hospice and palliative medicine because it’s one of the few specialties that puts medical care in the perspective of the patient’s quality of life. It’s a field that looks at the whole person across the disease trajectory, rather than one organ system or at one moment in time. She started her journey at St. Louis University in St Louis, Missouri, with a bachelor’s degree in political science. She attended St. Louis University School of Medicine, went to Stony Brook University Hospital for internal medicine residency and to Virginia Commonwealth University for hospice and palliative medicine fellowship.

Gary DeRusso
Gary DeRusso
MD
Core Faculty: Inpatient consults
Gary DeRusso
Gary DeRusso
MD
Core Faculty: Inpatient consults

Dr. DeRusso is board certified in internal medicine and hospice and palliative medicine. He graduated from the Siena/Albany Medical College Science and Humanities Program in 2015, then went on to complete internal medicine residency at Stony Brook University Hospital and hospice and palliative medicine fellowship at Virginia Commonwealth University in Richmond. He joined Wellstar in 2019 and is on the faculty where he enjoys teaching the palliative medicine fellows. His non-clinical interests include running, biking, and attending concerts and baseball games.

Michelle Park
Michelle Park
MD
Core Faculty: Outpatient lead
Michelle Park
Michelle Park
MD
Core Faculty: Outpatient lead

Dr. Park is board-certified in internal medicine and hospice and palliative medicine. She is the outpatient medical director and sees patients in the Comprehensive Care Clinic in Marietta. Dr. Park received her bachelor’s degree from Vanderbilt University and her medical degree from Case Western Reserve University. She completed her internal medicine residency training at the University of California Irvine and her fellowship at New York University.

Melissa Schepp
Melissa Schepp
MD
Core Faculty: Hospice
Melissa Schepp
Melissa Schepp
MD
Core Faculty: Hospice

Dr. Schepp began to specialize in palliative medicine and was a founding member of the palliative care team at Emory Healthcare in 2005. She then served as medical director of palliative care at St. Joseph’s Hospital from 2008 to 2013. In 2013, Dr. Schepp joined Wellstar as the medical director of palliative medicine, initially overseeing a hospital-based consultation program and hospice. In the last decade, Dr. Schepp has been a part of a leadership team that has grown the scope and delivery of quality palliative care for Wellstar patients in every setting, including Wellstar hospitals, area nursing homes, outpatient clinic, home-based palliative care, and hospice. Dr. Schepp has recently and gratefully assumed the role of hospice medical director for Wellstar Hospice Care and is already thrilled to be working with that amazing team.

Dr. Schepp earned her undergraduate and medical degrees from the University of Florida. She completed an internship and residency in internal medicine at the Medical University of South Carolina in Charleston. She has lived in Atlanta since 2001 and turns to her husband, two children and two standard poodles for love, support, and comic relief daily.

Patricia Shearer
Patricia Shearer
MD, MS, FAAP
Core Faculty: Pediatrics
Patricia Shearer
Patricia Shearer
MD, MS, FAAP
Core Faculty: Pediatrics

Dr. Patricia (“Patti”) Shearer is a fellow of the American Academy of Pediatrics and a member of the American Association of Hospice and Palliative Medicine. She holds board certification in general pediatrics, hematology/oncology, and hospice and palliative medicine. She graduated from Louisiana State University School of Medicine in New Orleans as a member of Alpha Omega Alpha Honor Medical Society. She completed an internship and residency in pediatrics at Johns Hopkins Hospital in Baltimore, Maryland. Her first fellowship, pediatric hematology/oncology, was at St. Jude Children’s Research Hospital in Memphis, Tennessee, where she received the American Cancer Society Training Grant. Her second fellowship, hospice and palliative medicine, was at Emory University School of Medicine in Atlanta. There she became motivated to relieve the challenges posed by chronic illness in children on siblings and other family members.

Dr. Patti has held academic appointments at the University of Maryland (professor and chief of pediatric hematology/oncology), University of Tennessee, University of Florida, Tulane University, and the Alix School of Medicine at Mayo Clinic. She earned several awards for excellence in teaching as part of her career, largely as a result of her clinical contributions to the care of children.

Kevin D. Smith
Kevin D. Smith
MD
Core Faculty: Inpatient consults
Kevin D. Smith
Kevin D. Smith
MD
Core Faculty: Inpatient consults

Dr. Kevin Smith is board-certified in internal medicine and hospice and palliative care. He achieved the distinction of valedictorian in high school, and he went on to pursue his undergraduate studies at the University of Notre Dame, earning a bachelor’s degree in pre-professional studies and a minor in anthropology. He continued his education at St. Louis University School of Medicine, culminating in an internal medicine residency at Duke, where he was selected to be assistant chief resident. He then went on to complete a fellowship in hospice and palliative care at the Harvard teaching hospitals in Boston. He is a decorated educator, having received several awards since joining the faculty, including Teacher of the Year for the palliative care fellowship program on three separate occasions. His research interests include health disparities in underrepresented communities.

Catherine Trippe
Catherine Trippe
MD
Core Faculty: Inpatient Consults
Catherine Trippe
Catherine Trippe
MD
Core Faculty: Inpatient Consults

Dr. Catherine Trippe is board certified in internal medicine and hospice and palliative care. She received her undergraduate degree from Georgia Institute of Technology and graduated from University of Chicago Pritzker School of Medicine. She completed her residency in internal medicine at Emory University School of Medicine and fellowship in hospice and palliative medicine at Wellstar Kennestone. Her interests include evidence-based palliative medicine. She currently is involved with teaching fellows and developing a longitudinal board-review curriculum. Her non-clinical interests include dancing, walking outdoors, and fostering dogs.

Fellows

  • Current Fellows
  • Alumni
Charlotte Patel
Charlotte Patel
MD
Charlotte Patel
Charlotte Patel
MD

Residency: Family Medicine, LewisGale Hospital Montgomery

Robert Hanrahan
Robert Hanrahan
MD
Robert Hanrahan
Robert Hanrahan
MD

Hometown: Grosse Pointe, Michigan

Medical school: Medical College of Wisconsin

Residency: Emergency medicine, Western Michigan University

Personal interests & hobbies: Spending time with my wife, daughter and dog, distance running, Spanish language, hockey, and travel

Nathan Jones
Nathan Jones
MD
Nathan Jones
Nathan Jones
MD

Residency: Family Medicine, Anmed Health

Kehinde Idowu
Kehinde Idowu
MD
Kehinde Idowu
Kehinde Idowu
MD

Residency: Family Medicine, University of South Florida

Israel Calcano
Israel Calcano
Israel Calcano
Israel Calcano

Hometown: Santo Domingo, Dominican Republic

Medical school: Instituto Tecnológico de Santo Domingo (Intec)

Residency: Internal medicine at Advocate Illinois Masonic Medical Center in Chicago, Illinois

Clinical interests: Becoming a hospice medical director after completing my fellowship

Personal interests & hobbies: Playing video games, watching anime, planning my upcoming wedding, and spending time with family and friends

Why palliative medicine? I shifted from a hospitalist role to palliative care and hospice after discovering fulfillment in assisting patients and their families in difficult situations, offering emotional support and navigating the challenges associated with serious illnesses.

Why did you choose Wellstar for your fellowship? I chose the Wellstar fellowship because the program curriculum seemed like it would provide me with a well-rounded education. Additionally, due to my interest in hospice, the presence of an inpatient hospice unit in our program made it particularly appealing to me. Moreover, being situated at Wellstar Kennestone provides exposure to a wide array of medical conditions, contributing to a rich learning environment.

Ayesha Khanduri
Ayesha Khanduri
Ayesha Khanduri
Ayesha Khanduri

Hometown: Marietta

Medical school: Philadelphia College of Osteopathic Medicine – Georgia Campus

Residency: Internal medicine, Wellstar Kennestone (chief resident)

Clinical interests: Inpatient palliative medicine consults and outpatient palliative medicine

Personal interests and hobbies: Reading for pleasure, cooking and trying new recipes, Orangetheory workouts, traveling, trying new restaurants with my husband, and spending time with my toddler

Why did you choose Wellstar for your fellowship? I chose Wellstar because it’s close to home, but more importantly, the faculty and leadership team were extremely kind and warm. During my interview process I could sense that I would be in a good and healthy work environment. I really admired the leadership team and thought that they were very transparent and really cared about their fellows. I did not feel like our call schedule or schedule overall would be impossible to do over the next year. I was really looking for a program that had a good work environment and a reasonable work life balance!

Andrew Maloney
Andrew Maloney
Andrew Maloney
Andrew Maloney

Medical school: The Brody School of Medicine at East Carolina University

Residency: Surgery, Virginia Commonwealth University; thoracic surgery, University of Utah; cardiothoracic surgery, Lenox Hill Hospital in New York City

Personal interests & hobbies: Guitar, reading, fishing, travel, and cooking

The Many Sides of Marietta

Credit: Visit Marietta

Nearby Attractions

Marietta Square | Truist Park | The Battery | Gone With the Wind Museum | Earl and Rachel Smith Strand Theatre | New Theatre in the Square | Ghosts of Marietta Tour | Marietta Square Farmers Market | Hilton Atlanta-Marietta Hotel & Conference Center | Cobb Galleria Centre

Discover Marietta

Getting Around

Cycling is a popular form of transportation in Marietta. The area is also served by the CobbLinc bus service that connects to MARTA — Atlanta’s light rail and bus network. Drivers also have quick access to I-75 and I-285 to get anywhere they need.

Cobb Transportation Info