Wellstar Fellowship in Clinical Ethics
About the Program
What Makes Wellstar’s Fellowship Different?
- Our fellows’ opportunity for experiential learning is unparalleled. Wellstar’s Ethics Consultation Service is one of the largest and most active services in the nation (over 750 consults in fiscal year 2024, across nine hospitals, three inpatient hospice facilities, three skilled nursing facilities, and numerous outpatient sites). Most fellows participate in >200 consults by the end of their fellowship.
- We believe in training our fellows in more than ethics consultation—although our fellows get plenty of experience in this domain. Our team is committed to developing graduates who will be well-rounded as clinical ethicists and capable as leaders of ethics programs and leaders in the field. This commitment leads us to emphasize a holistic view of the spectrum of healthcare delivery (via robust external rotation opportunities, including those that intersect with organizational ethics), a focus on ethics program design, and the building of methodological skills in clinical ethics QI work, among other domains.
- Fellows receive training and mentorship under the supervision of a large Ethics Program team. Fellows rotate with nine Clinical Ethicists. As fellows build their skills and grow into their own authentic mode of delivering ethics consultation and other clinical ethics support, we believe learning from a large team with diverse experiences is essential. Fellows also work with our Ethics Research Manager and Program Coordinators on research and other programmatic endeavors.
- Wellstar’s Ethics Program prides itself on being at the cutting edge of the field. We are continually evolving and innovating new ethics programming and initiatives. We were the first program in the United States to discontinue ethics committees in favor of an alternative—and we believe stronger—model of engagement by healthcare professionals. Our staff are involved in national collaborations across the clinical ethics community in furtherance of shaping the future of the field.
- As the field continues to grow and professionalize, fellowship graduates will need to have skills in building and expanding ethics programs, often at hospitals and health systems with no pre-existing structure. Our Ethics Program was founded in 2015 and has continued to experience growth and expansion since. Our commitment to innovation and our continued integration across the health system provide unique opportunities for fellows to develop program-building skills during fellowship training. With support from experienced staff, we empower our fellows to go from idea to implementation and to cultivate the skills they will need in their future roles.
Fellowship Mission, Vision & Values
Mission
To graduate fellows who excel as clinical ethicists and ethics program leaders.Vision
To shape the future of the field in ways that markedly enhance support for the ethical dimensions of patient care.Values
We promote quality. We nurture practical learning. We innovate training.- Ethics Consultation & Clinical Experience
- Fellowship Education
- Organizational Ethics & Ethics Program Design
- Research, Scholarly Work & Quality Improvement
- Teaching
- Mentorship & Feedback
- Fellows rotate on Wellstar’s high-volume Ethics Consultation Service across nine hospitals, three inpatient hospice facilities, three skilled nursing facilities, and numerous outpatient sites for 28 weeks and 12 weekends.
- Fellows train under nine Clinical Ethicists, most of whom are fellowship-trained and all of whom are HEC-C certified. Fellows begin in a role of observer, and gradually move into the roles of active learner with direct supervision, active learner with indirect supervision, and independent practitioner. Most fellows achieve independence at 10 months.
- Fellows rotate with a number of other clinical services in order to strengthen their understanding of the spectrum of healthcare delivery. External rotations may include advance care planning outpatient; care coordination; chief nursing officer; emergency department; emergency medical services; family medicine outpatient; home health; hospice; hospital medicine; ICU; inpatient psychiatry; labor & delivery; palliative care; patient experience; surgery; speech; spiritual health; and vice president of medical affairs.
- Fellows round regularly alongside Clinical Ethicist staff in ICUs and other hospital units.
- Fellows learn to conduct Moral Distress Conversations with healthcare teams under the supervision of Ethics Program staff.
- Fellows are expected to take and pass the American Society for Bioethics and Humanities (ASBH) HEC-C certification exam before the end of the fellowship to become a certified healthcare Ethics Consultant.
- Fellows participate in on-site, formal skills training with professional actors. Fellows also receive training alongside Ethics Program staff from national clinical ethics experts in areas such as communication skills, moral distress support, mediation, and conflict management (opportunities vary each year).
- Fellows participate in regular educational sessions, with a curriculum grounded in the Core Competencies’ core skills and core knowledge areas, with skills-practice being an important component.
- Education incorporates elements of the flipped classroom model, with fellows completing independent learning in advance.
- Fellows can rotate with the Assistant Vice President of Ethics – who also oversees Spiritual Health, Advance Care Planning, and Interpretation Services – for one week within the year. They also have the opportunity to rotate with a chief nursing officer and a vice president of medical affairs.
- Fellows co-plan one of the Ethics Program’s core ethics initiatives each year: Ethics Grand Rounds, the Ethics Liaison Network, or the Ethics Advisory Group.
- Fellows support policy development and revision, in collaboration with the Ethics Advisory Group.
- Fellows attend various committee and taskforce meetings across the health system into which the Ethics Program is integrated (e.g., mortality committees, patient and family advisory committees, system advisory donation committee, pharmacy and therapeutics committee, nursing professional practice meetings, grievance taskforce, workplace violence committee, medication and safety committee, etc.).
- Fellows are expected to engage in scholarship throughout the fellowship, as well as present at national conferences.
- Fellows develop an original quality improvement (QI) project. As part of this process, fellows learn to systematically analyze clinical ethics practice using QI methods.
- Fellows have the opportunity to teach at every Wellstar hospital in various formats (e.g., unit-based education, ethics grand rounds, and regular continuing education credit sessions) for a variety of healthcare learners (e.g., medical residents and fellows, nurses, attending physicians, and allied health professionals). By the end of fellowship, fellows have a portfolio of lectures and teaching sessions.
- In addition to ongoing support from the fellowship supervisor, each year of fellowship the fellow is paired with a Clinical Ethicist as their formal mentor.
- After each call week, fellows receive a formative evaluation from the supervising ethicist with whom they were on the Ethics Consultation Service.
- Fellows receive summative evaluation of their progress and performance against recognized clinical ethics standards throughout the year. This evaluation maps onto the competencies and milestones captured in Sawyer KE, Dundas N, Snyder S, and Diekema DS, “Competencies and Milestones for Bioethics Trainees: Beyond ASBH’s Healthcare Ethics Certification and Core Competencies,” The Journal of Clinical Ethics (2021) 32, no. 2: 127–48.
Compensation
Application & Selection Process
Applications will be considered from professionals who have a terminal post-graduate degree (MD, JD, PhD, or equivalent) in bioethics, medicine, philosophy, law, religion, nursing, social work, or another field related to the practice of clinical or academic bioethics. Certain ABD candidates (those who have completed all doctoral work other than the dissertation) may be considered if their dissertation significantly relates to clinical ethics. Exceptional candidates with masters-level degrees may be considered. Application materials should be emailed to [email protected]. Applications will be reviewed as they are submitted. The positions are open until filled. The start date for the fellowship is generally on or around July 1 of the following year. Application materials include:- A curriculum vitae
- A cover letter outlining the candidate’s interest in this fellowship, the candidate’s qualifications, and the candidate’s career goals.
- If you are interested in applying but have not finished your dissertation while working on your PhD, the cover letter must also explain: the dissertation project and its relation to clinical ethics, as well as projected timeline for completion.
- One example of scholarly writing (preferably a published or peer-reviewed paper).
- Contact information for three references.
Contact Us
If you are interested in learning more about the Wellstar Fellowship in Clinical Ethics, please contact:
Jason Lesandrini, PhD, FACHE, LPEC, HEC-C
Assistant Vice President—Ethics, Advance Care Planning, Spiritual Health, and Interpretive Services
Wellstar Health System
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