Johns Hopkins All Children's Hospital

Pediatric Hospice and Palliative Medicine Fellowship

Program Information

The ACGME accredited Pediatric Hospice and Palliative Medicine Fellowship is a one-year program with a 12-block rotation academic calendar. Our interdisciplinary palliative care team averages approximately 300 patient consults per year.

Fellows will train in all inpatient units across Johns Hopkins All Children’s Hospital. Units include NICU, PICU, CVICU medical/surgical units, and cancer institute. During these rotations, fellows work as members of the interdisciplinary consultation teams, receiving clinical training in the full range of palliative care assessment, multidimensional care planning including appropriate acute and non-acute symptom management, counseling patients and families, supporting ethical health care decision-making, and working with referring physicians and teams to implement palliative care recommendations in the inpatient setting. This experience will provide fellows with skills and knowledge necessary to work effectively with interdisciplinary team members, other physicians including surgeons, intensivists, hospitalists and other medical subspecialists, as well as patients and their families to prevent and relieve suffering. Fellows care for patients from a diverse range of multicultural and socioeconomic populations with a broad spectrum of diagnostic and palliative care needs, including cancer and non-cancer conditions, cognitive impairment, ventilator dependence, g-tube dependence, cystic fibrosis and epilepsy among other conditions with mixed payer resources. The hospital has diagnostic laboratory, imaging services, and a range of consulting physicians.

Program Highlights

  • Length: 1 year
  • Stipend: Training stipend and benefits provided.
  • Requirements: Candidates must have completed an ACGME-accredited pediatric residency program and be eligible for a State of Florida Medical Training License.
  • Application: Complete an ERAS application. This position is filled through the National Resident Matching Program.

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Program Leadership

Laura Drach, DO Pediatric Medicine

Dr. Drach specializes in hospice and palliative care medicine at Johns Hopkins All Children’s Hospital. She was one of the founding members of and serves as the division chief for the pediatric palliative care program at the hospital. She joined the hospital staff as a bedside nurse in 1994. Dr. Drach won the Johns Hopkins All Children’s Hospital clinical collaboration and teamwork award in the 2016 Johns Hopkins Medicine Clinical Excellence Awards.
View Laura’s Bio

Jacinda Hays, DO Palliative Care Medicine

Dr. Hays specializes in palliative care at Johns Hopkins All Children’s Hospital. She joined the hospital staff in 2020. Before joining Johns Hopkins All Children’s, Dr. Hays was the adult and pediatric inpatient palliative care physician at Carilion Clinic in Roanoke, Virginia, and the neonatal abstinence syndrome program director at Carilion Women’s. She was also the medical director of newborn nursery at Mednax Health Solution Partners at Carilion Children’s.
View Jacinda’s Bio


Nanyaly Santiago-Aponte, M.D.

Nanyaly Santiago-Aponte, M.D.

Dr. Nanyaly M. Santiago-Aponte is a fellow in pediatric palliative care. She completed her Pediatrics Residency at the University Pediatric Hospital at UPR Medical Sciences Campus, in San Juan, Puerto Rico. She received her medical degree from the Universidad Central del Caribe in Bayamon, Puerto Rico. Her professional interests include advanced directive planning, end of life care for medically complex patients and pain management.

At a Glance


Hospice and Palliative Medicine cares for patients with life-threatening and terminal illness resulting from all diagnoses. Palliative Care focuses efforts on providing relief from the symptoms and stress of a serious illness and improves quality of life for both the patient and the family.

Palliative Care Team

The Palliative Care team consist of a variety of specialists, including:

Research and Education

The fellow will have the opportunity to participate in research, quality improvement and education through scholarly activity. Didactic lectures will occur on a weekly basis during training. Training will include home visits at Empath Health, a local hospice provider, as well as a rotation with an inpatient Pediatric Rehabilitation Program.

Sample Block Schedule

Block 1 2 3 4 5 6
Rotation Inpatient Inpatient Pain Elective Hospice Inpatient
Block 7 8 9 10 11 12
Rotation Long-term
Clinic Hospice Hospice Inpatient Inpatient