; (v) emphasizes education and engagement of family or caregivers on palliative and hospice care management within the context of chronic disease management and strategies to meet the needs of such family or caregivers; or (vi) proposes to conduct outreach to communities that have a shortage of palliative and hospice workforce professionals. (4) Expansion of existing programs Nothing in this section shall be construed to— (A) prevent the Secretary from providing grants or contracts to expand existing education programs, including geriatric education programs established under section 753 or 865, to provide for education and training focused specifically on palliative care, including for non-geriatric populations; or (B) limit the number of education programs that may be funded in a community. (b) Palliative medicine physician training (1) In general The Secretary may make grants to, and enter into contracts with, schools of medicine, schools of osteopathic medicine, teaching hospitals, and graduate medical education programs for the purpose of providing support for projects that fund the training of physicians who plan to teach or practice palliative medicine. (2) Requirements Each project for which a grant or contract is made under this subsection shall— (A) be staffed by full-time teaching physicians who have experience or training in interprofessional team-based palliative medicine; (B) be based in a hospice and palliative medicine fellowship program accredited by the Accreditation Council for Graduate Medical Education; (C) provide training in interprofessional team-based palliative medicine through a variety of service rotations, such as consultation services, acute care services, extended care facilities, ambulatory care and comprehensive evaluation units, hospices, home care, and community care programs; (D) develop specific performance-based measures to evaluate the competency of trainees