Hospice and Palliative Medicine Fellowship

Hospice and Palliative Medicine Fellowship

About the Program

The Hospice and Palliative Medicine Fellowship at Florida Hospital provides a unique setting for fellows to collaborate in interdisciplinary teams (IDTs), providing care to patients of all ages across the healthcare continuum.

During this year-long fellowship, fellows will be exposed to excellent leaders that will role-model and create unique experiences in advanced illness management. These specialties include the Advanced Heart Failure Transplant and LVAD Teams, Oncology teams within the FH Cancer Institute, Bone Marrow Transplant team, Critical Care Medicine, Neuro-critical Care, Florida Hospital’s Organ Transplant Institute and the Coordinated Care for Kids Program with Florida Hospital for Children. The Adventist Health System family includes the large Tertiary Care Florida Hospital Orlando campus and The Hospice of the Comforter, which serve a socially diverse and culturally rich population

The focus of the Hospice and Palliative Medicine Fellowship Program is to embody and model the medical, spiritual, and psychosocial dimensions in patient and family-centered care. Our commitment is to train distinguished candidates who will excel as future leaders in the specialty of Hospice and Palliative Medicine.

Dominick Mastroianni, MD
Program Director

Faculty

of Florida Hospital Medical Education

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    Okorie N. Okorie, MD
    Dr. Okorie is board certified in critical care medicine and hospice and palliative medicine, currently working at Florida Hospital as a critical care intensivist. Dr. Okorie graduated from medical school at the College of Health Sciences at University of Calabar in Nigeria. He completed internal medicine residency training at Orlando Regional Medical Center and fellowship training in critical care medicine at Cooper University Hospital in Camden, NJ. Dr. Okorie previously served as program director for Orlando Health’s critical care medicine fellowship, as well as attending physician in critical care and internal medicine and Medical Education Simulation Director at Orlando Health.
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    Dominick Mastroianni, MD
    Program Director
    Dr. Dominick Mastroianni received his medical degree from the University of South Florida. He trained in Internal Medicine at Wake Forest Baptist Medical Center and completed his H&PM Fellowship at University of Alabama at Birmingham. He is a member of the American Academy of Hospice and Palliative Medicine. He has been on staff at Florida Hospital since 2011. He has worked on improving system Palliative Care practices, including a multiple hospital-wide update and implementation on advance directives and code status within a large Healthcare System, as well as in the community through the Conversation Ready Project in Winter Park. He has worked in education through interactive workshops and electives with Internal Medicine, Critical Care Medicine, Family Medicine, and Geriatrics. He leads the Florida Hospital Hospice and Palliative Medicine Fellowship.
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    Eric Moore, MD, MBA
    Dr. Moore received his Bachelor of science degree from Oakwood University in Huntsville Al., He completed his MD degree at the Medical College of Georgia in Augusta, Georgia, he completed his internship and residency at The Florida Hospital Family Medicine Residency Program. He served as Family Medicine Faculty for the MD program at Florida hospital and preceptor faculty for the Florida Hospital DO program. Dr. Moore completed 11 years of private Family Practice before becoming the Chief Medical officer for Hospice of the Comforter and currently serves as its Executive Medical Director. He is board certified in Family Medicine and Hospice and Palliative Medicine. Dr. Moore has also completed an MBA Degree from Webster University. He has been married for 19 Years and has 2 children 15 and 12 years old. Dr. Moore has a passion for end of life care and enjoys educating the community about the benefits of hospice services.
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    Laura Cunnington, MD
    Dr. Laura Cunnington is originally form Southern CA. She attended medical school and Family Medicine Residency in Reno, NV. She is board certified in Hospice and Palliative Medicine and has been practicing HPM for 12 years. Her four children are the most important thing in her life. She moved to Orlando and joined Florida Hospital as the Medical Director for the Palliative Care Program in April of 2018. She enjoys swimming, sailing, and reading in her free time.
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    Alex Lavigne, DO
    Dr. Lavigne is a board-certified hospice and palliative medicine physician. He earned his Doctor of Osteopathy degree from Nova Southeastern University in Fort Lauderdale. He completed his internal medicine training at the Carolinas Healthcare System - Blue Ridge program in North Carolina. He is a member of the American Osteopathic Association and the American Academy of Hospice and Palliative Medicine.
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    Laurie Anderson, MD
    Dr. Laurie Anderson is board certified in Family Medicine and board-eligible for Hospice and Palliative Medicine. Dr. Anderson completed her Family Medicine training at the University of Louisville School of Medicine and went on to a Hospice and Palliative Medicine Fellowship at MD Anderson Cancer Center in Houston, TX. Dr. Anderson joined the Florida Hospital Palliative Medicine consult service in July 2018.
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    Maria R. Gonzalez, MD, FAFP, CMD
    Dr. Maria Gonzalez is triple board certified in Family Medicine, Geriatric Medicine, and Hospice and Palliative Medicine. Originally from the Dominican Republic, Dr. Gonzalez trained in the Florida Hospital residency program. Post residency training, she has worked in Graduate Medical Education at both the residency and fellowship level. Prior to joining the Palliative Care Team at Florida Hospital, Dr. Gonzalez was the Medical Director of a continuum care retirement community in Live Oak, Florida. Currently Dr. Gonzalez is a physician with the inpatient Palliative Care consult team and core faculty for the Hospice and Palliative Medicine Fellowship.
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      Okorie N. Okorie, MD

      Dr. Okorie is board certified in critical care medicine and hospice and palliative medicine, currently working at Florida Hospital as a critical care intensivist. Dr. Okorie graduated from medical school at the College of Health Sciences at University of Calabar in Nigeria. He completed internal medicine residency training at Orlando Regional Medical Center and fellowship training in critical care medicine at Cooper University Hospital in Camden, NJ. Dr. Okorie previously served as program director for Orlando Health’s critical care medicine fellowship, as well as attending physician in critical care and internal medicine and Medical Education Simulation Director at Orlando Health.

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      Dominick Mastroianni, MD
      Program Director

      Dr. Dominick Mastroianni received his medical degree from the University of South Florida. He trained in Internal Medicine at Wake Forest Baptist Medical Center and completed his H&PM Fellowship at University of Alabama at Birmingham. He is a member of the American Academy of Hospice and Palliative Medicine. He has been on staff at Florida Hospital since 2011. He has worked on improving system Palliative Care practices, including a multiple hospital-wide update and implementation on advance directives and code status within a large Healthcare System, as well as in the community through the Conversation Ready Project in Winter Park. He has worked in education through interactive workshops and electives with Internal Medicine, Critical Care Medicine, Family Medicine, and Geriatrics. He leads the Florida Hospital Hospice and Palliative Medicine Fellowship.

    • fpo1
      Eric Moore, MD, MBA

      Dr. Moore received his Bachelor of science degree from Oakwood University in Huntsville Al., He completed his MD degree at the Medical College of Georgia in Augusta, Georgia, he completed his internship and residency at The Florida Hospital Family Medicine Residency Program. He served as Family Medicine Faculty for the MD program at Florida hospital and preceptor faculty for the Florida Hospital DO program. Dr. Moore completed 11 years of private Family Practice before becoming the Chief Medical officer for Hospice of the Comforter and currently serves as its Executive Medical Director.

      He is board certified in Family Medicine and Hospice and Palliative Medicine. Dr. Moore has also completed an MBA Degree from Webster University. He has been married for 19 Years and has 2 children 15 and 12 years old. Dr. Moore has a passion for end of life care and enjoys educating the community about the benefits of hospice services.

    • fpo1
      Laura Cunnington, MD

      Dr. Laura Cunnington is originally form Southern CA. She attended medical school and Family Medicine Residency in Reno, NV. She is board certified in Hospice and Palliative Medicine and has been practicing HPM for 12 years. Her four children are the most important thing in her life. She moved to Orlando and joined Florida Hospital as the Medical Director for the Palliative Care Program in April of 2018. She enjoys swimming, sailing, and reading in her free time.

    • fpo1
      Alex Lavigne, DO

      Dr. Lavigne is a board-certified hospice and palliative medicine physician. He earned his Doctor of Osteopathy degree from Nova Southeastern University in Fort Lauderdale. He completed his internal medicine training at the Carolinas Healthcare System - Blue Ridge program in North Carolina. He is a member of the American Osteopathic Association and the American Academy of Hospice and Palliative Medicine.

    • fpo1
      Laurie Anderson, MD

      Dr. Laurie Anderson is board certified in Family Medicine and board-eligible for Hospice and Palliative Medicine. Dr. Anderson completed her Family Medicine training at the University of Louisville School of Medicine and went on to a Hospice and Palliative Medicine Fellowship at MD Anderson Cancer Center in Houston, TX. Dr. Anderson joined the Florida Hospital Palliative Medicine consult service in July 2018.

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      Maria R. Gonzalez, MD, FAFP, CMD

      Dr. Maria Gonzalez is triple board certified in Family Medicine, Geriatric Medicine, and Hospice and Palliative Medicine. Originally from the Dominican Republic, Dr. Gonzalez trained in the Florida Hospital residency program. Post residency training, she has worked in Graduate Medical Education at both the residency and fellowship level. Prior to joining the Palliative Care Team at Florida Hospital, Dr. Gonzalez was the Medical Director of a continuum care retirement community in Live Oak, Florida. Currently Dr. Gonzalez is a physician with the inpatient Palliative Care consult team and core faculty for the Hospice and Palliative Medicine Fellowship.

Fellows

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      1 Anticipated in July 2019
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      2 Anticipated July 2019
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      1 Anticipated in July 2019
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      2 Anticipated July 2019

Curriculum

Rotation Schedule
  • Inpatient Palliative Care: Consults and Palliative Care Unite (PC) 5 Months
  • Hospice: Inpatient Unit and Home Visits (Hosp) 2 Months
  • Pediatrics (Peds) 1 Month
  • Long Term Care (LTC) 1 Month
  • Advanced Pain and Heart Failure (Pain/HF) 1 Month
  • Oncology and Critical Care (Onc/CC) 1 Month
  • Elective 1 Month
Integrated Experiences
Advanced Heart Failure
Research / Quality Improvement
Clinical Ethics
Pain
Oncology
Critical Care
Transplant / LVAD
Pain Clinic / Interventional / Addiction Inpatient Team / Clinic / BMT Neurocritical and Medical Critical Care / Palliative Care Ambulatory Clinic
Didactic Activities
H&PM Grand rounds (weekly)
Journal Club (monthly)
Case Review (monthly)
Research Seminar (monthly)
Physician Wellness (6 weeks)
Board Review (final 3 months of fellowship)
FH Biomedical Ethics Meeting (monthly)
Rotation Sites
Florida Hospital Medical Center, Orlando, FL
Hospice of the Comforter, Altamonte Springs, FL
Winter Park Memorial Hospital, Winter Park, FL
Florida Hospital for Children, Orlando, FL
Florida Hospital Heart Success Clinic, Orlando, FL
Palliative Care Specialists Ambulatory Clinic, Orlando, FL
Mayflower Retirement Community, Winter Park, FL
The Gardens at DePugh Nursing Center, Winter Park, FL
Lecture Topics
Fellows will attend lectures provided by H&PM Faculty and other physician leaders on multiple topics including:
Pathophysiology of pain and other symptoms
Pharmacology of analgesics
Pharmacological and non-pharmacological management of pain and other symptoms
Interventional pain medicine procedures
Hospice
Oncology
Cardiology
Neurology
Critical Care
Geriatrics
Pediatric Palliative Care
Clinical Ethics
Prognostication
Team Dynamics in the IDT
Communication
Family Care
Spiritual Care
Withholding and withdrawing life sustaining treatment
Grief, loss and bereavement
Quality Measures in Palliative Care

Research

Eligibility

What You'll Need

Applicants who have completed (or will complete) an ACGME approved residency in one of the following disciplines are eligible to apply:

  • Internal Medicine
  • Emergency Medicine
  • Family Medicine
  • Anesthesiology
  • Psychiatry
  • Neurology
  • Obstetrics and Gynecology
  • Pediatrics
  • Physical Medicine and Rehabilitation
  • Radiation Oncology
  • Surgery

Sample Resident Agreement

Eligibility & Selection Policy

  • For international medical graduates, verification of Educational Commission for Foreign Medical Graduates (ECFMG) certification.
  • Possess or be eligible for Florida Medical Licensure and DEA registration, along with Florida Hospital Medical Staff privileges. These licensures are required before the anticipated date of matriculation.
  • Be able to abide by the rules of the Florida Hospital Graduate Medical Education Department and Florida Hospital.
  • Evidence of aptitude and interest in hospice & palliative care during residency training and/or practice with definite plans to include hospice & palliative care in the practice of medicine upon the completion of the fellowship program.
  • Excellent academic and clinical performance in residency training defined on the basis of standardized examination scores and clinical evaluations.
  • Excellent leadership skills demonstrated in residency training or practice.

Benefits

We'll Take Care of You

Education Allowance

Fellows will receive up to 5 days of paid leave to attend and present at conferences with CME expenses reimbursed up to $1500.

Professional Fees

Florida State Medical License and DEA license fees will be covered by the program. The cost of certification classes, such as ACLS, are covered as necessary for meeting program requirments.

For more information on the many benefits offered across all program, click here.

Application Process

Join Our Fellow Team

For application to our residency program,

Application

Directions

  • From the airport
    Take the North Exit Take 528 West (Toll $2.25) Take 1-4 East to Orlando Take the Princeton Exit (#85) Turn right on Princeton St Turn left on North Orange Ave Take the 2nd right onto East Rollins St
  • From the Tampa area:
    Take 1-4 East to Orlando Take the Princeton Exit (#85) Turn right on Princeton St Turn left on North Orange Ave Take the 2nd right onto East Rollins St
  • From the Daytona area:
    Take I-4 West to Tampa Take the Princeton Exit (#85) Turn left on Princeton St Turn left on North Orange Ave Take the 2nd right onto East Rollins St
Once on Princeton:
Make a left at Orange

For hospital parking garage entrance, turn right at King Street

Cindy Lajoie

Residency Coordinator

407-303-5951407-303-7323 2501 N. Orange Ave Suite 235 Orlando, FL 32804