10/29/2026
Traditional medication routes compromised during an acute symptom spike?
Join Hospi Corporation and the Hospice Medical Director Certification Board® (HMDCB) on Thursday, November 19 at 2:00 PM ET for a live clinical roundtable: Re**al Administration in Hospice for Effective Symptom Management.
Learn practical protocols for utilizing the re**al route when oral, sublingual, or IV/SubQ routes are unavailable or delayed.
Register at the link below (all registrants will receive the recording and attendee materials):
➡️ https://us06web.zoom.us/meeting/register/4j6lzo29SfWIvpmnvUvnrA #/registration
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Meet the Panel👋
- Catherine S. Spangler RN, BSN, CHS-C (Hospi Corporation): Catherine is Senior Vice President of Clinical Services and Sales for Hospi Corporation and brings more than 25 years of hospice and palliative care experience. A former hospice owner and national operations leader, Catherine has spent her career at the intersection of clinical care, operations, quality, and innovation. Today, she works with hospice organizations nationwide to integrate the Macy Catheter into clinical practice, helping teams recognize when traditional medication routes become unreliable and implement practical strategies that support timely, effective symptom relief.
- David Fisher, MD, HMDCB (Duke HomeCare & Hospice):
Dr. Fisher is the medical director of Duke Homecare and Hospice in Durham, NC. As a geriatrician and palliative care specialist, he has cared for thousands of patients as they approach the end of life.
- Leslie Siegel, PharmD, RPh, BCPMP (Mayo Clinic):
Leslie joined Mayo Clinic Rochester in 2022 where she spends most of her time staffing a primary inpatient palliative care unit and multiple consult teams. She additionally services other areas including outpatient palliative care clinic, pediatric palliative care, and outpatient hospice. Prior to Mayo Clinic, she graduated from University of Minnesota College of Pharmacy and completed pain medicine and palliative care training at The Ohio State University. She is a board-certified pain management pharmacist and dedicated to serving patients with life threatening or limiting illnesses with the hope to improve quality of life through effective, safe, and timely medication management.
Moderator:
- Bernice Burkarth, MD, FAAHPM, HMDC (Tufts Medicine Care at Home | HMDCB):
Dr. Burkarth is Chief Medical Officer at Tufts Medicine Care at Home and President of the Hospice Medical Director Certification Board (HMDCB). A dedicated hospice and palliative medicine physician and Fellow of the American Academy of Hospice and Palliative Medicine, she brings extensive executive and clinical leadership experience in end-of-life care, medical staff development, and quality advancement across community, home health, and hospice settings.
