She is board certified in Hospice and Palliative Medicine, Internal Medicine and Holistic Medicine. She is formerly the medical director Hospice and Palliative Care of Cape Cod and of the Integrative Medicine and Wellness Center at Deaconess Billings Clinic in Montana. Dr. Makowski has lectured in numerous regional and national venues on integrative palliative care, symptom management, ethics and legal considerations in palliative medicine.