Dr Spence is Senior Medical Officer, radiation oncologist and palliative care/oncology specialist at the Hope Institute Hospital in Jamaica. Dr Spence received a master’s degree (Neurobiology) with honours at the University of Sussex and her medical degree with honours in Anatomy, Physiology and Biochemistry at the University of West Indies. She holds a Diploma in Medical Radiotherapy, Diploma in Palliative Medicine and is a member of the Fellowship of the Royal College of Radiologists (Clinical Oncology). She also has inclusion in the Specialist Register (UK): Clinical Oncology and is a member of the International Pain Fellowship, University of Wisconsin. Dr Spence also holds consultant posts at national Chest Hospital, Kingston and Kingston Public Hospital. She is the Honorary Consultant in Dept. of medicine at University of West Indies, Associate Lecturer, Dept. of Medicine University of West Indies and Member of Radiation and Oncology team at Radiation Oncology Centre of Jamaica