I have continuously practiced as a family physician since I graduated from residency in 1977. Since joining the faculty of the Department of Family Medicine at the University at Buffalo in 1980, I have instructed and supervised medical students and residents in the hospital and office. I have served in many administrative roles- medical director of the family medicine center clinical office, residency program director, vice chair of the department, and chief of service for family medicine at Kaleida Health and Millard Fillmore Hospital prior to the merger which created the Kaleida system. In 2002 I was appointed to the position of Chief Medical Officer for Millard Fillmore Hospital. In 2005 I served as Interim Chief Medical Officer for the Kaleida Health system, then transitioned to the position of Chief Medical Officer for the Buffalo General Hospital until 2011. In 2012 I began a mentoring program for junior clincal faculty, and most recently, in April 2013 was appointed as interim chair of the Department of Family Medicine and in September 2014 appointed as permanent chair