She has extensive experience in innovative development of large programs designed to increase access to high quality, culturally sensitive care by poor communities of color, while meeting both a clinical and financial bottom line. She has served as executive director of several large systems of ambulatory care in the Bronx, and has provided leadership during design, construction and opening of new primary care clinics. Clinically Dr. Anastos trained and actively practices as a primary care internist with expertise in the comprehensive care of HIV infected individuals and HIV infection in women.