He had been a practicing Physician Associate in Phoenix, Arizona since 2002 working in internal medicine with experience in Paediatrics, Perioperative Medicine, and Rheumatology. He also mentored PAs in Phoenix, and taught rheumatology and joint arthrocentesis to medical students and MDs. He has maintained his certification in the USA while helping to expand the Physician Associate role in the UK. He has been a member of the RCP Faculty of Physician Associates since its UK inception. He currently works at West Cumberland Hospital in a newly developing PA role.