He is the chair of the Department of Critical Care Medicine at the Mayo Clinic in Florida. He has joint appointments with the Department of Anesthesiology & Perioperative Medicine, Neurosurgery and Critical care Medicine. He completed his post-graduate anesthesiology residency at Cleveland Clinic in Cleveland, Ohio. He then completed a critical care fellowship at the Massachusetts General Hospital in Boston, Massachusetts. In addition he pursued further training in cardiac anesthesia at Cleveland Clinic in Cleveland, Ohio. After his subspecialties training, he joined the Cleveland Clinic as cardiac anesthesiologist and critical care attending. Subsequently, he pioneered a perioperative/critical care ultrasonography program before joining the Mayo Clinic in 2012.