He has clinical experience within all the different venues of hospice and palliative care through his past work with Kansas City Hospice and Palliative Care and his past leadership roles as a fellowship director and National Hospice Medical Director with Gentiva. His early rise in the field of palliative medicine was in part due to his writing for the website Pallimed. He served six years on the board of the American Academy of Hospice and Palliative Medicine and is the immediate past president of the American Academy of Hospice and Palliative Medicine.