He is a practicing generalist obstetrician/gynecologist with over 19 years in practice in both private and academic settings. He has worked with both licensed direct-entry midwives in informal but collaborative relationships, and nurse midwives in formal shared practice models. In 2011, he completed a PhD in philosophy from University of Oregon with an area of specialization of biomedical ethics. Since 2011 he has worked in a joint appointment between of the departments Obstetrics and Gynecology and Bioethics at Albany Medical College. While remaining an active clinician, he directs the medical ethics education for the third and fourth year medical students, and is actively involved in residency training of the Ob/Gyn residents in clinical practice and medical ethics. He also directs the human reproduction theme for second year medical students.