He was Chief of Staff at Scripps Hospital, Encinitas in 1985 and 1986, as well as the President of the San Diego County Medical Society in 2001. He was on the CMA Board of Trustees for many years and was elected Vice Speaker of the House of Delegates in 2002, Speaker in 2006 and President in 2011. He is also a past president of the San Diego County Medical Society Foundation and the “Champion” of its Project Access, a program to connect volunteer physicians to patients who need their care.