In 2003, he helped found the Center for Skin and Related Musculoskeletal Diseases at Brigham and Women’s Hospital and has been working with rheumatology one-on-one since then. The Center provides clinical care one half-day per week and also is a focal point for clinical research. Majority of patients care present with complex psoriasis and psoriatic arthritis, although patients with lupus, dermatomyositis, scleroderma/morphea, pyoderma gangrenosum and hidradenitis suppurativa are also seen. The strength of the Center is in co-management of patients with skin and musculoskeletal problems, a feature that attracts trainees at all levels.