He is an attending physician in emergency medicine, Associate Chair of Research in the department of emergency medicine at the Warren Alpert Medical School and is co-founder of the Rhode Island Hospital Medical Simulation Center. He has published widely on topics in applied biomedical engineering and was a co-principal investigator of the MedTeams™ Project. He has served on the Patient Safety Task Force for both the Society for Academic Emergency Medicine and the American College of Emergency Physicians. He was formerly a flight surgeon in the Air National Guard, where he both developed and participated in crew resource management and weapons of mass destruction training.