I have been practicing psychiatry for over 35 years, in various roles. I have been a partner in private group practice, an executive in managed care, performed utilization review, worked in a prison, worked with various community mental health clinics in California, Iowa and Maryland (either with direct services or telehealth), and with ACT teams in Skid Row, Los Angeles and Brooklyn, NY. Most recently, I have been applying my experience and knowledge to collaborative care settings. This includes working with a company that does virtual collaborative care with primary care physicians, and with another where I provide psychiatric consultations and treatment on site in a primary care office that treats those with debilitating and serious medical illnesses. I look forward to continuing my work in supporting mid-level providers with developing their skills and practice, or simply being able to continue what they already do well.