Paul is a passionate believer in advancing the quadruple aim, focused around patient safety, value based care, healthcare worker support, using smart health information technology healthcare. He is a practicing, double boarded anesthesiologist and critical care physician-scientist. Paul teaches Global Health and is Senior Advisor to Dean, Jefferson College of Population Health; Professor, Sigmund Freud University, Austria; Visiting Professor Milan Polytechnic; Honorary Professor at the National Cancer Center in Seoul, Korea; Honorary Professor, University of Queensland, Australia, and Visiting Professor, Riphah University, Pakistan. He trained at the Massachusetts General Hospital affiliated with Harvard Medical School. Paul is an elected member of the lead honorary society the Association of University Anesthesiologists, former member of ASA and WFSA Patient Safety and Quality committees, and past Chair of the World Society of Intravenous Anesthesia Patient Safety Commission.

Paul has more than 25 years of experience as a practicing physician and physician executive in the military and in academic medical centers and integrated delivery systems. Paul has a long history of intersecting clinical, information technology and operational responsibilities with executive management, business and entrepreneurial roles including as senior hospital executive overseeing quality, safety and value, in academic medical centers and integrated delivery systems. He is highly adept in identifying gaps and/or risk exposure in operations as well as developing and implementing strong systems of corporate checks-and-balances.  He is a formally trained health services researcher, with advanced post graduate training in advanced medical education and assessment methods from the Harvard Medical School Josiah Macy Program medical education, lean six sigma, quality improvement and lean techniques at Intermountain Healthcare. He has had additional training in epidemiology, statistics and implementation science, including both methodological as well as applied HTA research. Prior to that he spent 5 years in the military and was involved in team training, leadership and simulation work.

Theories and ideas he has helped shape and provide research findings for, are now in common use as a result of his work: TeamSTEPPS, surgical team training, human factors tools, multi-method, triangulated approaches to research, governance of health systems, and interprofessional learning and culture change to achieve safe and reliable outcomes.  His work has led to over $16,000,000 in federal competitive grant funding from the US, European Union, Australia, UK, Dutch and Norwegian Federal Funding Agencies.

Paul served as Editor of the British Medical Journal Safety and Quality, has published more than 300 scientific papers and 5 books.  He is a highly sought out speaker and advisor, and has presented at or chaired international and national conferences, workshops, symposia and meetings on more than 500 occasions in over 50 countries and including over 90 keynote addresses.

He advises numerous medical start-up companies.