I received my MD and MBA degrees simultaneously from the University of Chicago in 1991. Following a one-year internship at Evanston Hospital in Evanston, Illinois, I moved to Boston and completed my radiation oncology residency at the Joint Center for Radiation Therapy, Harvard Medical School. Since joining the faculty in the Department of Radiation Oncology at the University of Michigan in 1996, I have achieved the rank of Professor and am also Associate Chair for Clinical Activities. My clinical and research interests include the management of thoracic and breast cancers, as well as skin, ocular and central nervous system malignancies. I am one of the few U.S. radiation oncologists who have been active in the field of health services research. I have served on numerous local and national committees related to quality of care. I am the Chair of the American Society for Radiation Oncology’s (ASTRO) Clinical Affairs and Quality Committee and until last year was a long-serving member of the American Society of Clinical Oncology’s (ASCO) Quality of Care Committee. I have been involved with quality of care related projects coordinated by the National Quality Forum (NQF), the American Medical Association (AMA) Physician Consortium for Performance Improvement (PCPI), the Cancer Quality Alliance (CQA) and the National Comprehensive Cancer Network (NCCN). I am helping to lead a state-wide collaborative quality initiative supported by Blue Cross/Blue Shield of Michigan, the Michigan Radiation Oncology Quality Consortium (MROQC).