My residency brought me to the San Francisco Bay Area and roughly 1/3rd of the rotations were located at Highland General Hospital where I now practice. My time at Highland General Hospital made a significant impression upon me and the rotation was the most rewarding of my residency. After completing a fellowship in spine surgery, I was fortunate to return to Highland (and now the larger Alameda Health System) for my practice in Orthopaedic Spine surgery. I have since taken on an additional administrative role within Alameda Health System as president of our new AHS sponsored medical group, though my clinical practice accounts for ~70% of my time.