I bridge two divisions based on my dual training in both pediatric critical care and emergency medicine, spending 20% of my effort on clinical care in these two areas. I spend 15% of my time performing quality and safety. In 2009, I was appointed the associate director of quality and safety for the MCC. Currently, I supervise several quality initiatives to improve the care of children in the fields of sepsis and nosocomial infection prevention. I spend 10% of my time in didactic or bedside teaching, and mentoring of fellows and residents. These academic endeavors have led to a record of teaching awards, including the faculty teaching award, awarded by the graduating resident class among all BCH faculty. I spend 55% of my time in clinical investigation, specifically in the field of severe sepsis and shock. This work has led to participation in two national collaboratives on sepsis quality improvement. My work in the field of severe sepsis and shock have resulted in several funding sources to sturdy the predictive nature of biomarkers in severe sepsis and how these biomarkers are associated with patient outcomes.