Paul is a Clinical Professor at Wayne State University School of Medicine, Children’s Hospital of Michigan, and is a practicing double board-certified physician-scientist in Anesthesiology and Critical care, from the Massachusetts General Hospital affiliated with Harvard Medical School. Dr Barach is a leading health services and systems researcher and medical educator with an international reputation for his work investigating and contributing to systems improvement. He has particular expertise in the culture and structure of acute settings, leadership, management and change in health sector organizations, quality and safety in health care, resilient health care, accreditation and surveying processes in international context and the restructuring of health services. He is a formally trained health services researcher, with advanced post graduate training in quality improvement and lean techniques at Intermountain Healthcare, and in advanced medical education and assessment methods from the Harvard Medical School Josiah Macy Program. He has had additional training in epidemiology and statistics including both methodological as well as applied HTA research. Paul has taught and has deep experience developing processes, systems and content around systems improvement, population health, duty of care, quality improvement, human factors, patient safety and systems re-design to undergraduate/graduate and post graduate providers and managers for over 15 years in US, Europe, and Australasia. Professor Barach is well known for bringing management and leadership concepts and evidence into the clinical arena and he has published extensively (more than 200 refereed contributions, and 300 total publications, 5 books) about organizational, social, human factors, and team approaches to care. He has presented at or chaired international and national conferences, workshops, symposia and meetings on more than 500 occasions, including over 60 keynote addresses.