My passion is to combine direct care work with healthcare leadership: educating nurses and other professionals, change initiatives, evaluation/research. So much is now known about how to improve the healthcare system, and most importantly patient experience, and patient outcomes. Coupled with demographic changes, more chronic illness, and increasing cost pressures, we need to shift the paradigm or lose ground. 25+ years experience in Nursing; currently Charge Nurse, Phototherapy Education and Research Centre (PERC), Dermatology, at Women's College Hospital in Toronto.Clinical focus on chronic disease: person centred care, self-management and adherence. Psoriasis, Cutaneous T-Cell Lymphoma. Treatment aspects include: topicals, phototherapy, biologics.Current leadership activities include: Co-chair Nursing Advisory Council at Women's College; Nurse Champion, Electronic Patient Record Project.