He is the R Fraser Elliott Chair in Cardiac Anesthesia at the University Health Network Toronto / University of Toronto (Ontario,
Canada). He considers himself a specialist in perioperative medicine. He is supervising several PhD students on clinical research projects in the field of cardiovascular perioperative medicine. Most projects aim to unravel further the etiology, detection and treatment of intraoperative hypotension and asymptomatic myocardial injury after surgery.

After obtaining his PhD in 2002 and completing his postgraduate training as anesthesiologist in the Netherlands (2006), he did a clinical and research fellowship in perioperative medicine (Ottawa, Ontario, 2007). He returned to the Netherlands to complete a fellowship in cardiothoracic anesthesia (2009), including training in TEE. From 2007 to 2012, He was the Medical Director of the Outpatient Preoperative Evaluation Clinic of the University Medical Center Utrecht. Subsequently, He was the Chair of the Department of Anesthesiology (2013-2021).