I am an Associate Professor in Hospital Medicine and affiliated faculty at the Institute for Health Policy Studies at the University of California, San Francisco (UCSF). I am also a Senior Research Fellow at the Cicely Saunders Institute at King's College London and a Senior Atlantic Fellow for Equity in Brain Health. I am a hospitalist, sociologist, and ethicist who draws from diverse qualitative research methods including empirical bioethics, sociological methods, and human centered design to improve health equity and quality of end-of-life care. I am the Principal Investigator for a comparative ethnography that seeks to understand how cultures of high intensity end-of-life care develop in the United States and United Kingdom. I am particularly interested in how macro-sociological factors such as neoliberalism and structural racism influences hospital cultures and individual perceptions around care. These insights inform a human centered design project to design and test systems-level interventions to mitigate burdensome end-of-life care. I am also conducting a study that uses community based participatory research to understand how experiences of structural racism across the life course influences the quality of end-of-life care in older Black adults.