She has lived and practiced in Nepal for 17 years, and is currently among the leadership for the development of curricula in family practice, professionalism, and distributed training in rural Nepal. Her novel Red Dawn Rising is a graphic description of the experience of rural families during the recent civil war. She has published in the area of retention of general practitioners in rural Nepal. She is a key member of faculty in a new medical school, established in 2008 and focused on attracting, training, and deploying health care workers in service to rural and lower caste citizens of Nepal.