 After attending a full course of lectures at the College of Physicians and Surgeons of New York, he returned to Albany in May 1866 and entered upon the practice of his profession.He served as member and president of the Albany County Medical Society, the Medical Society of the State of New York the American Association of Obstetricians and Gynecologists, and the American Medical Association (AMA), becoming president of the AMA in 1915.He was a delegate to the International Medical Congress, held at Copenhagen in 1884, and was elected honorary president of the Fifteenth International Medical Congress held at Lisbon in 1906, having been appointed one of the commissioners from the United States government.