With more than 30 years experience studying lifestyle in relation to etiology and prevention of chronic disease I now serve as Associate Director for Prevention and Control at Siteman Cancer Center. I lead the Program for the Elimination of Cancer Disparities. I also lead Washington University Implementation Science Center for Cancer Control. I have developed a range of web and tablet based tools to promote tailored prevention messages and continue to study strategies to promote wellness in communities and worksites. My etiologic research addresses premenopausal breast cancer and pathways amenable to prevention intervention. Breast cancer accounts for 1 in 4 of all cancers diagnosed in women world wide. My Implementation science research addresses guidelines and their efficient uptake in health systems both academic and non academic settings.