Dr Singhal started in a particular Consultancy GP-Physical Medicine and Rehabilitation role as clinical team leader of a multidisciplinary team in 1997 with Columbia Chronic Active Pain Rehabilitation: a pain Rehabilitation programme in Vancouver BC. He prepared consultancy reports largely to Worksafe BC and to other private third parties. Medical Specialists in Physical Medicine and Rehabilitation have expertise in the diagnosis of persons with complex trauma, spinal cord injury, acquired brain injury, neurological disorders, general medicine disorders, amputation, arthritis, soft tissue injuries, and musculoskeletal pain syndromes. There may be variability in particular skills within the field of Physical Medicine and Rehabilitation. Over the years Dr Singhal has gained experience and interests in complex chronic disease issues and chronic non cancer pain. Dr Singhal has routinely assessed pain conditions in the family practice setting since 2000. From 2008-2015, Dr Singhal involved chronic disease nurses to help in assessing complex chronic pain patients, and to initiate and continue with complex treatment plans. He has remained a resource to his associate physicians with issues of complex pain. In 2014, Dr Singhal was offered a consultancy position with BC Women’s Hospital complex chronic disease Programme with their tertiary consultancy programme. Dr Singhal has decided to continue with providing complex pain assessments within his group family practice setting while providing consultancy services to private third parties.