Paul commenced his basic training at The St George Hospital in Kogarah in 1994 and commenced Sports Medicine training at Concord Hospital in 1996. During this time he was an assistant doctor at the Sydney Swans AFL club. He commenced his advanced training in Sports Medicine in 1997 at Eastern Suburbs Sports Medicine Centre in Bondi and completed this in 2000, being awarded the college medal for the Australasian College of Sports Physicians fellowship examinations. His training included a continued association with the Sydney Swans and work with the Eastern Suburbs Rugby Union club. In this period Paul also spent a 12 month period working as an onsite doctor at the Australian Institute of Sport. This included exposure to a wide variety of Olympic sports including gymnastics, basketball and soccer. He also worked as an athlete care doctor at the Sydney 2000 Olympics in the athletes’ village and at the track and field.
Paul started a long term affiliation with rugby league in 1999 as the doctor for the St George lower grade teams and as an assistant doctor at the Canberra Raiders. He became the St George Illawarra team doctor in 2005 and held this position until 2010. This culminated with being a part of the 2010 Premiership, the clubs first in 31 years. At a representative level he worked as the team physician for the City Origin team between 2002 and 2008, and again between 2012 and 2017, until the fixture was wound up. Paul was subsequently appointed as the team physician for the kangaroos between 2009 and 2011.
More recently Paul has returned to the NRL as the Chief Medical Officer for the Cronulla sharks, a position he commenced in 2018 and still currently holds. He was also involved as the doctor for the successful NSW State of Origin team in 2018 and plans to be involved again in 2019.