After qualifying in Zimbabwe Howard worked in Limpopo before going to specialise in the UK in 1996. He returned to UCT in 2002 where he was a Senior Registrar then a Research Fellow in Perinatal Medicine. At the time he taught undergraduate students as well. He went into private practice in 2004 in Cape Town. In 2009 he completed the Executive MBA at UCT. Since 2010 he has been an independent Healthcare Risk Management consultant and has been contracted by the Medical Protection Society. He has been a keynote speaker on the MPS Ethic4All series in 2013 and has also presented on the 2014 Ethics Alive series run by the Wits University Centre for Bioethics. He currently runs a course on Medical Errors and Risk Management for final year students at Wits Medical School.
He is currently Technical Head of Women’s Health at the Wits Reproductive Health and HIV Institute where he leads a team of physicians in Health Systems Strengthening working in PMTCT, contraception and service innovation in antenatal ultrasound and cervical cancer screening. He reads widely outside medicine and is an aspiring long distance runner.