 I'm Ettore, I'm a poor career manager for medical anesthetists, surgeon and gynecologist. I started with them in safe in 2002, so it's quite a time that I'm in the family. Thanks a lot for the opportunity to share with you what was our intention and what we did. Alba is here, like Luca Ragazzoni, they are a member of the team of cremedim, who is cremedim. The special entity, University branch of Novara, not a part of Italy, that from years they are investing on research and training about humanitarium and catastrophe disease, something quite familiar for MSF. So, let's see how we provoke a bit doing something new inside the family. Is it working? Yes? Okay. The first things that we were considering is following the normal way of MSF. We have where we needed the feed, which kind of solution we can have to cope with the need. In this case, it's quite evident that there is a lack or shortage of trained anesthesia provider. And we were focusing on that, in which way trying to give a proper training before the deployment in the field. Quite interesting because even that is quite new inside MSF. And our intention as usual is to increase retention. Why retention? Because retention is a preface of the career inside MSF. So, our expectation is to have people committed to maintain their willingness to move with MSF and why not to keep position not so far. Research is another pillar of MSF and cremative is a research entity. So, one plus one, it means that we like to join academia to increase even this aspect. So, what was innovative? We create a concrete path to give a proper answer to this kind of need. Obviously, the need was to prepare a special training with our know-how as MSF and the academia experience in two phases for the art and the soft skills. Art skills are the professional one, so related to anesthesia and emergency room and the situation like. The soft skill, you will see later what does it mean for us as a soft skill. We choose the target population for the medical doctor almost at the end of the residency in anesthesia. Why? The majority of anesthesia performed in our project are voted by no anesthetist or technician of anesthesia. We are proud of them and we love them. If we consider to have a medical doctor after six years of study to become graduate and almost at the end of residency in anesthesia can be an added value, especially because in Italy medical doctor anesthetists are in charge not only of operational theater but even of emergency room and intensive care unit. So a broader spectrum of capacity and skills for life-saving activity. Obviously, after the course they will be deployed in our contest and the contests were Afghanistan, Pakistan, South Sudan, Yemen, Democratic Republic of Congo, Central African Republic and Philippines. And three months time is quite interesting because the specialists, normally they have not this length of availability for the field. So even this is quite interesting. About the research I'd like to tell you from now that last year one of our guys started a special operation research after the approval of the operational center in a remote area of Congo and this year the same person will continue this research in Afghanistan. Result. So we did a two different course in 2013-2015 with eight people participants and their best feedback that we received was from the end-of-mission evaluation of the line manager, project medical reference, medical coordinator that normally are in charge to supervise and to testify the effectiveness and the efficacy of our guys. And all of them were highlighting no problem in their professionality and the presence of the soft skill, soft skill like cultural awareness, leadership, communication, commitment to MSF principle and so on. And all of them were recommended to move again to the field. All of them agreed to move again in the field and someone started already. So last year we sent three people from the first course and this year we are planning more and more to these people moving again in our field context. So the expectation from the beginning of retention is quite present because the people is growing and as a commitment to move. As I told you, this commitment, this attention is really interesting for the future of this guy that can grow and have a career path inside MSF. And this year the third edition we double the number of participants so we start with nine and the third edition is just now ongoing. How much it costs? To be honest, we were lucky because no added cost. It means that the participants, by themselves, the training, sign of commitment and the intention to do something in their future. About MSF Italy, I need to highlight and to thank Alba and Luca that are here present because the majority of the expenses are covered more or less pro bono from academia itself. So I'm really thanking them publicly now because it's not so frequent. And about MSF Italy, we didn't do any added cost because we were following the normal recruitment criteria. So selection, recruitment process, validation. No added cost at all. To be honest, we spend even less because people on residency, medical doctor in Italy, by law they receive a salary and they can't have a double salary. So we spend even less. The challenge was to invest properly in a young generation medical doctor that was not usual in MSF because normally we have to fit the criteria to end the specialization and two years of work. We like on the future to enlarge the spectrum of medical background because this model is functioning and we are honest that till now we were lucky about the cost but we don't know until when. So we have to consider that for the future. I'm repeating myself. We really trust that open the door to other medical background and paramedical too can be a really added value. This model can be adopted from other people that are interested on that. They can apply in their MSF reality or what else. And as usual MSF as an intuition, put in practice, validate the process and then it's shared like we are doing now here. Obviously this presentation was not exhaustive. Be curious, there is a special leaflet if someone likes to have here and thanks a lot for your attention.