 Hi to everybody. My name is BB Aguerrevere. I went to THI in 2006. I'm so glad to be here. Thank you, Debbie. Thank you, Anne, for the invitation. And I'm here to talk about the Latin American Board of Cardiovascular Profusion. I'm going to share some slides here. First, I wanted to say hi to my colleagues, class of 2006-07. Hi to Rashid that is still working at THI. And to talk a little bit about the Board Latin American of Cardiovascular Profusion, first of all, we have to start talking or speaking about what is a lab, which is the Latin American Profusion Association. It was born in 2014. And by now it has approximately 1100 members. So we're talking about a whole continent. So what we did with was like we sectorized it by regions. That's how we got organized in the profusion committee. There are approximately 1000 profusionists through whole Latin American. 700 of these profusionists are from Brazil. Brazil makes a huge part of Latin American and it has to be said that they have been well organized as a profusion community. And they are added to this whole movement and also to the board. To speak a little bit about the height, the hallmarks and personalities from Latin American in the cardiac surgery field, we can talk about Dr. René Fabaloro, father of the cabbage surgery, Dr. Castañera, pediatric surgery, a deep jet in from Brazil, which describe the switch, arterial switch or jet and surgery. Maria Elena Sousa was a profusionist hallmark in Brazil, Tyrone David is a doctor who is from Brazil and Pedro de Del Nido works in Boston Children's Hospital he is from Chile. So there are a lot of great personalities in Latin America that has had a positive impact in the profusion and also as well in the cardiovascular surgery community. So we decided to organize our profession after a lap, gather all the profusionists and formalize our profession, as you Americans did with the American Board of Cardiovascular profusions. So we're going to be called PCC instead of CCP because of the Spanish configuration of the language. So what about what was going on in the world so we have the American Board of Cardiovascular profusion we have the European we know we have the Indian Australian etc. This is how we communicate with the Latin American profusion community. We talked to them we went to meetings through whole Latin America. Telling telling them how it was done previously in other countries. Okay. The first two we got huge collaboration from them specifically specifically from the American Board of Cardiovascular profusion. Here, we can see in our first meeting in Bogotá Colombia we can see a member it was the director of the board by then at Delaney. And we are very thankful with that because he gave us a lot of like guides how to put together this huge program. The other person who is next to him is Carlos Garcia he's the president of Spanish profusion society, and he helped us very much to get together this project as well. So they kind of set up our standards and we didn't invented anything in this project we're just following steps from the European, and most likely from the American Board of Cardiovascular profusion. So that meeting, Ed and started inviting us through the liaison panel at the annual meeting in from the board, which is most likely sometimes is in NAMS sector and American Academy. So I've been going to those meetings and we have been provided with informational support from the ABCP, which it has been a lot of help for us. Not only through the logistical point of view, but also for credibility so our community we're not talking about just only one country it's a whole continent. So they we needed them to believe in us who were we why do we want to create the American Board of Cardiovascular Latin American Board of Cardiovascular profusion. So, to see that the ABCP providers help in how to put together this steps and the European board as well has helped us enormously through this process. We had to explain what the board was to everybody through the continent. We established we said and maintain that is the board is established and maintain the highest standards in the field of cardiovascular diffusion. We established the concept we focus the concept in quality and standards. We introduced the steps. And also, we talked about the requirements for jobs specific for every country in Brazil with these people not a different language from from the rest of Latin American with which is Spanish. So, there was a lot of questions, if this was going to change their jobs or their salaries so we have going to explain it further. Few drawbacks in terms of what was the board had to and what had to do with them. For example, the, the jobs, the requirements for the jobs. We explained this the steps, same as the Americans step one certification step to recertification. And we got Brazil by endorsement through an endorsement that was signed in 2019. They have a board already but they were interested in having the Latin American board of cardiovascular profusion as well. So by endorsement, all of those Brazilians who have the Brazilian board will have the Latin American board of cardiovascular profusion. We established a joint or a board, and we're ed, we asked him to be at the beginning of the foundation of the project as external external liason, and he has always given us informational support on how to get this process going along. We understood that this project was going to be successful if we mixed all the unbalanced the board with the members of all of the countries. So that's what we did. As I was telling you we had a few drawbacks that we were following steps of the Americans and the Europeans, but you did it in the 80s, the 60s, the 70s. There was no internet and by now, you just say something and boom it's everywhere it's in one second, it went everywhere to Colombia to Argentina. And what we got, we got fear, we got comments if this was going to impact on their salaries. Some people said it was unfair because they went to a profusion school and while we were taking those who were on the job trained and most of them were not convinced. Some of them had economical problems to sit for the boards and pay for the boards for the platform for the boards. So we, we, we had a few drawbacks, I had to call a few times and tell him that this was impossible. And he said that if it's just 20, just go ahead with 20. And, and he was right. And the board, the American board was right and given, given us some, you know, lights on. There's a process that once it starts, it's there's no way back. It's always an improvement in the, and the profession, and people will start convincing on their own and as time time passes by. So we created a web page. We also have an app and application for cat profusion calculations via to do to, and you can upload your documents and, and the app. So we combined the app and the process of of how to give your career or send your credentials to sit on for the boards. So, for the, what was the, we're gonna, we were going to evaluate in the, in the test are the same topics of the core of the curriculum of the profusion schools in the states. We asked we gave them support through our YouTube channel where we have recorded all of our different symposiums and and conferences, so they can have it for study we created a blog and every Monday at 7pm we had classes in formal classes and at the beginning they were like 20 people connected but then they were massive like 100 and 160 every Monday and at the end we we gave 10 questions and they will stay up to whatever the meeting lasted. Just for the questions it was very excited. So it has generated a sense of partnership, and it has been really interesting on how can you just putting up a topic and say, today we're going to talk about myocardial protection and how this little blog that we created it made it interactive. So people started talking so those that had fear started convincing that this was investing on your own, nothing else but your own career and and your future. We also have journal, which is called on pump, and it was given for them for them, like you can study also from from the journal. The test is not going to be for Brazilian profusionist. So we decided to structure the test in two steps. Step one, basic science of profusion and step two, clinical activity of profusion, most likely like the American board as well. And we divided it's it's going to be online. And it's already the test is there it's going to be in two phases and it's going to be first in one date in in Maine, and the other day in September. For two years we're going to be including all of the profusionist from the community from the Latin American community, even though if they were on the job train or had an informal training or if they came from a profusion So this is only going to be for two years after 2023, you have to be graduated from an accredited school or at school with university program. Okay, so at the end, when the profusionist are certified, we're going to have two types of certification because due to the huge community of Brazilians profusionist we decide them for the Latin America we're going to call them PCC for the Spanish acronym of certified clinic clinical profusionist and for Brazilians they're going to be called CPC. So it's going to be most likely like a form or a way to distinguish if it was by endorsement or if that person sat for the Latin American border cardiovascular profusion. For the recertification program, it's a huge project and that it's coming after this certification and is basically what the Americans have as recertification that is in two steps. Step one, every year 40 clinical cases with with a specific features that you can be assistant or you can be sitting for us cell saver only for two cases, etc. And we added there was a huge concern about not making or not being able to do the 40 cases you know the pandemics and some places the economical status they don't have they don't they don't make 40 cases per year so we're launching to a program that is a platform for to do 20 cases in a virtual simulation platform only for cases. And this way we can go ahead with the process because the either other ways it was to drop the cases down to 20 so this is a way to make sure that the person has either either 20 cases pumped or 20 cases done in a simulator of a real clinical cases where he has to make decisions of what to do. And we also have the step two which is every three years, and with be related about the educational CEOs, and it's basically the same we have categories category one, two, and three 45 every each So to finish, I wanted to tell you about the profusion schools accredited actually by the Latin American proficient society, we don't have the, the Commission of Allied health committee as yes you Americans have, but so far a lap it's like the organ who accredits which profusion school has the program that a lap says is the is the correct program. So basically, right now it's the profusion school, which is a master's program, I'm the director of that program it's in the Dominican Republic, and it's in a cardiovascular center, and it has the university. It's called National Pedro Enrique Urena, it's the university who gives you know the certification, and the other one is in court in Brazil, which is a certificate. And this are my students and as I was telling you I went to Texas hard I told them in a meeting that I'm. And I had to tell her that I use the profusion evaluation sheet that I got in Texas hard so I translate into Spanish. This is what we use in the profusion school they have to pump 80 cases it's a two year program. We have had students from Panama from Ecuador from Peru, and from locally from Dominican Republic. Thank you very much I wanted to thank Texas heart specifically specifically all of my teachers, but most likely Terry crane for me was a person who marked my life as a profusionist and when I went back to Venezuela I was scared. I didn't know how was was to, I was going to do as a profusionist. I ended up moving to Dominican Republic I lived, I have lived here for eight years. And well, life gave me the opportunity to start a master's program here in profusion. And I really have to say that it's inspired in Texas hard. I'm going to invite you all to our second Latin American profusion conference, which is going to be in September 16 and 18 in Costa Rica. It's a very good program, and very well prepared. It's going to be in coffee place in a coffee. How do you say like, like, like a farm like a coffee farm like very with a coven, you know, protections. So it's going to be this year you're all invited. And also I want to let you know about your journal that which is called on pump. And we make publications every for four times every year. Thank you very much for the invitation again. And thanks always for being there for us. So we can guide our steps in this huge program, and this project called the Latin American of profusion. Thank you very much to all. Thanks for the invitation. Bye bye.