 I am going to talk about some of our history actually thanks to Terry Crane, you know, he's a hoarder. And so his wife said get the stuff out of my garage or whatever you had to get it out of. So Terry every time he comes down to, you know, see students you'll bring me a gift of a box of something. Okay, so he brought me a box that actually Raymond and Raymond McGinnis who is program director for almost 20 years here and prior to that he was a clinical coordinator, and one of our founders so I'm standing on the shoulders of giants and two of them are here. And so I thank you Raymond I called Raymond and he gave me a lot of the back back stories for some of this. And I wanted to talk about a little bit of our history and how we started as a program and then merged to back a laureate program and then why we are back again. So, I have no conflicts of interest and nothing to disclose, except I don't know how to use the computer. That's why I have a lot of students back there they do this. So you might not be able to see some of these documents but in this box that Terry gave me was a treasure chest of all documents and so had lots of fun sitting there reading these things. So this particular document that I found was just a brief history or overview that had been done. I'm sure by either Raymond or Charlie about explaining how we started and the transition so basically and Terry's already said in the early 70s 1970 dates 71 72 actually 72 is in class started the the first six month class clinical training started. In 1975 and 1977 Charlie had already and actually earlier than that which I didn't really realize from the inception the goal, and he was making plans to transition to a baccalaureate or a degree program. So the proposals were made to university DC around the Houston area. And, as we are very proud to say we're the first credit program of the American Board of cardiovascular profusion was the accreditation group then and Charlie was the president so of course he accredited THI first. Anyways, in the 80s and so that's kind of the timeline so we'll kind of break it down a little bit. So, this actually was also in the box and if you can, you can't see this scribble on here but this is Charlie's notes. Okay, Charlie and I didn't put the second page on here but I loved it because he didn't sign his name just put the administration. And he was dictating notes to his secretary to explain the history of the school and in this letter he's basically talking about the first class, it was a six month program, and that the board of trustees for Texas Heart had approved him developing a proposal for us to become a baccalaureate program. And so this was his notes, just to basically write the letter to to actually the Texas College, coordinating or for universities and colleges. And so, again, you've seen this picture. This is classic but this is the very first class of the Texas Heart Institute. I'm not sure the date of that letter but it was prior then to I want to say it was probably 73 or 74. So these two, actually, and I didn't know this Raymond shared this with me that in the first program that are the institution that Charlie had thought about associating with with was the University of Houston, and not the University of Texas. So the first proposals were actually on the, and this is a picture of the proposal to the University of Houston, and actually a letter from the dean of the College of Pharmacology with the University of Houston is at that time the University of Houston didn't have a medical program that they did have a very solid which they still to do this day solid pharmacology program and so they were the goal was to have a an extra portfolio technology degree under the current College of Pharmacology. So this was the very first proposal. Two years later, Charlie tried a, again that first proposal was denied actually there was a moratorium on any new programs by the state coordinating board and so that first proposal was denied. And so Charlie had the dean's lit write a letter actually to the coordinating board of Texas about the urgency for having a an organized education program for profusionist in Texas. So, you know the early 60s the first program was the Cleveland Clinic and then the first degree program was actually established in 1968 and at the Ohio State University and I say the because my families from Kentucky. We're, we know about the Ohio State and the Cleveland Clinic. So, those that love the Ohio State, I'm not poking fun, it's a fabulous institution. So there was a degree program at the Ohio State but there, that was the only one in the late 60s, early 70s, some other programs started so then there were actually programs that had started in Pennsylvania, South Carolina had started, and there were a few associate programs but there was no program in Texas, and there was, you know, an explosion of cardiovascular cases. You know, we're talking about late 60s, Dr. Cooley then by into the 70s we were doing a lot of cases here, not the numbers that that the profusionist did in the late 70s and 80s, but there was a great need to have trained cardiopulmonary technologies, profusionist, potex, and a greater need for people to teach them, and that we were lacking in both. So, Charlie tried again, and unfortunately, a big concern with both of these proposals was that there wasn't a accreditation for profusion as a profession, and for accreditation of our education process. So, segueing the education and formal education was also the development of a, a certification process, and as well as an accreditation process. So, the university system of the coordinating more for Texas was a bit concerned about starting a program that would actually be a baccalaureate program and profusion without it being accredited by the AMA. Now, by the late 70s, we had already been accredited by the American Board, but the standards to actually evaluate and assess how we were training profusionist had was in its infancy and hot had not been developed and was actually being it was slowly developed so we still had some lag. So, we were starting certification, but people were still being on the job train. We had some education, but it was still not being assessed about what the standards were so that there was, that there was, I guess, an assessment of were you being trained in the areas that you need to train. So, Charlie wrote the AMA, which is the American Medical Association, which at that time was actually doing accreditation for allied health education programs, and that segue of the health education programs for AMA was called the AMA and CAHIA. And so, AMA and CAHIA we're going to take over the accreditation process for profusion education, but again, our various organizations had not developed the standards completely so it was still going through the American Board. That's a whole nother lecture, honestly. It's fascinating to me about how our organizations from AMSEC and the American Board, and I guess from all of this just thinking about what are our predecessors, the people that came before us and God bless the people that are here right now. I mean, as a student, and I started in 1983, and I didn't have a clue. I didn't know what accreditation meant, or I just wanted something where I thought I could be pretty good at it, but you all were very brave, you know, very brave, and had a lot to learn, and didn't have people that then they were learning to and, you know, took a deep dive, and I am forever grateful for that. And I think the point of this whole conversation, which I'll finish, is that we need to continue that journey. And the path has been paved by men and women much bigger than me, much smarter than me, much brighter than me, and clinicians that were much braver than me, and so it's a little smoother, but we got a long way to go. We still have things to do. So I think that's why I wanted to, especially THI, profusionists and graduates, because I'm proud and I think we're the best. So anyway, I, the students know I get off topic. They're supposed to help me. Anyway, so, and whatever you think a Charlie read is a very complicated man, but the more I learn about these, as I read these, the more I come to appreciate what he did for our profession, and for patient care, and for, for me personally, and I'm forever grateful. So this again, these are some communications to the between the coordinating board of the, the Texas and Charlie Charlie went to Austin explained you know what their goals were, we were going to get accredited by the AMA, you know why there's a great need, and needless to say both proposals from 75 and 77 to establish a baccalaureate program at between the Texas Heart Institute and the University of Houston was denied by the coordinating board of the Texas colleges. And so we continued as a certificate program throughout the 1970s. And these are just a few of the classes of those, what I call my heroes of the people that graduated in the 1970s and I'm so thankful that some of them are sitting right here. I went pesters me like all the time. So, all the time. Okay, so Charlie started again, he tried again. And so he submitted a another proposal but this time through the University of Texas Health Science Center in Houston. I found this from the desk of Charlie C read, it's the pen is in red. If you guys know Charlie, you like to write in red. Usually there were words on the papers that you couldn't put up on the screen that was going to go out on the internet. So I thought those is pretty cool. So, he said start a file on the BS school. And this is Charlie actually speaking at one of the graduate dinners from the podium of his favorite restaurant sunny looks. Then anyway, this is just a picture of the proposal for the baccalaureate program at the University of Texas Health Science Center here in Houston. This time Charlie got some big guys to write supporting letters and so Charlie had letters written by Dr. Arthur Keats who was our chief of CB anesthesia here at Texas Heart. And in the notes it also says there was a letter from Dr. Cooley I couldn't find the letter but I'm sure there was also a letter pinned by Dr. Cooley, or Terry kept that letter, maybe. Okay, but it is on Dr. Cooley stationary and so Charlie wrote about the urgency and need and the support and how a profusionist and anesthesia work so closely together. And actually, by this point, the cases are exploding now you're in that era where we're doing 5000 hearts. And so, think about you've got and they showed pictures you've got 10 staff. And Chris you can remember how many staff you had and how many seven staff doing 5000 hearts. So you do the math and you know that students, you know I was here in the early 80s we had, you know to run sometimes from room to room, we were, you know, maybe doing, you know, 4000 hearts but I'm sure it was crazy. So a dire need to have an education program to train profusionist and it was starting all over the country. And also, on top of that which I didn't put in here. It wasn't for the money. Okay, because I don't know what Chris started at but I saw where she got erased, and it was up to a whopping $12,600. Annually, not monthly. Okay. So, for whatever reason, University of Texas, whatever you got that program was approved within six months of the proposal. And so the baccalaureate program and profusion technology was approved, and the program was going to transition from TX, THI to the University of Texas in June of 1982 Charlie was appointed as a program director and adjunct assistant professor of profusion at the University of Texas Health Science Center in Houston. He received no salary or tenure from the UT, and that year now I don't know if there were subsequent years and Raymond may be able to answer that question but I couldn't find any documentation so again, wasn't that he was getting paid a lot of money or getting tenure to be part of UT. Raymond McGinnis. My mentor, my chief was named the coordinator, the perfusion coordinator for the program. And so Raymond was actually that also named and these are some papers. He was named the recruitment. He was on the recruitment committee, which Raymond shared with me he was the only recruiter so he was the committee. And he was also on the curriculum and academic curriculum development so Raymond was was fundamental and developing the curriculum for the teach ice program, both at UT and here at Texas art so thank you Raymond. We wouldn't have a curriculum of you. So, also, this, this letter was interesting, I can't see it, but I wanted to show with you in this. In the letter, I had the names written. Of the students that were in transition, and they were given credit. And I wanted to read these to you so here we go when they find them. Well, anyway, I on here, or I know, Bob Owens is Robert Owens is on this list. Any getings is on this list Doug Thompson's on this list. So I wanted to point that out that those are the transition years this is a picture of the first dean's list of the first transition class for the UT and these are the that were on the dean's list and I got my grades so we can get in trouble with the government, but these are the names of the people that made the dean's list that first year. And again, Doug's on there pennies on there, and all of these. I got to kick out of this because a lot of these names are my seniors and my, my staff. And so this is a picture of the few classes in that early 80s that we're transitioning from certificate program to a baccalaureate program. And I think about the work there is in running two programs that are the same I can't imagine running a program where one was through a university and one was through THI, and keeping those balanced and separate so kudos to to Ray and Trudy and, and all of you for managing that. I'm shortly after this school became a baccalaureate. In 1983, the school became accredited by the committee for allied health education and accreditation which is to here. And so we had continuing accreditation it just transferred from the American board to here. In 1984, the American board, American Medical Association with started withdrawing accreditation for allied health programs. So the accreditation process for allied health programs, including perfusion transferred from Kahia to what we now today know as k have and the coa for perfusion for k have is the ACP so that's the organization that accredits our programs today. In 1985, Charlie retired became a consultant he consulted from Pickles Gap. He was named the chief emeritus Raymond was named the program director at THI and the program at UT and Trudy continue to be the associate director, and we continue through the 80s. I'm not really sure and I couldn't find and Ray and I had a really nice conversation about why the decision was made for UT to close the program and transfer it back to Texas Art. There was a change of deans, there was a new dean in the early 90s. I'm not sure they've been low dean that and I don't know where he was from but he wanted to look at all the allied health programs. I read some things about transitioning some of the programs to a master's level, and for whatever reason that was made decision was made to close the profusion technology program at the University of Texas. Today, again, through those to you and Trudy for keeping it together because they have a short window to transition the sponsorship of the program back from UT to Texas Art. These are just correspondence between UT to Raymond that we're taking no more classes in December of 1992, starting in 1993, that that would be the last class that would enter. Now, Raymond didn't sit around and just say, okay, so Raymond was actually trying to find other universities for us to affiliate with so that we can maintain our baccalaureate program. So all of you that trained during that time and thought Raymond wasn't doing anything. Shame on us. Okay. Actually, there's proposals and conversation between Raymond and the Texas Women's University and Southwest Texas State University. Both of those for, and I think it was time in right can expand on that I think it was more of time and trying to transition the programs and so the decision was made by the the board to transition the program back to THI as a certificate program. So when it came back as a certificate program and this is actually the last classes in 1993 that were you baccalaureate programs through UT. So when the program transition back. It now the accreditation required a bachelor's degree. In the early days, people were entering with associates degrees some people high school degrees, and then transitioning to baccalaureate so it was established that you had to have a baccalaureate degree. So from that point forward, that's why our program is now a post baccalaureate certificate program, which continues today. Okay. We're strong. We continue because of the hard work and dedication of Charlie and Raymond and Trudy and Terry Diane, and all the staff and students that served in that time, and developed a formal education and our profession of profusion technology and we're forever indebted to you all. We made a reality by Dr. Cooley, our founder, and we've got lots of hard work still to do. So, thank you very much.