Children's HeartLink homenageia Brasil nos Estados Unidos da América

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The partnership between the American Foundation Children’s HeartLink (CHL) and the Department of Cardiology and Pediatric Cardiovascular Surgery, Hospital de Base (FUNFARME) School of Medicine Regional Sao Jose do Rio Preto (FAMERP) continues to evolve and bearing fruit [1]. In 2011, there were two visits with teams consisting of surgeons, anesthetists, physiotherapists, nurses and members of the CHL, with several operations, conduct discussions and integration of teams, directly reflected in a change of vision and local behavior. A third specific nursing and physical therapy visit also had very positive impact on our team. At each visit, integration reflects a visible growth! Alongside this integration, the service continued to advance in the share of global database based on RACHS risk score, called Quality Improvement Collaborative International Congenital Heart Surgery (IQIC team), led by Dr. Kathy Jenkins, of the Boston Children’s Hospital, Harvard Medical School [1,2]. The IQIC team has given classes monthly via the Internet to our team of Sao Jose do Rio Preto, during the years 2010 and 2011. These lessons have been translated and adapted to our reality by Professor Adilia Maria Pires Sciarra by pediatric cardiovascular surgeon Ulisses Alexandre Croti and nurse Sirley da Silva Pacheco, being given by our nurses to nursing technicians and the support staff of the Service. Dr. Kathy Jenkins signed the permission to use the copyright for teaching materials, allowing that all of these classes were used in Brazil and thus we could transmit them not only to our staff but also have them available to other centers interested (Figure 1). The foundation CHL, responsible for all this help in our environment is maintained by money from some events, donations from individuals and companies, for example, the Medtronic Foundation (http:// www.childrensheartlink.org). In this context, in 2011 we were invited to visit the Mayo Clinic Foundation, Rochester, MN, USA, under the care of Dr. Joseph A. Dearani, and the Children’s Hospitals and Clinics of Minnesota, Minneapolis, MN, USA, with Dr. David Overman, both services entirely focused on the treatment of congenital heart disease. Those were days of much learning and opportunity to observe how these teams work, each with its own characteristics, but both with a concern that caught our attention: they wanted us to understand the importance of focusing on the patient first, as main reason for our work. They have made clear that for this to become feasible, it is first necessary human resources, highly trained people,