Primero Ng, a recent high-risk PCI graduate who trained with Bill at UW, shares his experience transitioning back to practice in Australia and the challenges of building a complex cardiac program in a different healthcare system. Their conversation explores the differences between healthcare cultures, the importance of patient-centered care, and the personal growth that comes from stepping outside your comfort zone.• Moving between healthcare systems with different approaches to patient care• Developing a truly patient-centered approach where indications guide decisions rather than angiogram appearances• Building a complex PCI program from scratch requires focusing on culture, relationships, and small wins• The importance of deliberate practice and ongoing coaching even after formal training ends• Creating collaborative relationships with surgeons and the heart team• Finding work-life balance and keeping family priorities in perspective• Setting realistic expectations: building a program takes 3-5 years of consistent effort• The value of vulnerability and open communication in creating cultural change• Measuring success by process improvement rather than outcomes aloneSend us a text

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