Dr. Primero Ng - Wisdom Beyond Procedures

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 alone

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