Training visits are essential to the development of our Core Programs. Through these training visits, we provide expert skills transfer to the local teams in Jamaica and Bolivia. Such visits enhance skills of the local team and empower doctors and nurses to care for children in their country of birth. Training teams are typically comprised of healthcare professionals representing each specialty of pediatric cardiac surgery. Visiting team members work side by side with local teams to provide mentorship. The frequency of training visits is mandated based upon the experience of the local team. Skills transfer during training visits has played an essential role in the sustainability of our Legacy Programs in Uganda, El Salvador and Romania.