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good morning everyone i see a lot of people are here so were gonna get started it is my great pleasure to introduce you to dr michael mcdonald he is currently an associate professor in the division of cardiology at the university health network and mount sinai hospitals in toronto where his clinical focus is the management of patients with advanced heart failure cardiac transplantation and implantable device therapy he is currently the medical director of the heart transplant program at the peter monk cardiac center at the university health network in toronto and hes the inaugural martha rogers chair in heart failure training and education hes the immediate past president of the canadian cardiac transplant network and the current chair of the canadian cardiovascular society heart failure guidelines committee and was one of the leading authors on the most recent clinical update which he will be talking to us about today he is my former boss and program director an excellent teacher