Our division takes an active role in international health care. To that end, we have developed a close relationship with a heart center in Santo Domingo, Dominican Republic called CEDIMAT. Since 2003, we have sent teams from CHM to perform diagnostic and interventional cardiac catheterizations, and to do heart surgery on the children in that country. This is an invaluable experience for our senior fellows to actively participate in. They see adolescents with unrepaired congenital heart disease and get to be a part of an amazing experience in performing procedures, teaching and helping the wonderful children and their families at our home away from home in the Dominican Republic.