In the CICU, she has developed the competencies for managing patients on VADs, including ECMO, and co- facilitates Crisis Resource Management (CRM) ECMO interdisciplinary training. Dot has over 25 years of experience in the CICU at Boston Children’s, and has lectured and presented both nationally and internationally on issues related to pediatric cardiac critical care including management of complex congenital heart disease, mechanical circulatory support, crisis resource management team training and bereavement.