“…The immediate reflection of these decisions was the alarming drop in candidates for training in the specialty, occupying only 24.2% of the 323 vacancies offered each year, and it became urgent to reverse this disastrous situation. We had a previous successful experience, which continues to this day, with SBCCV’s Teaching and Training Centers, which have always been of direct access and with a significant number of candidates, proving the negative impact of the inclusion of the prerequisite [ 4 , 5 ] . Then, a wave of innovation using new technologies introduced a series of procedures with less invasive potential, via mini-access and percutaneous catheters, occupying an important space in the treatment of valvular, aortic, and congenital heart diseases, implants of mechanical circulatory assistance devices, and in the treatment of arrhythmias.…”