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Patience Leino entered healthcare in 2005 when her son, Isaac, was born with Hypoplastic Left Heart Syndrome. Following his lengthy PICU stay and subsequent death, she became a Family Advisor, joining the PICU’s multidisciplinary team, Partners for Improving Quality and Measuring for Excellence. Former founding Co-Chair of the NC Children’s Hospital Family Advisory Board, she is now Senior Administrator of MOC External Activities with the American Board of Pediatrics. Her role at the ABP is to assess, coach, and refine various pathways for physicians seeking to claim MOC credit for QI work. Primarily focused on physicians crafting their own projects or claiming credit for involvement in acquiring Patient-Centered Medical Home through NCQA, she often serves as both QI coach and project reviewer.