Gary grew up to Toronto, Canada and spent his formative years conforming to cultural stereotypes, which explains why he was accused of 'echo trophy collecting' by his boss.  At one time he held all the possible TOE accreditations: BSE, EACTA, and the PTEeXAM® Board Certification.He is a cardiothoracic anaesthetist and intensivist and has been TOE and TTE trained at both Glenfield in Leicester and St Mike's in Toronto.  He is a BSE accredited FICE supervisor, a BSE TOE supervisor and TOE accreditation assessor.  His educational roles in Leicester include being the Echo Education Lead and the ICU Echo Fellowship Director.