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Under the program USAID initiated partnerships between American and Bulgarian hospitals to provide training, technical assistance and equipment. A pediatric trauma unit was established at the Pirogov Emergency Medical Institute and equipment was provided to St. Ekaterina Hospital to enable it to provide training to doctors out in the regions. Bulgarian doctors from St. Ekaterina Hospital received specialized training in the U.S., and then they, along with a team of American doctors, traveled around Bulgaria training doctors on advanced cardiac care and surgical procedures.