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Murphy Rayle CCP, LP, MBA, FAACP

Murphy has spent his entire adult life working in healthcare.  Starting at the age of 15, Murphy worked as a surgical retractor holder in the operating room at Baylor University Medical Center. During his undergraduate studies at Austin College, he worked as an anesthesia technician and was introduced to perfusion.  After graduating from Texas Heart Institute in 2014, Murphy has worked throughout the Dallas/Fort Worth metroplex, providing perfusion services ranging from cardiopulmonary bypass support, ECMO transports, and normothermic regional perfusion.  


Murphy is a member of the American Academy of Cardiovascular Perfusion (AACP) and is pursuing an MBA with an emphasis in healthcare from UT Dallas Naveen Jindal School of Management.  He expects to graduate in the Fall of 2023. 


As the Texas Perfusion Organization (TPO) grows, Murphy hopes to share his passion for promoting the voice of Texas perfusionists on both a local and state level.  By inviting and engaging perfusionists to this organization, he can act to elevate and address the concerns of Texas perfusionists.  

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Ann Guercio CCP, LP, MBA, FAACP

Ann is a graduate of the Texas Heart Institute School of Perfusion, class of June 1986. Most of her perfusion professional career has been in Houston, Texas. First as an instructor at THI for ten years, then providing perfusion services in the Houston community hospital setting.

Ann is a Fellow member of the American Academy of Cardiovascular Perfusion (AACP) and a member of the American Society of Extracorporeal Technology (AmSect). She has served as a Director of the American Board of Cardiovascular Perfusion (ABCP) for the past eleven years and currently serves as ABCP President. Ann is dedicated to advancing the perfusion profession and CCP credential for the purpose of educational quality and competency.

As a founding member of the Texas Perfusion Organization (TPO), Ann is excited to bring Texas perfusionists together to share ideas, experiences and promote the perfusion profession. Mentoring and instilling stewardship within the perfusion community is one of Ann’s most compelling goals for the TPO.

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Scott Noesges CCP, LP, FAACP

Scott Noesges, BS, CCP, LP earned a B.S. in Biology from the University of Houston, class of 2001. He began his career at The Texas Heart Institute as a Circulatory Support Specialist managing IABP’s and VAD’s.  He then attended perfusion school at The Texas Heart Institute and graduated class of June 2004.  His professional career has been serving the Dallas-Fort Worth area since graduation.


Scott is a Fellow member of the American Academy of Cardiovascular Perfusion (AACP), elected in 2013.  He currently serves as Director of the American Board of Cardiovascular Perfusion (ABCP).


Over the past decade, Scott has had a passion to develop a state organization to help drive perfusion practices and promote the profession within our state.  He is excited to be one of the founding members of the Texas Perfusion Organization (TPO) with the goal of continuing professional growth and stature within the medical profession.

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    David Boyne CCP, LP, FPP, 

    David is a 1992 graduate of St. Louis University Perfusion Technology program.  He currently is the Director of Pediatric Perfusion/ECMO/Blood Management Services at Medical City Children’s and Women’s Hospital.  David has dedicated most of his perfusion career to pediatric care.

    David is a member of AmSECT and has achieved the Fellowship of Pediatric Perfusion designation.  He also is a member of the AACP, ELSO, and the AABB.  David has served on the American Board of Cardiovascular Perfusion as a director for ten years.  His current role is Vice President.  David also serves on the Texas Medical Board Perfusion Advisory Committee.  

    Being a chartering member of the Texas Perfusion Organization (TPO), David is looking forward to a collected voice of Texas perfusionists for promoting the profession and advancing clinical care.

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    Sanjay Patel MS, CCP, LP, CPMBS, FAACP

    After earning his Master of Science in Microbiology, Sanjay Patel graduated from Texas Heart School of Perfusion in December 1995. He is passionate about education and has been an instructor since 2002 at THI School of Perfusion. He is also focused on artificial devices such as the Total Artificial Heart and is passionate about blood conservation. He has presented at various national and international Perfusion Conferences as well as STS and SABM. He is currently serving as Perfusion Supervisor at Michael E DeBakey VA Medical Center in Houston, TX. 

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    Josh Walker, BS, CCP, LP, FPP, SFA

    Joshua started his medical professional career at 17 as a combat medic and respiratory therapist in the US Army. He served as a reservist for 10 years and was mobilized in 2003 in support of Operation Iraqi Freedom, while he never deployed he’s proud of his service in support of Madigan Army Medical Center in Tacoma, Washington. Upon separating from the US Army he attended perfusion school at SUNY Upstate Medical University and graduated in 2007.  His first appointment was at The University of Texas Health at San Antonio. He was promoted to faculty after several years and was an active clinical researcher resulting in several peer reviewed academic publications, most notably a peer reviewed publication adding to the growing body of work on cardiopulmonary bypass induced renal injury.  He was trained as a pediatric perfusionist and cared for all patient populations and ended up leading the perfusion division for eight years.  Part of his professional development included cross training as a surgical first assistant, specializing in venous conduit harvesting.  He remained there for 15 years, and has since joined Comprehensive Care Services (CCS).  He has taken the role of Director of Perfusion Services for the Rio Grande Valley, overseeing perfusion operations for CCS from McAllen to Brownsville.  He has been married for 25 years, has five children, and three grandchildren.


    Joshua has been a Fellow at the American Academy of Cardiovascular Perfusion (AACP) for 13 years and is involved as a liaison for the students association of the AACP.  Joshua also holds the title of Fellow of Pediatric Perfusion within the American Society of Extracorporeal Technology.


    Along with his fellow colleagues leading the TPO, Joshua believes that Texas should be strongly represented at the state AND National levels.  He also thinks that the TPO will be a valuable asset to perfusionists to network, fellowship, and educating one another. 

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    Tiffany Robb Van Dyke, MS, CCP, LP, CPBMS

    Meet Tiffany, a dedicated pediatric perfusionist who serves as the Chief Perfusionist at the brand new Texas Children’s Hospital Austin Campus. She spent the last year leading planning efforts to establish a new perfusion program for this state-of-the-art hospital build in Austin, an experience that has both humbled her and fostered her professional growth. 

    Tiffany earned her Master of Science in Medical Pharmacology and Perfusion Sciences from the University of Arizona in 2012. She values the perfusion perspectives she has adopted over the years from her work experience at the Mayo Clinic – Minnesota, the University of Southern California, and Children’s Hospital Los Angeles. One of her most impactful experiences was practicing as a pediatric perfusionist on a medical mission trip with Children’s HeartLink. This unforgettable journey allowed Tiffany to make a meaningful difference and contribute to the sustainability of pediatric cardiovascular healthcare in an underserved region of Brazil. 

    Beyond her clinical practice, Tiffany is passionate about advancing the field of perfusion. She has contributed to the field through journal publications and presentations at international conferences. Her involvement on AmSECT’s ICEBP (International Consortium for Evidence-Based Perfusion) Committee, Quality Committee, and the JECT Editorial Board demonstrate her commitment to achieving the highest standards of patient care.  

    In addition to her professional endeavors, Tiffany embraces an adventurous spirit. A year ago she launched a podcast called On Pump, which explores the realm of perfusion and cardiac surgery. Available on popular platforms like Spotify, Apple, Google, YouTube, and others, On Pump offers captivating discussions with leading experts in the field. 

    Excited to serve on the Board of Directors for the Texas Perfusion Organization, Tiffany looks forward to learning from her peers in the field of perfusion and collaborating with professionals to expand perfusion outreach in Texas. She remains committed to lifelong learning and research, continuously seeking opportunities to enhance her knowledge in the ever-evolving field of medicine. 

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