Charmaine Cunningham is a lecturer at UCT. She has an MBA and PhD, and clinical experience in nursing and paramedicine. She belongs to a global network of complexity thinkers that make sense of anthro-complexity. She has transdisciplinary experience in the application of systems thinking, and project management. She is a programme convener and lecturer in the Division of Emergency Medicine at UCT, convener of the Executive Leadership course in Global Surgery and a member of the Global Surgery Education committee. Her interests include sense-making, operational decision- making, and access to care.