Juan Manuel Fraga Sastrías

Juan Manuel Fraga Sastrías is a Mexican and Spanish physician, a builder of health technology and a clinical simulation educator, with more than ten years leading health institutions. He works at the intersection of medicine, artificial intelligence, and medical education.

His work connects clinical practice with building software: he brings over a decade of health-institution leadership, develops digital health products, and trains professionals through clinical simulation. He writes about what he builds in his whitepapers, and tells his story in his own words in About.

• Postdoctoral studies in Transdisciplinary Sciences — ITESO (2024)
• Fellow, Resuscitation Academy — King County / Seattle EMS (2012)
• PhD in Health Sciences — Charles Sturt University (Australia) (2011) Dissertation: "Out-of-hospital Cardiac Arrest in Mexican Urban Setting"
• Diploma in Project Management — UNAM (2005)
• Master of Arts in Educational Leadership — Framingham State College (EUA) (2004)
• Master in Emergency Management — Charles Sturt University (Australia) (2001)
• MD (Médico Cirujano) — UNAM (2001)
• Advanced Emergency Medical Technician — UNAM (1995)

He builds health software that reaches the patient. His flagship project is Health Companion, a conversational health companion in production, built on a thesis of continuity: accompanying patients between visits, not replacing them. He also operates his own inference infrastructure and a set of conversational assistants.

He trains health professionals through clinical simulation, debriefing, and assessment. He directs educational initiatives at SimAcademy and Asesores en Emergencias, and participates in international clinical simulation organizations. He has developed health-education and medical simulation programs in Chile, Nicaragua, Peru, Panama, Guatemala, Brazil, Argentina and Costa Rica.

• FLASIC — Certification committee (since 2025)
• ALASIC/FLASIC — President (2011-2015)
• EuSim — Board member
• Society for Simulation in Healthcare — Co-chair, IMSH 2015 congress planning committee
• Consejo de Participación Ciudadana en Salud del Estado de Querétaro — President of the Standing Committee (since 2022)
• Clúster de la Salud del Estado de Querétaro — President (2021-2022); vice president (2018-2020)
• Colegio Médico de Querétaro — Board member (2021-2022)
• Revista Latinoamericana de Simulación Clínica — Editorial board: associate editor
• SESAM (Society in Europe for Simulation Applied to Medicine) — Member
• RENASIM (Red Nacional de Educadores en Simulación Clínica) — Founding member
• Advances in Simulation — Peer reviewer
• Simulation in Healthcare — Peer reviewer
• Clinical Simulation in Nursing — Peer reviewer
• Academia Mexicana de Medicina Prehospitalaria — Member (former)

• Low-income rural communities (Mexico) (1990s) — Primary care for small rural communities during medical training.
• Mexican Red Cross, Querétaro — Volunteer: strengthening prehospital emergency care in the city and state.
• Mexican Association for Children with Cancer (AMANC), Querétaro (Since 2022) — Board of directors: helps children with cancer from low-income families enter the health system and navigate their treatment toward more comprehensive care.
• American Heart Association — Volunteer: developed resuscitation programs in Chile, Nicaragua, Peru, Panama and Guatemala, and helped translate its materials into Spanish. Recognized by the AHA for this work.

1. From Amazon to production in 17 days: a 128 GB AI workstation serving real agents

   Fraga-Sastrías JM · Zenodo · 2026 · technical note

   technical note doi:10.5281/zenodo.23213603 ↗

2. Three assistants, three personas: private 1:1, groups, and multi-soul

   Fraga-Sastrías JM · Zenodo · 2026 · technical note

   technical note doi:10.5281/zenodo.23213594 ↗

3. Clinically Structured Retrieval: Can a Well-Designed RAG Layer Add Value Over a Base Language Model in Clinical Oncology?

   Fraga-Sastrías JM · OSF Registries — study preregistration · 2026 · registered protocol

   registered protocol doi:10.17605/OSF.IO/98M3C ↗

4. Percepción de preparación y competencia de los facilitadores para la enseñanza basada en simulación: construcción y validación de un instrumento (PPCF)

   [Translation: Facilitators’ perceived preparedness and competence for simulation-based teaching: development and validation of an instrument (PPCF)]

   Latugaye D, Astoul Bonorino C, Sierra-Murguía MA, Fraga-Sastrías JM, Dieckmann P · Educación Médica · 27(3): 101166 · 2026 · published

   published doi:10.1016/j.edumed.2026.101166 ↗

5. Retos en México en el manejo del paro cardiaco extrahospitalario

   [Translation: Challenges in managing out-of-hospital cardiac arrest in Mexico]

   Álvarez de la Cadena-Sillas J, Asensio-Lafuente E, Fraga-Sastrías JM, Rodríguez-Reyes H, Urzúa-González AR, Díaz-Soto E · Cardiovascular and Metabolic Science · 37(1): 32-42 · 2026 · published

   published doi:10.35366/122892 ↗

6. Revista Latinoamericana de Simulación Clínica: consolidación, alcance regional y proyección futura

   [Translation: Revista Latinoamericana de Simulación Clínica: consolidation, regional reach, and future outlook]

   Díaz-Guio DA, Corvetto M, Varas J, Rubio R, Fraga-Sastrías JM · Revista Latinoamericana de Simulación Clínica · 8(1): 3-5 · 2026 · published

   published doi:10.35366/123171 ↗

7. Diseño, implementación y evaluación de un programa virtual para la formación de facilitadores en simulación clínica y seguridad del paciente en Argentina

   [Translation: Design, implementation, and evaluation of a virtual program to train facilitators in clinical simulation and patient safety in Argentina]

   Latugaye D, Astoul-Bonorino C, Fraga-Sastrías JM, Dieckmann P · Revista Latinoamericana de Simulación Clínica · 7(3): 124-129 · 2025 · published

   published doi:10.35366/122071 ↗

8. Prehospital cardiac arrest resuscitation practices differ around the globe

   Kjær J, Milling L, Brøchner AC, Lippert F, Blomberg SN, Christensen HC, et al. · Resuscitation Plus · 25: 101017 · 2025 · published

   published doi:10.1016/j.resplu.2025.101017 ↗

9. Uso de Chat-GPT para la generación y conducción de escenarios simulados para el aprendizaje de habilidades no técnicas

   [Translation: Using ChatGPT to generate and run simulated scenarios for learning non-technical skills]

   Fraga-Sastrías JM, Navarrini HJ, Silva-Brehuer M, Espejo-González R, Olvera-Cortés HE, Rubio-Martínez R · Revista Latinoamericana de Simulación Clínica · 6(2): 64-71 · 2024 · published

   published doi:10.35366/117464 ↗

10. Consenso latinoamericano sobre competencias de los educadores en simulación. Comunicado de la Comisión de Certificación de FLASIC

    [Translation: Latin American consensus on the competencies of simulation educators: statement of the FLASIC Certification Commission]

    Fraga-Sastrías JM, Miranda E, Gentile A, Vaccari A, Ferrero F · Revista Latinoamericana de Simulación Clínica · 6(3): 110-118 · 2024 · published

    published doi:10.35366/118837 ↗

11. Diseño y análisis de las propiedades psicométricas del instrumento de competencias de trabajo interprofesional para su uso en la población mexicana (CIP-Mx)

    [Translation: Design and psychometric analysis of an interprofessional teamwork competencies instrument for use in the Mexican population (CIP-Mx)]

    Fraga-Sastrías JM, Mazatán Orozco R, Sierra-Murguía MA · Educación Médica · 25(6): 100948 · 2024 · published

    published doi:10.1016/j.edumed.2024.100948 ↗

12. Validation and Adaptation of the Spanish Version of Cancer Survivors’ Unmet Needs survey (CaSUN-MX) for Use in the Mexican Adult Oncology Population

    Mazatán Orozco R, Torres Alegre C, Zayas-Villanueva O, Reynoso González OU, Fraga-Sastrías JM, Sierra-Murguía MA · Salud Mental · 47(4): 151-160 · 2024 · published

    published doi:10.17711/sm.0185-3325.2024.020 ↗

13. Encuesta sobre número de participantes en diferentes actividades simuladas en América Latina

    [Translation: Survey on the number of participants in different simulation activities in Latin America]

    Fraga-Sastrías JM, Zamorano-Torres CF, Olvera-Cortés HE · Revista Latinoamericana de Simulación Clínica · 5(1): 19-29 · 2023 · published

    published doi:10.35366/110986 ↗

14. Debriefing usando medios digitales: experiencia de un taller realizado en Latinoamérica y recomendaciones para su implementación

    [Translation: Debriefing through digital media: experience from a workshop in Latin America and recommendations for implementation]

    Fraga-Sastrías JM, Sotomayor V, Espejo-González R, et al. · Revista Latinoamericana de Simulación Clínica · 3(1): 15-21 · 2021 · published

    published

15. El futuro de la simulación en el cuidado de la salud

    [Translation: The future of simulation in health care]

    Dieckmann P, Bruun B, Fraga JM, Ersdal HL · Chapter in: Simulación en Educación Médica. Manual teórico práctico (ASPEFAM, Lima) · 2019 · published

    published link ↗

16. La respuesta del Sistema Médico de Emergencias y su relación con distintos resultados en salud en personas lesionadas por el tránsito de dos ciudades mexicanas

    [Translation: Emergency medical system response and its relation to health outcomes in people injured in road traffic in two Mexican cities]

    Vera-López JD, Pérez-Núñez R, Gómez-García L, Hidalgo-Solórzano E, Fraga-Sastrías JM · Cadernos de Saúde Pública · 34(10) · 2018 · published

    published doi:10.1590/0102-311x00144916 ↗

17. What change in outcomes after cardiac arrest is necessary to change practice? Results of an international survey

    Nichol G, Brown SP, Perkins GD, Kim F, Sterz F, Broeckel Elrod J, et al. · Resuscitation · 107: 115-120 · 2016 · published

    published doi:10.1016/j.resuscitation.2016.08.004 ↗

18. Informe de 3 casos de reanimación extrahospitalaria en la ciudad de Querétaro. Importancia de un sistema integral en emergencias médicas

    [Translation: Report of three out-of-hospital resuscitation cases in the city of Querétaro: the importance of an integrated emergency medical system]

    Fraga-Sastrías JM, Aguilera-Campos A, Barinagarrementería-Aldatz F, Ortíz Mondragón C, Asensio-Lafuente E · Archivos de Cardiología de México · 84(2): 79-83 · 2014 · published

    published doi:10.1016/j.acmx.2013.08.003 ↗

19. Análisis de la inclusión de la policía en la respuesta a emergencias al paro cardiorrespiratorio extrahospitalario

    [Translation: Analysis of including police in the emergency response to out-of-hospital cardiac arrest]

    Aguilera-Campos A, Asensio-Lafuente E, Fraga-Sastrías JM · Salud Pública de México · 54(1): 60-67 · 2012 · published

    published

20. Prevalence of orthostatic hypotension in a series of elderly Mexican institutionalized patients

    Asensio-Lafuente E, Aguilera-Campos A, Corral MA, Mendoza KL, Nava PE, Rendón AL, Villegas L, Fraga-Sastrías JM, et al. · Cardiology Journal · 18(3): 282-288 · 2011 · published

    published

21. Motivos de llamada de los Servicios de Emergencia en México: definiendo prioridades

    [Translation: Reasons for calls to emergency services in Mexico: setting priorities]

    Fraga-Sastrías JM, Aguilera-Campos A, Asensio-Lafuente E · Archivos de Medicina de Urgencias de México · 2(2): 60-67 · 2010 · published

    published

22. Sistemas Médicos de Emergencia. Una perspectiva prehospitalaria

    [Translation: Emergency medical systems: a prehospital perspective]

    Fraga-Sastrías JM, Asensio-Lafuente E, Román-Morales F, Pinet-Peralta LM, Prieto-Sagredo J, Ochmann-Rasch A · Archivos de Medicina de Urgencias de México · 2(1): 25-34 · 2010 · published

    published

23. Out-of-Hospital Cardiac Arrest: First Documented Experience in a Mexican Urban Setting

    Fraga-Sastrías JM, Asensio-Lafuente E, Martínez R, Bárcenas I, Prieto-Sagredo J, Castillo L, Pinet-Peralta LM · Prehospital and Disaster Medicine · 24(2): 121-125 · 2009 · published

    published doi:10.1017/s1049023x0000666x ↗

24. Diferencias en la Tasa de Mortalidad y días de estancia hospitalaria de pacientes con trauma transportados y no transportados por ambulancias en la ciudad de Santiago de Querétaro

    [Translation: Differences in mortality and length of hospital stay among trauma patients transported and not transported by ambulance in Santiago de Querétaro]

    Ruiz-Rodríguez MA, Aguilera-Campos A, Asensio-Lafuente E, Hernández-Flores MA, Fraga-Sastrías JM · Archivos de Medicina de Urgencias de México · 1(2): 45-50 · 2009 · published

    published

25. Síncope en el anciano: hallazgos de pruebas complementarias en un centro hospitalario universitario

    [Translation: Syncope in the elderly: findings of complementary tests at a university hospital]

    Asensio-Lafuente E, Orea-Tejeda A, Castillo-Martínez L, Fraga-Sastrías JM, Colín-Ramírez E, Prieto-Sagredo JA · Archivos de Cardiología de México · 79(3): 201-206 · 2009 · published

    published

26. Clinical Experience and Practical Skills: Results from Mexico City's Paramedic Registry

    Pinet-Peralta LM, Fraga-Sastrías JM, Asensio-Lafuente E · Prehospital and Disaster Medicine · 23(3): 227-233 · 2008 · published

    published doi:10.1017/s1049023x0006492x ↗

27. El efecto de la experiencia clínica en el examen del Registro de Paramédicos del Distrito Federal

    [Translation: The effect of clinical experience on the Mexico City Paramedic Registry examination]

    Pinet-Peralta LM, Fraga-Sastrías JM, Prieto-Sagredo J, Asensio-Lafuente E · Trauma · 11(1): 5-11 · 2008 · published

    published

28. Evaluación de la técnica de reanimación cardiopulmonar básica en adultos y niños entre los médicos internos de pregrado de tres hospitales de la ciudad de Santiago de Querétaro

    [Translation: Assessment of adult and pediatric basic CPR technique among medical interns at three hospitals in Santiago de Querétaro]

    Gallardo-M HM, Ripa PM, Pérez de la Orta OH, Castro-Montes E, Fraga-Sastrías JM, Asensio-Lafuente E · Medicina Interna de México · 24(2): 104-111 · 2008 · published

    published

29. Fundación Michou y Mau: experiencia de 10 años en el traslado de pacientes quemados

    [Translation: Michou y Mau Foundation: ten years of experience transporting burn patients]

    Fraga-Sastrías JM, González-Rodríguez I, Quillo-Olvera D · Trauma · 11(1): 16-20 · 2008 · published

    published

30. Resultados de una encuesta sobre los Servicios Médicos de Urgencias Prehospitalarias realizada en México

    [Translation: Results of a survey of prehospital emergency medical services in Mexico]

    Fraga-Sastrías JM, Asensio-Lafuente E, Illescas JG · Gaceta Médica de México · 143(2): 123-130 · 2007 · published

    published

31. Estatus de los Técnicos en Urgencias Médicas en México en comparación con Estados Unidos: se debe hacer énfasis en el entrenamiento y estado laboral

    [Translation: Status of emergency medical technicians in Mexico compared with the United States: training and employment conditions need emphasis]

    Fraga-Sastrías JM, Stratton S, Asensio-Lafuente E, Castillo-Jiménez M, Vega-Rivera F, Mock C · Trauma · 7(1): 15-23 · 2004 · published

    published

32. Enfermedad de las grandes alturas

    [Translation: High-altitude illness]

    Asensio-Lafuente E, Prieto-Sagredo J, Durán ME, Comel S, Asensio-Lafuente D, Fraga-Sastrías JM, et al. · Medicina Interna de México · 19(1): 19-30 · 2003 · published

    published

Google Scholar profile ↗ · ORCID ↗

• Certified Auditor in Quality and Patient Safety, ISO 7101:2023 (valid 2024-2027) — Exemplar Global / Grupo Calidad Hospitalaria (2024)

He publishes technical notes about what he builds in his whitepapers, written for health professionals looking to implement AI, and gathers the articles from his organizations' blogs in Writings.

Short bio

Juan Manuel Fraga Sastrías is a Mexican and Spanish physician, a builder of health technology and a clinical simulation educator, with more than ten years leading health institutions. He works at the intersection of medicine, artificial intelligence, and medical education.

Correct name: Juan Manuel Fraga Sastrías. Profile: physician, clinical-AI builder, and simulation educator. He is a general physician, not an oncologist, although his clinical-AI research includes oncology. Official photo: download.

1. [1] Article in Revista Latinoamericana de Simulación Clínica (2024)
2. [2] Health Companion — product in production
3. [3] Quoted as an expert in SimZine’s SIM Debate: «¿Es el debriefing a distancia la nueva normalidad?» (2022)

• Health Companion
• SimAcademy
• Asesores en Emergencias
• LinkedIn
• ORCID
• Google Scholar