An email invitation was distributed to CRA members by the organization’s secretariat to participate in the training program. Participants were requested to complete preparatory work to gain knowledge and understanding of Indigenous health context, including history of colonization and social determinants of health impacting health outcomes through online courses or local provincial health system materials. All participants attended a 1.5 h lecture on the E4E framework given during the Annual Scientific Meeting to the larger delegation, which demonstrated through didactic and practical applications how E4E may be applied in diabetes care. A prespecified maximum cohort size of 12 individuals was set to ensure feasibility and interactivity during the session; 2 additional participants were allowed for Cohort 2 as two additional facilitators (who completed both Phases of training in Cohort 1) were available. Those completing Phase 1 training were then invited to participate in a full-day Phase 2 training workshop to practice and solidify facilitation skills, with a commitment to deliver teaching sessions to their local residency programs and/or provide individual preceptorships to other rheumatologists. The workshops in both phases had a strategic regional representation to support distribution of the skillset and knowledge across the country.

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