With the support of the Global Foundation of Geneva, the TTT course was digitized and made accessible to learners on mobile phone apps. The CNIS office in Vancouver was a software company some days and on others a film studio with lights, cameras, and green screens. Under the auspices of the ministry of Health of Kenya and with 3-year support from the Royal College of Physicians and Surgeons of Canada the first year of this hybrid digital program was implemented, with 138 health professionals in 24 teams from 4 counties completing the course. Support from the Mayfield Rotary Club in Edmonton and the Harbinger Foundation of Toronto balanced the budget. The course was implemented by Drs Gladwell, Kisaka and Mutiso from the MOH together with Dr’s Lett andEamer as well as several Kenyan instructors who took the remote TTT instructors course. The second year of the program starts in April 2023.