Supplementary Material for: IDEAL: A Comprehensive Virtual Training Program for Pediatric Diabetes Educators in Low-Resource Settings – Structure, Strengths, and Challenges

Introduction: Pediatric Diabetes Educators (PDEs) are scarce in low-resource settings (LRS), compromising diabetes care and increasing morbidity and mortality.
Methods: The Indian Society for Pediatric & Adolescent Endocrinology (ISPAE) developed IDEAL (ISPAE Diabetes Education And Learning), a 12-week virtual program with 24 interactive sessions of 2 hours each, 58 faculty members, practical assignments, a rigorous exit exam, and ongoing post-certification engagement via WhatsApp. Results: Since October 2021, 177 PDEs (128 non-physicians, 49 physicians) have been trained in 8 batches, 9th batch completing. Teaching is in English, but assignments are accepted in 8 Indian languages. 91% of trainees were women, 24% were persons with type 1 diabetes (PwT1D) or their parents, and 50% were from smaller cities. Engagement was high, with a 91% attendance rate. Post-session test scores improved significantly (p < 0.05). IDEAL received the ISPAD Innovation Award (2023) and ISPAD endorsement. Eighty-five of the 177 IDEAL alumni (‘IDEALites’) completed a post-course survey. Of these, 88% are actively contributing to pediatric diabetes care, and earning recognition and awards for their efforts.
Challenges: Limited hands-on experience, a demanding program, and language barriers.
Conclusion: IDEAL is a pioneering, structured, intensive, virtual, award-winning PDE training program. Being accessible and sustainable, it can serve as a practical model for other programs in LRS.