The call for applications for Cohort 16 will open fall 2019.

What is EXTRA?

The EXTRA: Executive Training Program is a team-based fellowship in quality improvement (QI) and leadership open to participants from across Canada.

EXTRA is unique in its approach in partnering teams from across Canada with internationally recognized experts, faculty and coaches to address real-life health system challenges by finding and implementing real-life health system solutions.

CFHI’s EXTRA team works with you to tackle an existing priority (through the improvement project) while building your organization’s capacity and readiness to implement ongoing sustainable improvements capable of transforming the health system.

CFHI Blog: EXTRA: Executive Training Program exceeding my expectations

Executive and team-based healthcare improvement training from CFHI. EXTRA by the numbers infographic.

EXTRA program objectives

  • Create a pan- Canadian community of senior leaders dedicated to innovation
  • Build the capacity of organizations and participants to lead, achieve and sustain improvement
  • Accelerate sustainable design, implementation and evaluation of evidence-informed improvement projects that are critical to the strategic priorities of the organization



11 inter-professional teams from across Canada have been selected to participate in EXTRA’s Cohort 15.

Read more about the 2019–20 EXTRA teams and their projects. 


How EXTRA works

EXTRA builds leadership and organizational capacity to achieve evidence-informed improve­ment that enhances patient and family experience of care, the health of populations, and value-for-money, by offering:

  • EXTRA Delivery: integrated, hands-on coaching and guidance provided by expert CFHI faculty and coaches to help senior leaders design improvement and implement real change. All aspects of EXTRA are fully bilingual (French and English) to facilitate dialogue among Fellows across Canada.
  • EXTRA Impact: a curriculum engineered to deliver a customized learning experience focused on building on your organization’s capacities to design, implement and spread innovative improvement.
  • EXTRA Experience: an alumni network that includes over 400 healthcare leaders across Canada – which you can tap into during and after your fellowship – to connect with healthcare leaders working to challenge the status quo. 

Executive and team-based healthcare improvement training from CFHI. The EXTRA Approach infographic.

Timeline: 2019‒2020 Cohort 15

Executive and team-based healthcare improvement training from CFHI. EXTRA Cohort 15 Timeline.

The EXTRA curriculum

Renowned Canadian and international faculty deliver the EXTRA curriculum with support from CFHI coaches and staff. The curriculum is structured in four core interactive learning modules. Fellows gain competency as they progress through the design, implementation, and evaluation of the improvement project. The modules provide a balance of theory, tools and practical techniques. The curriculum is underpinned by CFHI’s Six Levers for Healthcare Improvement.

Last Updated: June 2019

Supporting Organizations


BC Patient Safety Quality Council
Canadian College of Health Leaders
Canadian Nurses Association
The College of Family Physicians of Canada
Canadian Patient Safety Institute
Canadian Health Leadership Network
Executive and team-based healthcare improvement training from CFHI. EXTRA-FORCES logo.

LinkedIn group for EXTRA

An online forum for EXTRA Fellows, faculty and coaches to share information and exchange ideas as part of a pan-Canadian community of leaders dedicated to quality improvement and healthcare innovation.
Join the LinkedIn group for EXTRA »

For more information contact: