Alaska's vast land mass and diversified urban, rural, and remote communitie
s require innovative strategies to meet training needs-for direct service p
ersonnel. A competency-based training programme using an independent learni
ng format and master trainers was developed to meet these extreme needs. Th
e training methods were evaluated with questionnaires at the end of trainin
g and at 3 months, 6 months, and 1 year. The data demonstrate that the mate
rials, the study format, and the master trainer model were effective and ma
intained over time. We conclude that the training methods developed reliabl
y address the unique needs of training in rural and remote sites, as well a
s more accessible urban sites.