During the lifetime of the program, it will be necessary to update the courses as guideline development methodology evolves, and approaches may diversify. Scheduled environmental scans will be conducted every 3 years by the steering committee, with assistance from non-steering committee experts as needed, to determine what and how guideline development methodology has changed. Once completed, a report will be created by the INGUIDE Program Manager detailing changes needed for the courses. Changes will be categorized as none, minor or major as per Table 3. The INGUIDE Program Director will review and approve the report before any course materials are changed in consultation with the steering committee.