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Psychedelic-assisted therapy research in a rapidly moving field: The pearls and pitfalls Since 2020, a collaborative team spear headed through Vancouver Island University has been leading the way in psychedelic-assisted therapy programming, real world research of service delivery initiatives, and knowledge translation. At the tip of the spear, there has been much to learn about systemic facilitators and barriers in the ongoing development of a national learning system that collectively incubates culturally inclusive, safe and accessible programming. Dr. Shannon Dames serves at Vancouver Island University as the chair for the Psychedelic-assisted Therapy Graduate Certificate Program (Education), as a nursing professor and a Health Professional-Investigator (supported through the Michael Smith Foundation for Health Research/Lotte and John Hecht Memorial Foundation – Research). She collaboratively spearheaded the development of the theoretical framework for Roots to Thrive, and is now overseeing the ongoing development and research components of Roots to Thrive (Service Delivery), as a container for medicine-assisted therapy. --- To grow research capacity on Vancouver Island, Health Research BC partnered with Island Healthand the Victoria Hospitals Foundationfor the first Health xChange in Victoria, BC. This free public knowledge exchange and networking event was the first to showcase the innovative solutions transforming health care on Vancouver Island. Members of the public learned more about local health research. Researchers, clinicians and health care professionals discovered opportunities for collaboration and knowledge sharing. Network with the scientists, clinicians, researchers, patients, partners, and others at the cutting edge of BC health research. Using a Pecha Kuchaformat of 20 slides presented for only 20 seconds, each 6 minute and 40 second presentation was delivered in a highly accessible and engaging fashion, including opportunity for questions. During this hybrid event, health research leaders presented a broad spectrum of cutting-edge research projects that are enhancing patient care and health outcomes.