Dr. Patti Robinson, at the 2025 CFHA: The Integrated Care Association annual conference, introduces the E-GATHER Reflection and Learning Tool, an evolution of the “gather” tool developed from training health improvement practitioners (BHCs) in New Zealand. The tool is designed to reduce overwhelm in the first three months of a new BHC role, bring an equity lens “up front,” and support supervision and professional development when qualified supervisors and protected time are limited. The talk reviews barriers to successful supervision in integrated behavioral health (supervisor shortages, time constraints, staffing shortages, mixed interprofessional cultures, and inconsistent clinic workflows) and highlights conditions that improve supervision (regular meetings, protected time and space, flexibility, shared purpose, and two-way feedback). A pilot in Los Angeles with BHCs transitioning from co-located care to PCBH and new, unlicensed social work associates used E-GATHER in both individual and group supervision. Reported outcomes included rapid gains in self-ratings, increased visits per day, fewer follow-ups per unique patient, higher role satisfaction, faster onboarding of new BHCs, stronger peer support, and increased interest in further skills training (e.g., FACT/Four Square, CBT, psychoeducation). Feedback emphasized that E-GATHER made supervision more structured and productive, while suggested improvements included fewer interruptions during meetings, more role plays, and supplemental trainings/webinars.