Since 2020, ESRT has seen significant growth in the United States and globally, with numerous institutions participating in training initiatives, including UCLA, the University of Washington, Virginia Tech Carilion School of Medicine, the University of Wisconsin, and the University of Minnesota. ESRT trials have also been conducted in unique contexts, such as UC Davis's veterinary medicine program, the American University of Beirut's Mindful Lebanon initiative, and the European Physician WellMed collaborative.