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Echo Didactics

Catherine M Kuza, M Tariq Hanifi, Melissa Koç, Matthias Stopfkuchen-Evans
OBJECTIVE: Transthoracic echocardiography (TTE) is important in the management of critically ill patients, yet it has not been incorporated into many residency programs' curricula. Our objective is to determine if trainees undergoing a 60-minute training session on TTE have improved knowledge, ultrasound skills, and increases the utilization of TTE during their rotation in the intensive care unit (ICU). We will also compare the results of participants with prior TTE exposure to TTE-naïve trainees...
April 9, 2018: Journal of Surgical Education
Hal Lewis, Mirna Becevic, Danny Myers, Dyann Helming, Rachel Mutrux, David Fleming, Karen Edison
INTRODUCTION: The present maldistribution of dermatologists in the USA may make it difficult for patients to access timely and quality care. Access to specialty care may be even more challenging for rural and underserved patients due to geographical limitations and other socioeconomic hardships. With over one-third of primary care patients seeking care for at least one skin problem, it is important to follow the American Academy of Dermatology Special Positioning Workgroup\'s core areas of impact regarding treatment of conditions that affect millions of patients by using a team-based approach and telemedicine technologies...
February 2018: Rural and Remote Health
Matthew F Bouchonville, Brant W Hager, Jessica B Kirk, Clifford R Qualls, Sanjeev Arora
OBJECTIVE: To determine whether participation in a multidisciplinary telementorship model of healthcare delivery improves primary care provider (PCP) and community health worker (CHW) confidence in managing patients with complex diabetes in medically underserved regions. METHODS: We applied a well-established healthcare delivery model, Project ECHO (Extension for Community Healthcare Outcomes), to the management of complex diabetes (Endo ECHO) in medically underserved communities...
January 2018: Endocrine Practice
Elisa Fisher, Michael Hasselberg, Yeates Conwell, Linda Weiss, Norma A Padrón, Erin Tiernan, Jurgis Karuza, Jeremy Donath, José A Pagán
Health care delivery and payment systems are moving rapidly toward value-based care. To be successful in this new environment, providers must consistently deliver high-quality, evidence-based, and coordinated care to patients. This study assesses whether Project ECHO(®) (Extension for Community Healthcare Outcomes) GEMH (geriatric mental health)-a remote learning and mentoring program-is an effective strategy to address geriatric mental health challenges in rural and underserved communities. Thirty-three teleECHO clinic sessions connecting a team of specialists to 54 primary care and case management spoke sites (approximately 154 participants) were conducted in 10 New York counties from late 2014 to early 2016...
October 2017: Population Health Management
Amy Sims Sanyahumbi, Craig A Sable, Melissa Karlsten, Mina C Hosseinipour, Peter N Kazembe, Charles G Minard, Daniel J Penny
BACKGROUND: Echocardiographic screening for rheumatic heart disease in asymptomatic children may result in early diagnosis and prevent progression. Physician-led screening is not feasible in Malawi. Task shifting to mid-level providers such as clinical officers may enable more widespread screening. Hypothesis With short-course training, clinical officers can accurately screen for rheumatic heart disease using focussed echocardiography. METHODS: A total of eight clinical officers completed three half-days of didactics and 2 days of hands-on echocardiography training...
August 2017: Cardiology in the Young
Elizabeth C Parsons, Elizabeth A Mattox, Lauren A Beste, David H Au, Bessie A Young, Michael F Chang, Brian N Palen
RATIONALE: Primary care providers (PCPs) frequently encounter sleep complaints, especially in regions with limited specialty care access. OBJECTIVES: The U.S. Department of Veterans Affairs Extension for Community Healthcare Outcomes (VA-ECHO) program (based on Project ECHO) has successfully provided rural PCP education in subspecialty areas, including hepatitis C. We describe the feasibility of an ECHO program for sleep medicine. METHODS: ECHO creates a virtual learning community through video-teleconferencing, combining didactics with individualized clinical case review...
February 2017: Annals of the American Thoracic Society
Lisa M Shook, Christina B Farrell, Karen A Kalinyak, Stephen C Nelson, Brandon M Hardesty, Angeli G Rampersad, Kay L Saving, Wanda J Whitten-Shurney, Julie A Panepinto, Russell E Ware, Lori E Crosby
BACKGROUND: Approximately 100,000 persons with sickle cell disease (SCD) live in the United States, including 15,000 in the Midwest. Unfortunately, many patients experience poor health outcomes due to limited access to primary care providers (PCPs) who are prepared to deliver evidence-based SCD care. Sickle Treatment and Outcomes Research in the Midwest (STORM) is a regional network established to improve care and outcomes for individuals with SCD living in Indiana, Illinois, Michigan, Minnesota, Ohio, and Wisconsin...
2016: Medical Education Online
Mirna Becevic, Rachel Mutrux, Karen Edison
INTRODUCTION: The University of Missouri, Missouri Telehealth Network has partnered with the State of Missouri to build provider capacity and increase healthcare outcomes in rural Missouri in six disease states. The Show-Me ECHO project was created in 2014, continuously going through program evaluation. METHODS: Data on participants' attendance, case presentations, awarded CMEs and self-efficacy are collected and evaluated. In addition, cost-savings data will be available after the first year of the project...
2016: Studies in Health Technology and Informatics
Richard Amini, Lori A Stolz, Jeffrey Z Kartchner, Matthew Thompson, Nicholas Stea, Nicolaus Hawbaker, Raj Joshi, Srikar Adhikari
BACKGROUND: Goal-directed ultrasound protocols have been developed to facilitate efficiency, throughput, and patient care. Hands-on instruction and training workshops have been shown to positively impact ultrasound training. OBJECTIVES: We describe a novel undifferentiated chest pain goal-directed ultrasound algorithm-focused education workshop for the purpose of enhancing emergency medicine resident training in ultrasound milestones competencies. METHODS: This was a cross-sectional study performed at an academic medical center...
2016: Advances in Medical Education and Practice
Stephen E Gordon, Alyssa B Dufour, Sara M Monti, Melissa L P Mattison, Angela G Catic, Cindy P Thomas, Lewis A Lipsitz
OBJECTIVES: US nursing homes care for increasing numbers of residents with dementia and associated behavioral problems. They often lack access to specialized clinical expertise relevant to managing these problems. Project ECHO-AGE provides this expertise through videoconference sessions between frontline nursing home staff and clinical experts at an academic medical center. We hypothesized that ECHO-AGE would result in less use of physical and chemical restraints and other quality improvements in participating facilities...
June 1, 2016: Journal of the American Medical Directors Association
Robert R Ehrman, Frances M Russell, Asimul H Ansari, Bosko Margeta, Julie M Clary, Errick Christian, Karen S Cosby, John Bailitz
OBJECTIVES: The goal of this study was to determine if emergency physicians (EPs) can correctly perform a bedside diastology examination (DE) and correctly grade the level of diastolic function with minimal additional training in echocardiography beyond what is learned in residency. We hypothesize that EPs will be accurate at detecting and grading diastolic dysfunction (DD) when compared to a criterion standard interpretation by a cardiologist. METHODS: We conducted a prospective, observational study on a convenience sample of adult patients who presented to an urban emergency department with a chief concern of dyspnea...
September 2015: American Journal of Emergency Medicine
Reena J Salgia, Patricia B Mullan, Heather McCurdy, Anne Sales, Richard H Moseley, Grace L Su
BACKGROUND: With the aging hepatitis C cohort and increasing prevalence of fatty liver disease, the burden on primary care providers (PCPs) to care for patients with liver disease is growing. In response, the Veterans Administration implemented initiatives for primary care-specialty referral to increase PCP competency in complex disease management. The Specialty Care Access Network-Extension of Community Healthcare Outcomes (SCAN-ECHO) program initiative was designed to transfer subspecialty knowledge to PCPs through case-based distance learning combined with real-time consultation...
November 2014: Telemedicine Journal and E-health: the Official Journal of the American Telemedicine Association
Robina Matyal, John D Mitchell, Philip E Hess, Bilal Chaudary, Ruma Bose, Jayant S Jainandunsing, Vanessa Wong, Feroze Mahmood
BACKGROUND: Transesophageal echocardiography (TEE) is a complex endeavor involving both motor and cognitive skills. Current training requires extended time in the clinical setting. Application of an integrated approach for TEE training including simulation could facilitate acquisition of skills and knowledge. METHODS: Echo-naive nonattending anesthesia physicians were offered Web-based echo didactics and biweekly hands-on sessions with a TEE simulator for 4 weeks...
August 2014: Anesthesiology
Joanna G Katzman, George Comerci, Jeannie F Boyle, Daniel Duhigg, Brian Shelley, Cynthia Olivas, Benson Daitz, Christie Carroll, Dara Som, Rebecca Monette, Summers Kalishman, Sanjeev Arora
INTRODUCTION: Project ECHO Pain, the innovative telementoring program for health professionals, was developed in 2009 at the University Of New Mexico Health Sciences Center to fill considerable gaps in pain management expertise. Substantive continuing education for clinicians who practice in rural and underserved communities convenes weekly by means of telehealth technology. Case-based learning, demonstrations, and didactics are incorporated into the interprofessional program that helps to improve pain management in the primary care setting...
2014: Journal of Continuing Education in the Health Professions
Carmela Socolovsky, Christopher Masi, Tamara Hamlish, Glen Aduana, Sanjeev Arora, George Bakris, Daniel Johnson
BACKGROUND: ECHO (Extension for Community Healthcare Outcomes) is a telehealth educational program that uses videoconference technology to train community-based primary care providers (PCP's) on the management of complex, chronic diseases. The main components of ECHO are didactics, case presentations, and case-based learning. ECHO was developed using the key principles of Social Cognitive Theory, Situated Learning Theory, and Community of Practice Theory. OBJECTIVES: In a prior study, we implemented an ECHO curriculum to improve management of resistant hypertension...
2013: Progress in Community Health Partnerships: Research, Education, and Action
K Annette Mizuguchi, Robert F Padera, Anna Kowalczyk, Matthew N Doran, Gregory S Couper, Amanda A Fox
No abstract text is available yet for this article.
October 2013: Anesthesia and Analgesia
Sasha K Shillcutt, Julian S Bick
No abstract text is available yet for this article.
June 2013: Anesthesia and Analgesia
Annette Vegas, Angela Jerath
No abstract text is available yet for this article.
September 2012: Anesthesia and Analgesia
Angela Jerath, Andrew Roscoe, Annette Vegas
No abstract text is available yet for this article.
September 2012: Anesthesia and Analgesia
Peter von Homeyer, Donald C Oxorn
No abstract text is available yet for this article.
September 2012: Anesthesia and Analgesia
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