Project ECHO: A Telementoring Network Model for Continuing Professional Development
Project ECHO: A Telementoring Network Model for Continuing Professional Development
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DOI：
10.1097/ceh.0000000000000172
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发表时间：
2017-09-01
影响因子：
1.8
通讯作者：
Rayburn, William F.
中科院分区：
文献类型：
--
作者：
Arora, Sanjeev;Kalishman, Summers G.;Rayburn, William F.
导言：当前继续医学教育系统的一个主要挑战是无法将卫生保健知识的爆炸性增长转化为日常实践。Echo项目(社区医疗保健结果扩展)是一个旨在持续专业发展(CPD)和改善患者预后的远程监护网络。本文的目的是描述该模式如何遵循几个权威报告中关于重新设计和增强CPD的建议。方法：该模式通过知识网络将初级保健临床医生与来自学术医学中心的跨专业专家团队联系起来，后者提供远程指导和持续教育，使社区临床医生能够治疗各种复杂疾病的患者。结果：该模型体现了摩尔在CPD的七个层次(参与、满意、学习、能力、表现、耐心和社区健康)中所描述的学习。该模式还与四份国家报告中的建议保持一致，这些报告旨在重新设计改善卫生保健方面的知识转让。学习课程中的努力集中在与实践相关的信息上，关注证据、教育方法、根据个人需求和社区资源定制建议，以及跨专业精神。讨论：项目ECHO作为CPD的远程实施网络模型，与当前CME的最佳实践建议保持一致。这一变革性的倡议有可能成为全国和全球更大规模的CPD的领先模式，以增强获得护理的机会、提高质量和降低成本。
Introduction: A major challenge with current systems of CME is the inability to translate the explosive growth in health care knowledge into daily practice. Project ECHO (Extension for Community Healthcare Outcomes) is a telementoring network designed for continuing professional development (CPD) and improving patient outcomes. The purpose of this article was to describe how the model has complied with recommendations from several authoritative reports about redesigning and enhancing CPD.Methods: This model links primary care clinicians through a knowledge network with an interprofessional team of specialists from an academic medical center who provide telementoring and ongoing education enabling community clinicians to treat patients with a variety of complex conditions. Knowledge and skills are shared during weekly condition-specific videoconferences.Results: The model exemplifies learning as described in the seven levels of CPD by Moore (participation, satisfaction, learning, competence, performance, patient, and community health). The model is also aligned with recommendations from four national reports intended to redesign knowledge transfer in improving health care. Efforts in learning sessions focus on information that is relevant to practice, focus on evidence, education methodology, tailoring of recommendations to individual needs and community resources, and interprofessionalism.Discussion: Project ECHO serves as a telementoring network model of CPD that aligns with current best practice recommendations for CME. This transformative initiative has the potential to serve as a leading model for larger scale CPD, nationally and globally, to enhance access to care, improve quality, and reduce cost.