Tele-rounds and Case-Based Training: Project ECHO Telementoring Model Applied to Complex Diabetes Care

Nicolas Cuttriss; Matthew F Bouchonville; David M Maahs; Ashby F Walker

doi:10.1016/j.pcl.2020.04.017

Tele-rounds and Case-Based Training: Project ECHO Telementoring Model Applied to Complex Diabetes Care

Pediatr Clin North Am. 2020 Aug;67(4):759-772. doi: 10.1016/j.pcl.2020.04.017. Epub 2020 Jun 19.

Authors

Nicolas Cuttriss¹, Matthew F Bouchonville², David M Maahs³, Ashby F Walker⁴

Affiliations

¹ Division of Endocrinology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA. Electronic address: cuttriss@stanford.edu.
² Division of Endocrinology, Diabetes and Metabolism, University of New Mexico, MSC10 5550 1 University of New Mexico, Albuquerque, NM 87131, USA.
³ Division of Endocrinology, Department of Pediatrics, Stanford University School of Medicine, 300 Pasteur Drive, Room G-313, Stanford, CA 94305, USA.
⁴ Department of Health Services Research, Management and Policy, HPNP, Room 3117, University of Florida, Gainesville, FL 32611, USA.

PMID: 32650871
DOI: 10.1016/j.pcl.2020.04.017

Abstract

Lack of access to subspecialty care and persistent suboptimal outcomes for insulin-requiring patients with diabetes mandates development of innovative health care delivery models. The workforce shortage of endocrinologists in the United States results in primary care providers taking on the role of diabetes specialists despite lack of confidence and knowledge in complex diabetes management. The telementoring model Project ECHO amplifies and democratizes specialty knowledge to reduce disparities in care and improve health outcomes. Project ECHO can be applied to type 1 diabetes and other complex medical conditions to address health disparities and urgent needs of complex patients throughout the lifespan.

Keywords: Care delivery; Diabetes; Distance education; Insulin; Project ECHO; Telehealth; Type 1 diabetes; Vulnerable populations.

Publication types

Research Support, Non-U.S. Gov't
Review

MeSH terms

Diabetes Mellitus, Type 1 / therapy*
Education, Continuing / methods*
Education, Distance / methods*
Endocrinology / education*
Humans
Models, Educational
Teaching Rounds*
Telemedicine / methods*
Vulnerable Populations