BACKGROUND: Geriatrics training is essential for future primary care providers. The Extension for Community Healthcare Outcomes (ECHO) model improves access to specialty care via case-based videoconferencing, but Project ECHO has not previously been designed to target residents. OBJECTIVE: We designed Project ECHO-Geriatrics to deliver geriatrics education to primary care trainees using the ECHO model and evaluated self-rated geriatrics competency of trainees from the University of Washington Family Medicine Residency Network programs who participated between January 2016 and March 2017. METHODS: We assessed outcomes of Project ECHO-Geriatrics through anonymous surveys. Participants rated didactics, case discussions, and geriatrics-specific knowledge before and after sessions on a 5-point scale (1, low, to 5, high). Participants were asked whether they planned to do anything differently in their practice and, if yes, to describe this change. RESULTS: Fifteen sessions were held with 204 unique participants from 12 sites, with an average of 28 (range, 13-41) participants per session. From the 9 of 29 (31%) Family Medicine Residency Network programs that enrolled, 63% percent (116 of 184) of eligible residents attended. Sessions were highly rated (89% of responses were 4 or 5). Self-reported geriatrics-specific knowledge increased significantly (before 3.3 [SD = 0.89] versus after 4.0 [SD = 0.60], P < .001). Sixty-five percent (118 of 181) of participants reported plans to change their practice. CONCLUSIONS: Project ECHO-Geriatrics is an innovative, feasible way to train the future primary care workforce in geriatrics and grow the capacity to provide high-quality care to older adults.
BACKGROUND: Geriatrics training is essential for future primary care providers. The Extension for Community Healthcare Outcomes (ECHO) model improves access to specialty care via case-based videoconferencing, but Project ECHO has not previously been designed to target residents. OBJECTIVE: We designed Project ECHO-Geriatrics to deliver geriatrics education to primary care trainees using the ECHO model and evaluated self-rated geriatrics competency of trainees from the University of Washington Family Medicine Residency Network programs who participated between January 2016 and March 2017. METHODS: We assessed outcomes of Project ECHO-Geriatrics through anonymous surveys. Participants rated didactics, case discussions, and geriatrics-specific knowledge before and after sessions on a 5-point scale (1, low, to 5, high). Participants were asked whether they planned to do anything differently in their practice and, if yes, to describe this change. RESULTS: Fifteen sessions were held with 204 unique participants from 12 sites, with an average of 28 (range, 13-41) participants per session. From the 9 of 29 (31%) Family Medicine Residency Network programs that enrolled, 63% percent (116 of 184) of eligible residents attended. Sessions were highly rated (89% of responses were 4 or 5). Self-reported geriatrics-specific knowledge increased significantly (before 3.3 [SD = 0.89] versus after 4.0 [SD = 0.60], P < .001). Sixty-five percent (118 of 181) of participants reported plans to change their practice. CONCLUSIONS: Project ECHO-Geriatrics is an innovative, feasible way to train the future primary care workforce in geriatrics and grow the capacity to provide high-quality care to older adults.
Authors: Joanna G Katzman; Kevin Galloway; Cynthia Olivas; Kimberly McCoy-Stafford; Daniel Duhigg; George Comerci; Summers Kalishman; Chester C Buckenmaier; Laura McGhee; Kristin Joltes; Andrea Bradford; Brian Shelley; Jessica Hernandez; Sanjeev Arora Journal: Mil Med Date: 2016-03 Impact factor: 1.437
Authors: Angela G Catic; Melissa L P Mattison; Innokentiy Bakaev; Marisa Morgan; Sara M Monti; Lewis Lipsitz Journal: J Am Med Dir Assoc Date: 2014-10-11 Impact factor: 4.669
Authors: Brian R Wood; Kenton T Unruh; Natalia Martinez-Paz; Mary Annese; Christian B Ramers; Robert D Harrington; Shireesha Dhanireddy; Lisa Kimmerly; John D Scott; David H Spach Journal: Open Forum Infect Dis Date: 2016-06-20 Impact factor: 3.835
Authors: E Michael Lewiecki; Avery Jackson; Anne F Lake; John J Carey; Zhanna Belaya; Galina A Melnichenko; Rachelle Rochelle Journal: Curr Osteoporos Rep Date: 2019-12 Impact factor: 5.096