Is Project ECHO the transformational silver lining for interprofessional and interorganizational collaboration?

IF 1.9 3区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Phillip G Clark
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Abstract

The globally disruptive impact of the COVID-19 pandemic on both healthcare systems and health profession education has created an opportunity for a reassessment of methods for delivering interprofessional practice education (IPE). A good candidate for consideration is Project ECHO (Extension for Community Healthcare Outcomes). Its unique combination of structural design in connecting specialist and community-based clinical sites, foundational education theories, and didactic and case-based learning methods present an innovative and promising new method of promoting both interprofessional and interorganizational collaboration. This paper first provides a description of Project ECHO, its major features, recent expansion during the pandemic, and IPE-related research history. Second, the educational concepts and theories underlying its use and their implications for interprofessional and interorganizational collaboration are reviewed. These include community of practice and single and double-loop learning. Third, the expression of these concepts in how key elements of ECHO are utilized - including the didactic presentation; the case study presentation, discussion, and tele-mentoring; and the power of community and tele-networking - will be explored. Finally, implications and applications for the expansion of ECHO into promoting competency-based education and innovative interprofessional and interorganizational collaboration will be presented.
ECHO 项目是专业间和组织间合作的转型银线吗?
COVID-19 大流行病在全球范围内对医疗保健系统和卫生专业教育都产生了破坏性影响,这为重新评估提供跨专业实践教育(IPE)的方法创造了机会。社区医疗保健成果扩展项目(ECHO)就是一个很好的候选项目。它将连接专科和社区临床站点的结构设计、基础教育理论、说教式和基于案例的学习方法独特地结合在一起,为促进跨专业和跨组织合作提供了一种创新且前景广阔的新方法。本文首先介绍了 ECHO 项目、其主要特点、最近在大流行期间的扩展情况以及 IPE 相关研究历史。其次,回顾了其使用所依据的教育概念和理论及其对跨专业和跨组织合作的影响。这些概念和理论包括实践社区、单环和双环学习。第三,将探讨这些概念在如何利用 ECHO 关键要素中的表现形式,包括授课演示、案例研究演示、讨论和远程指导,以及社区和远程网络的力量。最后,还将介绍将 ECHO 扩展到促进以能力为基础的教育以及创新的跨专业和跨组织合作的意义和应用。
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来源期刊
Journal of Interprofessional Care
Journal of Interprofessional Care HEALTH CARE SCIENCES & SERVICES-
CiteScore
5.80
自引率
14.80%
发文量
124
审稿时长
6-12 weeks
期刊介绍: The Journal of Interprofessional Care disseminates research and new developments in the field of interprofessional education and practice. We welcome contributions containing an explicit interprofessional focus, and involving a range of settings, professions, and fields. Areas of practice covered include primary, community and hospital care, health education and public health, and beyond health and social care into fields such as criminal justice and primary/elementary education. Papers introducing additional interprofessional views, for example, from a community development or environmental design perspective, are welcome. The Journal is disseminated internationally and encourages submissions from around the world.
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