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ECHO-Chicago Geriatrics: using telementoring to "geriatricize" the primary care workforce.

Pari Jafari1, Tia Kostas2, Stacie Levine2

  • 1Pritzker School of Medicine, University of Chicago , Chicago, IL, USA.

Gerontology & Geriatrics Education
|February 2, 2019
PubMed
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The Extension for Community Healthcare Outcomes (ECHO) program significantly improved primary care providers' confidence and practice behaviors in geriatrics care. This continuing education intervention addresses the needs of the growing older adult population.

Area of Science:

  • Geriatric Medicine
  • Medical Education
  • Public Health

Background:

  • The primary care workforce requires enhanced skills to manage the increasing number of older adults.
  • Existing healthcare systems face challenges in providing specialized geriatric care to a growing elderly population.

Purpose of the Study:

  • To evaluate the effectiveness of the Extension for Community Healthcare Outcomes (ECHO) program in improving geriatric care competencies.
  • To assess the impact of ECHO on healthcare providers' self-efficacy and practice behaviors related to geriatric medicine.

Main Methods:

  • A pre/post survey design was used to collect data from healthcare providers (HCPs) participating in ECHO-Chicago Geriatrics.
  • Participants completed 8 to 12 telementoring sessions focused on geriatrics competencies between February 2016 and October 2017.
Keywords:
Primary care workforcecontinuing medical educationtechnology in education

Related Experiment Videos

  • Self-efficacy and frequency of geriatrics-centered practice behaviors were measured for 15 competencies.

    • Main Results:

    • Sixty-two of 89 eligible HCPs completed the surveys (69.7% completion rate).
    • A statistically significant increase in self-efficacy was observed across all 15 geriatric competencies post-participation (p < 0.05).
    • The frequency of 8 out of 11 assessed geriatrics-centered practice behaviors significantly increased (p < 0.05).

    Conclusions:

    • The ECHO-Chicago Geriatrics program serves as an effective strategy for enhancing geriatric care knowledge and skills.
    • This telementoring intervention successfully improved community HCPs' self-efficacy and adoption of geriatric-focused practice behaviors.
    • ECHO offers a scalable solution to bridge the gap in geriatric expertise within primary care settings.