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Facilitating Real-Time, Multidirectional Learning for Clinicians in a Low-Evidence Pandemic Response
Richard C Hunt1, Sofia P Braunstein2, Lauren Cuddy Egbert2
1Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Washington, DC, USA.
Project ECHO COVID-19 Clinical Rounds significantly improved clinician knowledge and patient care during the pandemic. This tele-mentoring model effectively disseminated vital information when evidence was limited.
Area of Science:
- Public Health
- Medical Education
- Infectious Diseases
Background:
- The COVID-19 pandemic created an urgent need for reliable information on the novel pathogen.
- Clinicians required timely access to evolving knowledge and best practices.
Purpose of the Study:
- To evaluate the impact of Project ECHO COVID-19 Clinical Rounds on clinician learning and practice.
- To assess the effectiveness of tele-mentoring in disseminating COVID-19 information.
Main Methods:
- Utilized Continuing Medical Education (CME) surveys and impact surveys (March-November 2020).
- Employed quantitative (descriptive statistics, Mann-Whitney testing) and qualitative (thematic analysis) methods.
- Collected data on clinician knowledge, intended use of information, and reported practice changes.
Main Results:
- Clinicians reported significantly higher knowledge levels after sessions.
- 75.8% intended to use session content, with many reporting specific clinical/operational changes.
- 94.6% felt the rounds improved patient care, and 89% would rejoin.
Conclusions:
- Project ECHO COVID-19 Clinical Rounds enhanced clinician learning and improved patient care.
- This tele-mentoring model is effective for rapid information dissemination in public health emergencies.
- Peer-to-peer tele-mentoring provides a valuable framework when clinical evidence is scarce.
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