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Building paediatric eyecare capability via Project ECHO tele-mentoring in Australia.

Melinda Toomey1, Lisa Keay1, Kerrie Ren1

  • 1School of Optometry and Vision Science, University of New South Wales, Sydney, Australia.

Clinical & Experimental Optometry
|December 10, 2025
PubMed
Summary

Project ECHO improved optometrists' confidence and skills in paediatric eyecare. This tele-mentoring program enhanced knowledge and competency in managing complex pediatric eye conditions.

Keywords:
Continuing professional developmentProject ECHOeyecareoptometrypaediatric

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Area of Science:

  • Ophthalmology and Optometry
  • Medical Education Technology

Background:

  • Effective pediatric eyecare necessitates continuous professional development.
  • Project ECHO (Extension for Community Healthcare Outcomes) offers a proven tele-mentoring model for healthcare practitioners.

Purpose of the Study:

  • To evaluate the acceptability and impact of a Paediatric Eyecare ECHO program among Australian optometrists.
  • To assess the program's effect on self-reported confidence and competency in pediatric eyecare.

Main Methods:

  • Eight weekly, hour-long tele-mentoring sessions focused on pediatric eyecare topics.
  • Sessions included expert-led didactics, case presentations by optometrists, and interactive discussions.
  • Participant feedback and self-assessed competency were measured using pre-, mid-, and post-program online questionnaires.

Main Results:

  • High engagement with 98.1% attendance; 44 optometrists participated in the evaluation.
  • Significant pre-program knowledge deficits identified in strabismus, amblyopia, developmental delays, and ocular emergencies.
  • Post-program, optometrists reported increased satisfaction (>85%), likelihood to implement knowledge (>88.6%), and a significant increase in self-assessed competency (+0.51).

Conclusions:

  • The Paediatric Eyecare ECHO model demonstrated positive outcomes in optometrist engagement, satisfaction, knowledge implementation, and competency.
  • This tele-mentoring approach is a promising educational modality for enhancing pediatric eye care and potentially other specialized optometric fields.