Department of Pediatrics, Cohen Children's Medical Center, New Hyde Park, New York (Dr Bernstein); Zucker School of Medicine at Hofstra/Northwell, Hempstead, New York (Dr Bernstein); Department of Healthy Resilient Children, Youth, and Families, Pediatric Population Health, American Academy of Pediatrics, Itasca, Illinois (Mss Calabrese, Aird, Leffelman, and Limjuco and Mr Corcoran); Department of Pediatrics, University of Utah Health, Salt Lake City, Utah (Dr Bale); Department of Pediatrics, Newton Medical Center, Newton, New Jersey (Dr Flint); Department of Pediatrics, Section of Infectious Diseases, Baylor College of Medicine, Houston, Texas (Dr Munoz); and University of Nebraska Medical Center, Omaha, Nebraska (Dr Davies).
J Public Health Manag Pract. 2022;28(1):E1-E8. doi: 10.1097/PHH.0000000000001466.
Pediatric providers across the United States have sought guidance on how to care for the nation's children during the uncertain historic times of the COVID-19 pandemic. The health care community has been challenged by the unprecedented burden of caring for patients when they have evolving guidelines and limited information about the effects of the virus on children.
In response, the American Academy of Pediatrics (AAP) rapidly launched a national initiative to increase child health professionals' knowledge, skills, and self-efficacy. This COVID-19 ECHO (Extension for Community Healthcare Outcomes) program created communities of learners among child health professionals and subject matter expert faculty using didactic and case-based presentations that foster an "all-teach, all-learn" approach.
The initial AAP COVID-19 ECHO program hosted more than 900 participants in 127 individual virtual sessions, with approximately 25 participants per session. The evolving nature of the pandemic necessitated dynamic and continuous bidirectional flow of concerns and information relevant to participants. Session topics were selected in a "just-in-time" fashion based on participant feedback from the prospective postsession surveys and faculty recommendations; speakers brought data and expert recommendations.
To assess impact, the AAP used a mixed-methods approach to evaluate the program's effectiveness in meeting its educational objectives. The 2-phase evaluation collected quantitative and qualitative data through an integrated feedback structure that utilized prospective postsession and retrospective postprogram surveys, along with postprogram focus groups.
As the COVID-19 pandemic surges and another influenza season is upon us, the ECHO model is an effective strategy for facilitating bidirectional communication and education to build child health professionals' knowledge, skills, and self-efficacy during an unprecedented and ongoing public health emergency.
The ECHO model is an effective strategy for health care organizations to facilitate bidirectional communication and education in building health professionals' clinical knowledge, skills, and self-efficacy during the unprecedented and ongoing public health emergency of the COVID-19 pandemic.
美国各地的儿科医生都在寻求指导,以了解在 COVID-19 大流行这一历史性不确定时期如何照顾国家的儿童。医疗保健界面临着前所未有的负担,即当他们有不断发展的指导方针和关于病毒对儿童影响的有限信息时,要照顾患者。
作为回应,美国儿科学会 (AAP) 迅速发起了一项全国性倡议,以提高儿童保健专业人员的知识、技能和自我效能感。这个 COVID-19 ECHO(社区医疗保健结果扩展)计划通过专题讲座和案例为儿童保健专业人员和主题专家教师创建了学习者社区,培养了一种“全员教学、全员学习”的方法。
最初的 AAP COVID-19 ECHO 计划在 127 次单独的虚拟会议中接待了 900 多名参与者,每个会议约有 25 名参与者。大流行的不断演变性质需要参与者之间动态和持续的双向交流关注和信息。根据前瞻性课后调查和教师建议,从参与者反馈中以“即时”的方式选择会议主题;演讲者带来了数据和专家建议。
为了评估影响,AAP 采用了混合方法来评估该计划在实现其教育目标方面的有效性。该 2 阶段评估通过前瞻性课后和回顾性课后调查以及课后焦点小组收集了定量和定性数据,同时还利用了一个综合反馈结构。
随着 COVID-19 大流行的激增和另一个流感季节的到来,ECHO 模式是一种有效的策略,可以促进双向沟通和教育,在前所未有的持续公共卫生紧急情况下建立儿童保健专业人员的知识、技能和自我效能感。
ECHO 模式是医疗保健组织在前所未有的和持续的 COVID-19 大流行公共卫生紧急情况下建立卫生专业人员临床知识、技能和自我效能感的有效策略,促进双向沟通和教育。