scholarly journals Project ECHO: Filling the Gap in Pediatric Palliative Care Training in India

2019 ◽  
Author(s):  
Gayatri Palat
Keyword(s):  
Palliative Care ◽  
Pediatric Palliative Care ◽  
Project Echo ◽  
Care Training

scholarly journals 69 Exploring learners’ perspectives of a pediatric palliative care tele-mentoring and education program (project ECHO) in a resource-limited setting

2020 ◽  
Vol 25 (Supplement_2) ◽  
pp. e29-e29
Author(s):  
Emily Evans ◽  
Megan Doherty ◽  
Shokoufeh Modanloo ◽  
Jennifer Rowe ◽  
Dennis Newhook ◽  
...  
Keyword(s):  
Palliative Care ◽  
Focus Groups ◽  
South Asia ◽  
Healthcare Professionals ◽  
Pediatric Palliative Care ◽  
Learning Resources ◽  
Resource Limited Settings ◽  
Project Echo ◽  
Resource Limited ◽  
One Year

Abstract Introduction/Background More than 98% of children who need palliative care live in low- or middle-income countries where access to palliative care is extremely limited. A lack of palliative care education for health care providers has been identified as a significant barrier to improving access to palliative care. Project ECHO (Extension of Community Healthcare Outcomes) is an online tele-mentoring educational platform developed to improve access to specialist care in these underserved areas. From 2018 to 2019, we piloted a one-year Project ECHO program which provided pediatric palliative care training for healthcare professionals mainly within India and surrounding South Asian countries. Objectives The objective of this study was to explore the learning experiences of participants in a Project ECHO on pediatric palliative care in South Asia and explore considerations to improve ECHO to cater to the unique learning needs and challenges for healthcare professionals in resource-limited settings. Design/Methods We implemented a one-year Project ECHO targeting healthcare providers in South Asia, which consisted of 24 bi-weekly 90-minute sessions. Learners who attended at least 20% (5 sessions) were invited to participate in focus groups. Focus groups were designed to explore participants’ experiences and the perceived strengths and weaknesses of the program. Recordings of the focus group sessions were transcribed, coded and independently verified. The codes were then arranged into overarching themes. Results Seventeen individuals from India and Bangladesh participated in four focus groups at the end of ECHO PPC. Following coding and analysis, two major themes and seven sub-themes were identified. The themes included: (1) Benefits of participation in ECHO PPC (creation of a community of practice; opportunity to exchange cultures, ideas and experiences; supportive role of the facilitator and peers; increased relevant knowledge and skills; and access to additional learning resources) and (2) Barriers to participation (difficulties with time and practice schedule management; and language and sociocultural factors). Conclusion Healthcare professionals in resource-limited settings benefit from project ECHO through the creation of a supportive, online learning community of peers where ideas, experiences and learning resources can be shared. Addressing barriers to participation may enhance the learning experience of project ECHO in the future.

scholarly journals Exploring Health Professionals’ Experiences With a Virtual Learning and Mentoring Program (Project ECHO) on Pediatric Palliative Care in South Asia

2021 ◽  
Vol 8 ◽  
pp. 2333794X2110430
Author(s):  
Megan Doherty ◽  
Shokoufeh Modanloo ◽  
Emily Evans ◽  
Jennifer Rowe ◽  
Dennis Newhook ◽  
...  
Keyword(s):  
Palliative Care ◽  
Online Education ◽  
South Asia ◽  
Learning Community ◽  
Health Care Providers ◽  
Qualitative Description ◽  
Pediatric Palliative Care ◽  
Healthcare Outcomes ◽  
Care Providers ◽  
Project Echo

Project ECHO (Extension of Community Healthcare Outcomes) is an innovative model of online education which has been proposed to enhance access to palliative care in resource-limited settings. There is limited literature describing how health care providers in low-and middle-income countries benefit from and learn from this type of training. This qualitative description study explores the learning experiences of participants in a Project ECHO program on pediatric palliative care in South Asia through focus group discussions. Discussions were transcribed, coded, independently verified, and arranged into overarching themes. We identified learning themes including the importance of creating a supportive learning community; the opportunity to share ideas and experiences; gaining knowledge and skills, and access to additional learning materials. Designing future programs to ensure a supportive and interactive learning community with attention cultural challenges may enhance learning from future Project ECHO programs.

Pain therapy, pediatric palliative care and end-of-life care: training, experience, and reactions of pediatric residents in Italy

2014 ◽  
Vol 173 (9) ◽  
pp. 1201-1207 ◽  
Author(s):  
Francesca Rusalen ◽  
Anna Ferrante ◽  
Chiara Pò ◽  
Michele Salata ◽  
Caterina Agosto ◽  
...  
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Pain Therapy ◽  
Pediatric Palliative Care ◽  
Life Care ◽  
Training Experience ◽  
Pediatric Residents ◽  
Care Training

Effectiveness of Pediatric Palliative Care Education on Pediatric Clinicians

2016 ◽  
Vol 39 (12) ◽  
pp. 1624-1638 ◽  
Author(s):  
Niang-Huei Peng ◽  
Cheng-Han Lee ◽  
Min-Chun Lee ◽  
Li-Chi Huang ◽  
Yue-Cune Chang ◽  
...  
Keyword(s):  
Palliative Care ◽  
Emotional Support ◽  
Pediatric Palliative Care ◽  
Educational Training ◽  
Confidence Levels ◽  
Palliative Care Education ◽  
Main Effect ◽  
Dying Children ◽  
Life Threatening ◽  
Care Training

A lack of knowledge and skills in pediatric palliative care may create hesitation in caring for children with serious life-threatening conditions and their families. Our research examined the effectiveness of pediatric palliative care training for pediatric clinicians. A pretest–posttest study provided educational training in pediatric palliative care to pediatric clinicians and used a pretest and a posttest to assess outcomes. Fifty pediatric clinicians attended this research with 83.3% response rate. After training, participants reported significantly increased confidence in a variety of areas, including providing emotional support to clinicians, personal knowledge, skills, and communication; ethical and legal concerns; and providing emotional support to dying children and their families. Results showed a significant main effect of training on confidence levels ( p < .000). This suggests that education can effectively boost pediatric clinicians’ confidence regarding providing pediatric palliative care and therefore should regularly be provided to clinicians.

scholarly journals Using Virtual Learning to Build Pediatric Palliative Care Capacity in South Asia: Experiences of Implementing a Teleteaching and Mentorship Program (Project ECHO)

2021 ◽  
pp. 210-222
Author(s):  
Megan Doherty ◽  
Spandana Rayala ◽  
Emily Evans ◽  
Jennifer Rowe ◽  
Vineela Rapelli ◽  
...  
Keyword(s):  
Palliative Care ◽  
South Asia ◽  
Virtual Learning ◽  
Pediatric Palliative Care ◽  
Healthcare Outcomes ◽  
Resource Limited Settings ◽  
Project Echo ◽  
Resource Limited ◽  
The Impact ◽  
Improve Access

Palliative care is an important component of pediatric cancer treatment that provides holistic support for children and their families. In low- and middle-income countries, where 98% of the children needing palliative care reside, access to palliative care services is often very limited. Training opportunities for healthcare professionals are essential to improve access to palliative care in these settings. Virtual learning, which brings training and mentorship directly to learners, can improve access to educational opportunities for staff in resource-limited settings. In this report, we describe a novel and evolving model of building pediatric palliative care (PPC) capacity in South Asia. We describe the design, implementation, challenges, and subsequent modifications of our program, as well as the impact of the program for participants and for PPC service delivery in South Asia. Our teleteaching and mentoring program (Project ECHO) [Extension for Community Healthcare Outcomes] consisted of biweekly videoconference sessions with didactic teaching and case-based discussions. The program focused on engaging participants in meaningful learning by focusing on opportunities for participant interaction through teachings and case discussions. Participants identified the program as particularly beneficial for improving their knowledge and confidence in managing seriously ill children. Project ECHO is a novel model of building PPC capacity that is suitable for resource-limited settings. Key modifications to the Project ECHO model include a course-specific leadership team, developing learning plans to address the specific learning needs of participants, focusing on ensuring learner participation during sessions, and using social media and electronic resources to create opportunities for further learning outside of ECHO sessions. These adaptations may improve the efficacy of Project ECHO and others using virtual learning programs in resource-limited settings.

scholarly journals Lessons in Stories: Why Narrative Medicine Has a Role in Pediatric Palliative Care Training

Children ◽  
2021 ◽  
Vol 8 (5) ◽  
pp. 321
Author(s):  
Natalie Lanocha
Keyword(s):  
Palliative Care ◽  
Reflective Practice ◽  
Communication Skills ◽  
Medical Training ◽  
Community Building ◽  
Narrative Medicine ◽  
Cultural Humility ◽  
Pediatric Palliative Care ◽  
Care Training ◽  
Potential Tool

Narrative medicine is introduced and explored as a potential tool for developing competency in medical training, including reduction of burnout, sustaining empathy, and allowing for reflective practice. Developing cultural humility, communication skills, ethics, community building, and advocacy are also reviewed as domains that may be bolstered by training in narrative. Applications specific to pediatric palliative care are suggested, along with avenues for further research.

Sign in / Sign up

Export Citation Format

Share Document