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Refinement of Expertise in Adaptive Collaborative Huddles

The right knowledge at the right time, to the right providers, for the right patients.

First Meeting
18 Oct 2023 | 1200h EST

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Lost in the Sauce

This was how I felt when approaching my patient with military sexual trauma during my psychiatry residency. But I went through the training and read the literature and felt more imposter than an expert. However, one of the forcing functions to ensure I had the right footing to proceed was a weekly virtual meeting with my peers and supervisors where I could raise the case and my desire for direction. I felt less alone as they described the vast spectrum of modalities and approaches, but more than anything, I felt my supervisors and peers, with their pearls of wisdom, provided me the confidence to go from theory to practice. This is the priceless convenience of an academic environment.

However, many military providers are in austere environments where they "are it." Their sliding scales of confidence for each area of expertise will allow them to help a patient, call a lifeline, or send them out to an expert.

With the REACH, we hope to (re)create that socialized academic setting to teach, learn, and ultimately disseminate expertise to empower military providers to care for their soldiers, marines, sailors, airmen, and guardians.

Chances are, you'll also see a familiar face.


Meet one of the solutions to help military providers in the resource-limited regions of the world.

REACH is a model that leverages technology to democratize medical expertise.

We hope to deliver this knowledge, provide access, and empower providers with the expertise to help their patients through collegial consultations.

To help is to connect.


Without the deliberate learning lunch hours from residency or the grand rounds to cross-pollinate specialties, we can feel behind on the best practices.

The deliberate case-by-case raised by any participants for discussion and direction is a force multiplier to mitigate the lack of access to expertise.

Hyperspecialization divides, and we hope to combine.


The socialization of expertise and experience will endure longer than a text block.

The knowledge taught and received in the REACH meetings is compounded from the last. More importantly, the connection of people wanting to help people will turn treatment plans into therapeutic justified beliefs.

Bring us your cases so we can turn them into successes.

The Evidence

Read More

Find out more about the studies of how this collaborative model inspired by Project ECHO can be of benefit to our military community

Fostering Social Support and Professional Learning for Special Educators: Building a Community of Practice

Many special educators have limited professional development and networking opportunities, which could mitigate these negative experiences. Through participation in the ECHO, educators and specialists engaged in case-based learning and shared best practices for supporting students with EBD. We used a pre–post group design to examine how the ECHO model can address issues related to educator stress and emotional exhaustion while building a community of practice.

Extension for Community Healthcare Outcomes (ECHO) Telementoring in the Military: Where We Are Now, Opportunities and Challenges

The Army, Navy, and Air Force have developed medical teleECHO programs to address various health and safety issues affecting military personnel. This article describes and compares the current state of military teleECHOs as well as the growth and change over time. The military has successfully used the ECHO model to improve the health and safety of active-duty military, retirees, and dependents.

Outcomes of Treatment for Hepatitis C Virus Infection by Primary Care Providers

This study show that the ECHO model is an effective way to treat HCV infection in underserved communities. Implementation of this model would allow other states and nations to treat a greater number of patients infected with HCV than they are currently able to treat.

Supporting Parents of Children With Disabilities Using an Online, Telementoring Service Delivery Model

The purpose of this study was to examine the effectiveness of a parent education (PE) program focused on the principles of applied behavior analysis delivered using the Project ECHO service delivery model. Results demonstrate positive outcomes in parents' senses of competency and empowerment. In addition, parents identified the intervention as acceptable, suggesting this model as a highly effective and sustainable PE model for this population.


"It's amazing what you can accomplish if you do not care who gets the credit."

- Harry S. Truman

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