Project ECHO tele-mentoring for district clinicians managing cancer
Project ECHO is a weekly video class where district doctors and nurses present real cases to a specialist team, learn by doing, and build a network. It worked for hepatitis C and could work for cancer.
Project ECHO's hub-and-spoke tele-mentoring model, in which specialists at a hub run regular case-based video sessions with community clinicians, has shown outcomes for hepatitis C treated in primary care equal to specialist clinics. Oncology ECHO programmes exist in India, Africa, and the US but are small. Scaling structured ECHO for symptom management, palliative care, and common-cancer protocols would multiply the reach of scarce specialists.
- Not enough oncologists, nurses, pathologists, physicists · The number of people with cancer is rising faster than the workforce trained to treat them.
- Knowledge reaches practice too slowly · Knowledge diffusion is slow: it takes years for a proven result to change what most patients receive, and no one can keep up with the literature.
- Most of the world has almost no cancer care · Seven in ten cancer deaths happen in low- and middle-income countries, where radiotherapy, pathology, surgery and drugs are scarce.
Pages like this
not linked directly; found by shared links- IdeaCredentialed diaspora oncologists staffing remote tumour boards for home-country hospitals
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- IdeaExpert-verified translation of guideline updates into 20 languages within 30 days
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- IdeaMicro-learning pushed to community oncologists within 30 days of a practice change
Shares Not enough oncologists, nurses, pathologists, physicists, Knowledge reaches practice too slowly.