What is an ECHO clinic?


Tele-ECHOTM clinics are two-hour webconferences that begin with a brief topic presentation from a mentor/specialist, followed by case presentations, review, and group discussion. During the clinic, you and other participants present specialty patient cases, and learn from feedback provided by mentors and your peers.

Why should I participate?

You'll have access to specialists here in Hawai‘i who can assist you with specialty care needs, allowing you to not only care for your patients but also enhance your own skills and knowledge. Participation in clinics is FREE and there are no membership fees.

You will receive no-cost CME credit for the time you participate in each ECHO clinic.

Do I need special equipment?

You don't need special equipment, as ECHO clinics are not 'telehealth.' You can participate from anywhere via Zoom, a webconferencing service platform (requires a PC, tablet, laptop, with webcam, microphone, and speakers; or a 4G smart phone). A stable, fast internet connection is recommended.

I'm a specialist who'd like to mentor, what should I do?

Please email hsrhacoordinator@gmail.com with your interest. If you also Register, we will have your contact information.


How do I present a case during an ECHO clinic?


Case-based learning is one of the core principles of the Echo model. The education environment is richer and more meaningful when focused on patient problems from one's experience. Case Presentation forms exist for Behavioral Health. Please contact us for the corresponding form. You are encouraged to fill these out as best you can and to submit before a learning session.

We understand the challenge for busy clinicians to do additional paperwork and we want to reduce the barriers for anyone to present a case. If you have a patient you want to discuss, your participation will be welcome with an incomplete, or even absent, Case Presentation form. Aim for an oral presentation WITHOUT ANY PROTECTED HEALTH INFORMATION that is organized and with sufficient detail to generate relevant feedback.

Bring the experts your problem cases!

What Hawai‘i Rural Health ECHO does not

  • Provide direct patient care

  • Practice "telemedicine"

  • Promote commercial products

  • Bill for medical services

  • Charge providers to participate

What Hawai‘i Rural Health ECHO does

  • Increases health workforce capacity

  • Decentralizes specialty knowledge

  • Incorporates guided case-based learning

  • Promotes best practices and measures outcomes

  • Provides no-cost CMEs

  • Leverages technology