Education and Training
Arora commented that when medical students are exposed to the ECHO model, they question why everybody is not approaching care in this manner (e.g., where colleagues share information), but as they move through the education system, they become more “indoctrinated” to the fee-for-service system. Antoniotti noted the slow change from resistance by physicians, to schools and residency programs beginning to teach telehealth, to new graduates expecting availability of telehealth in their practices. She noted that policy has not moved as quickly as practice to embrace telehealth. Nesbitt added that technology is being used for telementoring. That is, as has been done in the past with a phone call, colleagues are asking each other advice without a formal consultation.