Activity ID



March 3, 2021

Format Type


CME Credit



CME Provider

Oregon Health & Science University School of Medicine


In the 2018 Oregon State Health Assessment created by the Oregon Health Authority, it was reported that many people across Oregon expressed difficulty accessing high-quality health care. Provider shortages create significant disparity across many parts of Oregon, and rural, frontier, and coastal areas tend to have more unmet needs.*

Oregon youth profiled in this report living in rural and frontier areas are more likely to receive free or reduced price lunch (FRPL) at school, an indicator of food insecurity. Among children and youth with a special health care need, more than one third (38%) experienced a problem accessing specialty care.
This issue is not localized to Oregon. According to a May 2016 study in the journal Pediatrics, “Rural children hospitalized at children’s hospitals have high rates of medical complexity and often reside in low-income and medically underserved areas. Compared with nonrural children, rural children experience more expensive hospitalizations and more frequent readmissions.” (Peltz, et al, Pediatrics, May 2016, 137 (5))

A 2016 study published in Academic Medicine titled “The Impact of Project ECHO on Participant and Patient Outcomes: A Systematic Review” seems to indicate that using telementoring and specifically the ECHO model can address some of these unmet needs, noting “Project ECHO is an effective and potentially cost-saving model that increases participant knowledge and patient access to health care in remote locations, but further research examining its efficacy is needed.”(Zhou, et. al; Academic Medicine, October 2016, 1439-1461-(123))

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Educational Objectives

After taking this course, learners will be able to:
1. Integrate treatment of child physical health concerns with treatment of mental health.
2. Learn to manage childhood complex and chronic conditions, including metabolic syndrome, chronic pain, headache, concussion, and abdominal pain.
3. Learn validated strategies for engaging patients and their families 4. Learn approaches that may enhance the parent-professional relationship.


Interpersonal & Communication Skills, Medical Knowledge, Patient Care & Procedural Skills

CME Credit Type

AMA PRA Category 1 Credit

Practice Setting

Inpatient, Outpatient, Rural, Urban

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