{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T18:27:18Z","timestamp":1782152838829,"version":"3.54.5"},"reference-count":26,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,5,10]],"date-time":"2020-05-10T00:00:00Z","timestamp":1589068800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000867","name":"Robert Wood Johnson Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000867","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["acrjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Arthritis Care &amp; Research"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To demonstrate the effectiveness of the Extension for Community Healthcare Outcomes (Project <jats:styled-content style=\"fixed-case\">ECHO<\/jats:styled-content>) in educating primary care clinicians (<jats:styled-content style=\"fixed-case\">PCC<\/jats:styled-content>s) to provide best practice rheumatic care to patients in under\u2010resourced communities in New Mexico.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Attendee data for weekly tele<jats:styled-content style=\"fixed-case\">ECHO<\/jats:styled-content> sessions, lectures, grand rounds, and mini\u2010residency trainings were evaluated from June 2006 to June 2014. Participant feedback was evaluated from January 2009 to December 2014, when the program was approved for continuing medical education (<jats:styled-content style=\"fixed-case\">CME<\/jats:styled-content>) credits. Retrospective review of diagnoses associated with case presentations was conducted from June 2006 to June 2014 to evaluate the types of cases presented. A focus group was conducted with a convenience sample of 8 New Mexico <jats:styled-content style=\"fixed-case\">PCC<\/jats:styled-content>s who participated in <jats:styled-content style=\"fixed-case\">ECHO<\/jats:styled-content> Rheumatology (<jats:styled-content style=\"fixed-case\">ECHO<\/jats:styled-content> Rheum) for 1 year or longer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Over the course of 9 years, <jats:styled-content style=\"fixed-case\">ECHO<\/jats:styled-content> Rheum educated 2,230 clinicians, consisting primarily of physicians (53%) and nurse practitioners (22%). A total of 1,958 <jats:styled-content style=\"fixed-case\">CME<\/jats:styled-content> credits were awarded to those who participated. There were 1,173 cases presented; 85% of the cases reflected the 3 most common diagnoses: rheumatoid arthritis (n = 715), fibromyalgia (n = 241), and systemic lupus erythematosus (n = 54). In addition, <jats:styled-content style=\"fixed-case\">ECHO<\/jats:styled-content> Rheum conducted 15 two\u2010day mini\u2010residencies involving 30 <jats:styled-content style=\"fixed-case\">PCC<\/jats:styled-content>s; 21 of these clinicians subsequently completed the American College of Rheumatology online certification.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Results from this study demonstrate that participation in <jats:styled-content style=\"fixed-case\">ECHO<\/jats:styled-content> Rheum provides clinicians in under\u2010resourced areas access to best\u2010practice knowledge and training in rheumatology.<\/jats:p><\/jats:sec>","DOI":"10.1002\/acr.23889","type":"journal-article","created":{"date-parts":[[2019,3,30]],"date-time":"2019-03-30T09:00:26Z","timestamp":1553936426000},"page":"850-858","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Rheumatic Care in Under\u2010Resourced Areas Using the Extension for Community Healthcare Outcomes Model"],"prefix":"10.1002","volume":"72","author":[{"given":"Arthur","family":"Bankhurst","sequence":"first","affiliation":[{"name":"University of New Mexico Health Sciences Center  Albuquerque"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Romero\u2010Olivas","sequence":"additional","affiliation":[{"name":"University of New Mexico  Albuquerque"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Hernandez Larson","sequence":"additional","affiliation":[{"name":"University of New Mexico Health Sciences Center  Albuquerque"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Bradford","sequence":"additional","affiliation":[{"name":"University of New Mexico Health Sciences Center  Albuquerque"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roderick","family":"Fields","sequence":"additional","affiliation":[{"name":"University of New Mexico  Albuquerque"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Summers","family":"Kalishman","sequence":"additional","affiliation":[{"name":"University of New Mexico Health Sciences Center  Albuquerque"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marisa","family":"Marquez","sequence":"additional","affiliation":[{"name":"University of New Mexico Health Sciences Center  Albuquerque"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Gonzales\u2010Van Horn","sequence":"additional","affiliation":[{"name":"University of New Mexico Health Sciences Center  Albuquerque"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Jones","sequence":"additional","affiliation":[{"name":"University of New Mexico Health Sciences Center  Albuquerque"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Burke","sequence":"additional","affiliation":[{"name":"University of New Mexico Health Sciences Center  Albuquerque"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Snead","sequence":"additional","affiliation":[{"name":"University of New Mexico Health Sciences Center  Albuquerque"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanjeev","family":"Arora","sequence":"additional","affiliation":[{"name":"University of New Mexico Health Sciences Center  Albuquerque"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,10]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Centers for Disease Control and Prevention.Arthritis\u2010related statistics.2018. 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