37 research outputs found

    Rationale and design of an endocrinology education program for primary care in Maine: initiation of MaineHealth Endo ECHO Maine

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    Introduction: Population health and quality of care initiatives for the management of common endocrine disorders often include algorithmic and protocol-driven workflows in primary care practices. Endo ECHO is a division of Project ECHO at University of New Mexico that engages primary care clinicians in didactic presentations and case discussions to augment conceptual (experiential, nuanced) rather than algorithmic (rote) learning. Research Design and Methods: MaineHealth Endo ECHO was designed using the Project ECHO model. Project ECHO® is an interactive learning opportunity that uses video conferencing to connect specialty and primary care to share best practices for delivering care. Using a hub and spoke model, providers connect for an hour each month. During each session there is a short didactic component and then 45 minutes of case presentation and discussion. MMP Endocrinology and Diabetes Center serves as a subspecialty “hub” that has engaged 8 “spoke” sites at 8 hospitals in Maine and New Hampshire. In video-networked clinics, a didactic presentation providing state-of-the-art information on management of endocrine disorders precedes discussion of complex patients presented by primary care clinicians from spoke sites. Indispensable resources for executing MaineHealth Endo ECHO included video networking support, program management, an administrator at the hub site, and a physician facilitator to moderate sessions. Results: Feedback from surveys of clinicians at spoke sites have been used to modify the curriculum for subsequent years of the program. Self-efficacy for disease management and appropriate referral improved. Conclusions: Endo ECHO has been successfully introduced in Maine, improves physician confidence, and may be replicated for other specialties

    The Memorial Addresses Delivered in University Hall, November 26, 1880, at the Funeral of Professor James Craig Watson, … Professor in the University from 1859 to 1879

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    This is Judge Cooley\u27s tribute to former University of Michigan astronomer Professor James Craig Watson, who died unexpectedly at age 42 and is buried in Forest Hill Cemetery in Ann Arbor. While not specifically related to the law, Cooley memorializes Watson with his ringing prose: ... it was among the stars this great man found his chief delight, and fitting it was that he should do so. He knew the stars as one knows the faces of his friends ... But it is the last few pages of the tribute that Cooley asserts the glory of the State of Michigan and specifically, the University of Michigan: ... here was and always must have been his scientific home. It was the University of Michigan that he had crowned with a garland of stars, and from whose Observatory the lightning had announced his successive discoveries... Cooley\u27s finale quotes the Ordinance of 1787 that the fathers of the Republic bound the people of the territory [of Michigan] by the unalterable law, that \u27Religion, Morality, and Knowledge, being necessary to Good Government and the happiness of mankind, Schools and the means of Education shall forever be encouraged
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