• Nutrition During Pregnancy, Infancy, & Early Childhood ECHO

    SUBMISSION FORM

  • Thank you for your interest in presenting during this ECHO series!

    A portion of our ECHO sessions are set aside for group discussion of cases, key questions, and life experiences. These are an integral tool which Project ECHO uses to affirm our all teach/all learn philosophy. The goal of this discussion is to invite our participants to share their expertise, lived and learned, and to create a forum where complex issues can be examined with nuance and care.

    If you could use some feedback on a patient, situation, or challenge that you are facing, this ECHO is the place to do that and we would love to get you added to the schedule!

    Submission Instructions: 

    • Cases, key questions, or life experiences should be relevant to the ECHO Series, but are not required to be specific to the session topic.
    • Cases, key questions, or life experiences can be past or present examples describing an individual, situation, or challenge in your practice.
    • All information should be de-identified prior to submission.
    • The group will work together to offer recommendations in real-time or just share in guided discussion.

    This ECHO series will begin February 8th and run until May 31st, 2023. The 9 sessions will be held at 6pm – 7pm on the 2nd and 4th Wednesdays of the month, with an additional session on the last Wednesday of May.

    Register for this series: https://echo.zoom.us/meeting/register/tZ0kc-2srz4jE9b6dk9HQYV9FxrBGv1FDasK


    Still have questions? Reach out to us via email: echo@alaskachd.org

  • Submission Form

    Nutrition During Pregnancy, Infancy, & Early Childhood ECHO

  • Reminder: No protected health information is to be shared in ECHO

  • 1. In presenting this case, key question or life experience, please describe what kind of information or results you expect to receive from the group session.

    For example, "I am sharing a...."

    CASE - I am looking for recommendations and resources to help with a case (past or present)

    KEY QUESTION - I want to have a guided discussion about key questions and challenges in our field

    LIFE EXPERIENCE - I want to share a personal life experience with the group that will strengthen relationships with our clients / patients and each other

  • 2. Please provide a few statements that introduce the case, key question(s) or life experience.

    If you are sharing a key question(s), you may not need to fill out questions 3 & 4.

    If you are sharing a life experience, you do not need to fill out questions 3 & 4.

  • 3. Please provide some relevant background information on the patient / client without divulging any protected health information. 

    This may include:

    • Age
    • Gender
    • Psychosocial/Family History
    • Cultural Considerations (e.g., religion, customs, traditions, immigration, disability, race/ethnicity)
    • Diagnoses 
    • Treatment
    • Pertinent Medical History
    • Current Medication
  • Should be Empty: