FAQs about Project ECHO Ontario Skin and Wound Care

Answers to popular questions we get asked. You might also wonder about the cost – that’s easy! There’s absolutely no cost to health practitioners in Ontario who qualify and register.

1. How does Project ECHO Ontario Skin and Wound work?

The ECHO model™ links specialists and the resource team (the Hub) with primary care community-based partners (Spokes) – i.e. a hub and spoke model. The online sessions are 2-hours weekly and include a short educational lecture, followed by case-based learning from the participants’ own patients. The combination – live online sessions and in-person skills training – is a way to build health care capacity.

The resource team puts together the content of the ECHO educational lectures. Participants present de-identified cases of their own patients during the live online sessions. Participants also contribute to case discussions and evaluation surveys. They also receive continuing education/ continuous professional development credits (CE/CPD).

Through the ECHO model, community providers and specialists learn from each other, acquire knowledge, skills, increase competency and build a strong community of practice. Participants become part of a supportive community of practice and an inter-professional team.

2. What will participants learn from Project ECHO Ontario Skin and Wound?

Wound and skin care issues, including:

  • Diabetic foot ulcers
  • Pressure injuries (ulcers)
  • Venous leg ulcers
  • Common dermatological issues related to wounds e.g. hidradenitis suppurativa

3. What is the curriculum based on?

4. What is required of participants?

A. Time: Weekly 2-hour sessions: 15 minute educational lecture, followed by around 90 minutes of patient case discussions. There will also be opportunities to attend in-person ‘boot camp’ skills trainings a few times per year, to be held at various locations in Ontario.

B. Internet Access and a Webcam Enabled Device: Participants must attend the online sessions that will be offered via Zoom technology, a free online platform accessible from most desktops, laptops and smartphones. A webcam is highly encouraged as the learning experience will be highly visual and interactive. Participants will also be encouraged to download supplementary reading and material that will be made available online.

C. Commitment: As space is limited and demand is high, we ask that interested persons who sign-up commit to attending the majority of the online sessions and sign a written statement of collaboration. We also ask that participants act respectfully towards each other and members of the resource team.  Further, participants should ensure that there is no sharing of identifiable information regarding the patients of the cases presented.

5. What costs are involved?

ECHO Ontario Skin and Wound is provided at NO COST to Ontario based health care providers.

6. What are the benefits for health care providers?

  • Enhanced care for patients with skin and wound care issues
  • Certificate of Attendance, if a regular participant
  • Continuing Medical Education (CME) Credits awarded by Queen’s University
  • Being part of an interprofessional community of practice

7. How to sign up?

Sign up by filling out this 5-minute Application form.

8. When does the Project start?

Sessions run every Wednesday, starting June 2019. We are offering a total of 64 sessions of tele-ECHO for acute and chronic wounds. These will be held in three annual cycles.

9. How will participants be selected?

Health care providers with an interprofessional team and working in health care organizations within Ontario are welcome to apply; however, space in Project ECHO Ontario Wound and Skin is limited.

Preference is given to health care providers who can participate in the online sessions as part of an interprofessional team, who are in underserviced areas, or who often treat First Nations, Metis, and Inuit people living in Ontario.

10. How can I learn more?

The Project ECHO Ontario Skin and Wound Care ABOUT page has more information about the project, the international movement, the Ontario Superhub, and the other 15 Project ECHO Ontario Hubs.

We also post updates on Twitter: @ECHOWound

Three standout features: Is this the right opportunity for you?

Are you a health care provider in Ontario who wants to ensure patients with wounds are treated safely and effectively?

In 2016, Dr Gary Sibbald and three other project members travelled to the University of New Mexico to attend a three-day Project ECHO Immersion session. The was the start of what’s become an ongoing relationship with Project ECHO Replication Team, and the orientation and training needed to successfully start Project ECHO® Ontario Skin and Wound Care.

You might be considering if the program is for you and your community of practice, so here are the top three features of the program to consider:

1. Targeted Needs Assessments

Assessments of needs and environmental resource scans are carried out to determine cognitive, affective, and psychomotor competencies of providers, individual and system needs related to skin and wound care and availability of evidence-based resources.

2. Tele-ECHO Curriculum

Project ECHO WoundPedia/BPSO Ontario Skin and Wound Care sections are based on the established and highly successful International Interprofessional Wound Care Course (IWCC), RNAO Wound Care Institute and Wounds Canada courses, as well as the results from the assessments.

The Tele-ECHO curriculum provides a comprehensive educational experience. You’ll learn how to:

  1. Assess and critically review Best Practice Guidelines and best practice guideline summary documents related to wound care in key subject areas.
  2. Integrate wound care principles by a self-directed learning program formulated with a learning contract.
  3. Demonstrate the application of best practices by developing an elective related to the learner’s everyday activities.

The current IIWCC modules are built on the scientific evidence outlined by best practice guidelines interpreted by an international faculty of wound care, education and research professionals both from academia and community wound care practice. These modules have been developed into Project ECHO Skin and Wound Care curriculum.

3. Continuing Medical Education Accreditation

Clinicians (Spokes) who are part of the Project complete a pre-test prior to the beginning of the sessions and a post-test after the sessions have completed assessing the changes in knowledge, attitudes, behaviours and current knowledge translation. Polls and short weekly evaluation surveys are also be completed by project attendees after each weekly session.

Participants who attend the weekly session and complete the evaluation receive a certificate of CME credit for each attended session.

A specialized curriculum and interprofessional approach

Here’s a curriculum example demonstrating the breadth of topics that will be covered

Project ECHO Ontario Skin and Wound Care curriculum is based on the International Interprofessional Wound Care Course (IIWCC). The IWCC is grounded in adult learning principles and designed for health care professionals with education and experience in the wound care field or related industry.

An example of the curriculum, set up as four sections (A thru D), each with 8 sessions, is below. To adapt to the specific needs of each cohort, there is some flexibility built into the curriculum; however, this gives you a good idea of the breadth of skin and wound care topics that are covered.


A1. Adult Education and ECHO Basics

A2. Team Dynamics

A3. Navigating health care Systems

A4. Wound Bed Preparation holistic care paradigm (Sibbald et al. 2015)

A5. Treat the Cause – address the patient as a whole

A6. Patient Centered Concerns- pain, activities of daily living

A7. Healability- healable, non-healable, maintenance

A8. Local Wound Care – D.I.M.E.

  • Debridement, Infection/ Inflammation, Moisture Balance, Edge Effect


Diabetic foot care and related foot ulcers

B1. Person with diabetes in general – Simplified 60-Second Screen, HbA1c, etc.

B2. Vascular Supply

B3. Infection: Surface Critical Colonization, Deep and Surrounding Infection

B4. Infection and the Diabetic Foot

B5. Plantar Pressure Redistribution

B6. Differential diagnosis of leg ulcers

B7. Venous and mixed Venous/ Arterial Ulcers

B8. Arterial and mixed Arterial/ Venous Ulcers


Pressure Ulcers

C1. The patient in general, Spinal Cord Injuries

C2. Classification of Pressure Ulcers and Differential Diagnosis

C3. Pressure Redistribution/ Shear

C4. Moisture, Nutrition, Mobility and other factors

C5. Skin Tears/ trauma

C6. Moisture Associated Skin Damage

Skin and Peristomal Care

C7.Skin integrity and principles of topical therapy

C8.Special considerations for Peristomal skin


D1. Pilonidal sinus

D2. Hidradenitis Suppurativa

D3. Post-surgical wounds

D4. Burns and acute trauma

Palliative and malignant wounds

D5. Palliative wounds, skin changes at end of life

D6. Malignant wounds

D7. Lymphedema

D8. Acute Infections

More information about the International Interprofessional Wound Care Course can be found on WoundPedia.

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