Publications by authors named "A Dezan"

Learning collaboratives are seldom used outside of health care quality improvement. We describe a condensed, 10-week learning collaborative ("Telemedicine Hack") that facilitated telemedicine implementation for outpatient clinicians early in the COVID-19 pandemic. Live attendance averaged 1688 participants per session.

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Background: The clinical burden of Long COVID, myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS), and other post-infectious fatiguing illnesses (PIFI) is increasing. There is a critical need to advance understanding of the effectiveness and sustainability of innovative approaches to clinical care of patients having these conditions.

Methods: We aim to assess the effectiveness of a Long COVID and Fatiguing Illness Recovery Program (LC&FIRP) in a two-arm, single-blind, pragmatic, quality improvement, professional cluster, randomized controlled trial in which 20 consenting clinicians across primary care clinics in a Federally Qualified Health Center system in San Diego, CA, will be randomized at a ratio of 1:1 to either participate in (1) weekly multi-disciplinary team-based case consultation and peer-to-peer sharing of emerging best practices (i.

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Article Synopsis
  • * Clinicians reported a significant increase in their knowledge after each session, with 75.8% indicating they would likely apply what they learned in practice, and 94.6% felt it improved their patient care.
  • * The findings suggest that COVID-19 Clinical Rounds could serve as an effective model for peer-to-peer tele-mentoring, particularly when timely, evidence-based practices are lacking.
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Article Synopsis
  • - The US Department of Health and Human Services teamed up with the University of New Mexico's Project ECHO and various organizations to launch the COVID-19 Clinical Rounds Initiative aimed at enhancing dynamic learning health systems during the pandemic.
  • - This initiative addresses three key areas of COVID-19 care: out-of-hospital/emergency services, emergency departments, and inpatient critical care, fostering a large network for real-time information sharing.
  • - From March 2020 to February 2021, the initiative conducted 125 learning sessions, resulting in over 58,000 learner-hours of engagement across all 50 states and more than 100 countries.
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