RWJMS Project ECHO Registration

Thank you for your interest in Rutgers RWJMS NJ Project ECHO! This is an opportunity for you to collaborate with your peers and review active cases to increase knowledge and confidence in screening, treating, and managing complex conditions within your practice. While health center teams are encouraged to participate as a group, please register individually. To complete registration, please read the CEU and legal notices and provide your demographic information. Once completed, click ‘SUBMIT’ to register.

You will receive an onboarding email from our Project ECHO team within 1-2 business days containing the connection information for our upcoming clinic session(s), as well as guidelines on how to participate in the clinic(s). We look forward to seeing you on the network

Important Icon Click Here to read our CEU Disclaimers
Click Here to read the Legal Disclosure

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Indicate the RWJMS Project ECHO clinic(s) you are registering for (check all that apply): *

Please indicate your profession:*

Do you accept the following plans at your practice? (check all that apply)*

MedicaidMedicaid Managed CareMedicareCommercial

Please describe your interest in participating in Project ECHO:*

Have you ever participated in a Project ECHO before?*

Yes No

If yes, which one?

How often will you be able to attend the ECHO? (ECHOs are held biweekly. We suggest attending at least once a month to benefit from the program)*

Twice a monthOnce a monthUnsure

What type of video capabilities will you use to connect to the ECHO? (ECHOs are hosted on Zoom videoconferencing software which is free to use and download from https://Zoom.us)*

Computer WebcamSmartphone Camera using Zoom App Tablet Camera using Zoom App I’d like to request assistance with installing webcam and/or Zoom software (no-charge)

Which type(s) of patient cases are you planning to submit for specialist mentorship for the ECHO(s) you registered for above: (ECHO content relies on participant-provided cases. A benefit of ECHO compared to other CEU programs is that it can directly apply to your caseload.)*

Diabetes Pediatric ADHD Muscle-related Pain Opioid-related SUD Perinatal NAS/SEI
Thyroid Pediatric Mental Health Nerve-related Pain Non-opioid related SUD First Year/Developmental
Other Endocrinology Case Other Pediatric Behavioral Health Case Other Chronic Pain Case Other SUD Case Other NAS/SEI Case

By clicking ‘Accept and Register’ you agree to the above terms of the program.