Project ECHO (Extension for Community Healthcare Outcomes) was founded by Dr. Sanjeev Arora at University of New Mexico. ECHO originally launched as a way to link a University Hepatitis C specialist to primary care physicians. Project ECHO’s mission is to disseminate knowledge and amplify the capacity to provide best practice care to broad geographic areas. The program facilitates virtual clinics, linking specialists with care providers in local communities through videoconferencing. Participants become part of a learning community where they receive mentoring and feedback from specialists as they manage complex patient cases. Project ECHO’s success has spread from New Mexico to a national and even international level, with hubs all across the US and even other parts of the world. This model enables clinicians who have limited access to pediatric sub-specialists; like endocrinologists, neurologists and psychologists, to be able to discuss their challenging cases and to garner group feedback on patient management.