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Anales de la Facultad de Medicina

On-line version ISSN 2301-1254


NOZAR, María et al. ECHO Project Uruguay: strengthening the training of professionals in the approach to gynecological cancer. Anfamed [online]. 2024, vol.11, n.1, e207.  Epub June 01, 2024. ISSN 2301-1254.

In Uruguay there is an unequal distribution of doctors between the capital and the rest of the country, determining that patients must be referred to healthcare centers outside the area in which they reside.

The ECHO (Extension for Community Healthcare Outcomes) Project seeks to improve access to specialized care for rural populations through the use of communication technologies, democratizing knowledge.


to evaluate the results regarding professional competencies and skills in the participants of the ECHO teleclinics on gynecological cancer in Uruguay.


retrospective impact evaluation with baseline and impact line through a web census. Period: September 2020- May/2021.

22 variables were surveyed, 14 dependent indicators that measure self-perceptions of increased capabilities retrospectively based on a Likert scale of 5 values, and 8 independent indicators that address general aspects of the population.

Taking into account that there is no normal distribution, the non-parametric Wilkoxon test is applied.


36 responses were obtained. The results show that all pairs have a bilateral significance, being able to affirm that there is a significant difference between the capabilities before and after participation in the ECHO program.


an improvement in the self-perception of the participants' capabilities was observed after the implementation of the ECHO teleclinics.

Keywords : Gynecological cancer; training; education, telementoring.

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