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echo pal FS

ECHO Pal to Expand Palliative Care in the Carolinas


We welcome you to Four Seasons ECHO Pal, an educational on-line platform designed to support palliative care providers in the Carolinas and to expand those services in both North and South Carolina. The ECHO Pal program is generously funded by The Duke Endowment, and is in collaboration with The ECHO Institute at the University of New Mexico School of Medicine, Duke University Palliative Care and DeltaCareRX.


Our project’s larger goals are:

  1. To increase the number of providers in the Carolinas with training and mentorship in palliative care
  2. To improve provider knowledge and skills so that they can deliver high quality palliative care
  3. To increase patient access to serious illness care that will improve patient/caregiver quality of life, lessen symptom-burden, and improve patient/family satisfaction
  4. To increase hospice utilization in rural communities


The ECHO Pal project is organized around videoconference sessions that utilize the ZOOM platform to connect interested sites (we call these “spokes”) with our central site at Four Seasons (we call this the “hub”).


ECHO Pal sessions normally take place every other Tuesday from 12-1pm Eastern, except for holidays. While we know that lunch hours may be few and far between, we encourage you and your team/colleagues to join us for THIS hour, as we learn together. 


Sessions include a didactic presentation and either a skills session, discussion, or patient case presentation.  Our curriculum is based on the AAHPM Essential Practices.  We also hold occasional sessions focused on provider resilience.  Additionally, we regularly present sessions focused on health equity and social determinants of health. There is no charge to attend and free CE credits are available for attendance.


We invite you to partner with us in our ECHO Pal project and to help grow with us in building a robust support network for our palliative care providers. 


Funded by: The Duke Endowment


Operations Team:


Elizabeth Burpee, MD – Project Director

Tyler Bice – Project Coordinator/IT

Elaine Bailey – Project Coordinator/Administrator

Lisa Massie – Grant Management/CEU Coordinator


Project-specific press release, blogs, articles:

Project ECHO: A Disruptive Innovation to Expand Palliative Care




Contact us:

For more information or to join the project, contact us at ECHOPALS@fourseasonscfl.org.