Real revolution in medical education, the ECHO® (Extension Community Healthcare Outreach) model brings together through multipoint videoconferencing community-based professionals and an expert multidisciplinary team who helps them manage their patient cases via mentoring and feed-back. Partners learn best practice through co-management of diverse patients in real world situations. Over time, these learning loops create deep knowledge, skills and self-efficacy. This hub and spokes approach generates force multiplication; patients are treated without delay, right where they live and according to best-practice care. To date, the model is implanted in 24 countries and applied to 71 chronic health conditions.