Dr. Sanjeev Arora’s Project ECHO uses video-conferencing technology and case-based learning to allow consultants to train primary care providers from rural areas. In New Mexico, the ECHO methodology has reduced waiting lists from 8 months to just 8 weeks. Connolly Hospital Dublin, Galway University Hospital and Cork University Hospital, along with the NHS in Northern Ireland, have all built ECHO programmes into their hospitals since 2013.