The ECHO sessions includes didactic presentations by interdisciplinary group of specialists on specific topics of interest and in-depth case-based presentations by community clinicians for feedback and recommendations.  Clinicians are given access to evidence-based educational resources, learn from expert consultation, and from one another in a comprehensive knowledge network and community of practice.  This environment of group learning, using best practice protocols reduces variation in care and may improve the care we provide to an extremely vulnerable group of children!