## 4 Results  
Over the course of the first three years of the SCAN-ECHO service, we convened an average of 1.18 pain management sessions per month; each of these sessions included a didactic educational segment along with an average of 2.97 case consultations. On average, our audience consisted of 11.20 providers spanning 4.36 remote clinics (Table 1). Upon completion of each session, all attendees were emailed a link to a brief Attendee Satisfaction Survey, which received a 19.09% response rate, consisting of 55 (63.95%) physicians and 31 (36.05%) \begin{table}
\begin{tabular}{l l} \hline \hline
**SCAN-ECHO pain management** & **Mean (SD)** \\ \hline
**Sessions per month** & 1.18 (0.39) \\
**Cases presented at each session** & 2.97 (1.38) \\
**Sites participating** & 4.36 (2.29) \\
**Attendees** & 11.20 (6.63) \\ \hline \hline \end{tabular}
\end{table} 
Table 1: Sessions and attendance summary for monthly Specialty Care Access Network (SCAN)-ECHO pain management session summary statistics spanning three years of service (October 2011–September 2014). NPs (nurse practitioners) or PAs (physician assistants). The survey reflected an overall attendee satisfaction (grand mean) of 89.53% among respondents (Table 2). Whereas the foregoing Attendee Satisfaction Survey was sent to all attendees, we sent an additional email only to providers who had a case processed in the session, linking them to the Consult Satisfaction Survey, to assess the perceived utility of each clinical consultation. This survey received a 14.73% response rate consisting of 10 (66.66%) physicians and five (33.33%) NPs/PAs. The survey reflected an overall consultation satisfaction (grand mean) of 88.10% among respondents (Table 3). To date, our SCAN-ECHO service has expanded to offer consultations in pain management, gynecology, urology, neurology, nephrology and gerontology, amounting to a total of 200 video consultation sessions, addressing 423 specialty consultations. Benefits to patients: In the first three years of the SCAN-ECHO Pain Management consultation clinic, a total of 101 case consultations were processed. Among these consults, about half resulted in the patient receiving their pain management at their local CBOC via their regular primary care provider. In the other \begin{table}
\begin{tabular}{l c c} \hline \hline \multicolumn{1}{c}{**SCAN-ECHO pain management attendee satisfaction survey (_n_ = 86_)**} \\ \hline \hline  & **Question** & **Mean (SD) *** & **\%** \\ \hline The learning objectives were met. & 4.64 (.68) & 92.87\% \\ The speaker was knowledgeable. & 4.90 (.30) & 97.97\% \\ The speaker was effective in his/her presentation. & 4.73 (.60) & 94.65\% \\ The information was useful to me. & 4.66 (.66) & 93.10\% \\ I understand the information. & 4.81 (.39) & 96.29\% \\ The information will influence my patient care. & 4.64 (.57) & 92.75\% \\ Information from this session will change my prescription of medication(s). & 4.18 (.82) & 83.58\% \\ Information from this session will change my overall interactions with patients. & 4.04 (.74) & 80.87\% \\ Information from this session will change my treatment plans. & 4.16 (.70) & 83.24\% \\ Information from this session will change my ordering of diagnostic tests/studies. & 4.00 (.83) & 80.00\% \\ \hline \hline \end{tabular}
* Likert scale: 5 = strongly agree, 4 = somewhat agree, 3 = neither agree/disagree, 2 = somewhat disagree, 1 = strongly disagree.  
\end{table} 
Table 2: Responses to SCAN-ECHO pain management post-meeting Attendee Satisfaction Survey (sent to all attendees).