Midwest Utilization of Curriculum Pre-test and Follow-up

Form Approved
OMB No. XXXX-XXXX
Exp. Date xx/xx/xxxx

Attachment F8a

Utilization of FAS/FASD Curriculum (MRFASTC) Follow-up, 3 month
1. MRFASTC­Utilization of Curriculum

Thank you for attending the Midwest Regional Fetal Alcohol Spectrum Disorders Training Center's Academic Faculty 
Conference. 
Below are a few short questions about your curriculum. If asking for a number, please only enter a single number. 
IF YOU ARE IN A RESIDENCY PROGRAM, PLEASE SKIP TO QUESTION 3. 

1. Number of courses in your department or program that teach any FASD competencies
(Please put "0" if doesn't apply to you).

2. Number of courses that you teach that address any FASD competencies. (Please put
"0" if doesn't apply to you).

3. Please provide the total number of minutes you spend teaching each competency
across all of your courses. If you are in a residency program, please complete the boxes
below for the entire program. If the competency isn't currently taught, please type in "0".
FASD Foundation
Screening/Brief 
Interventions
Models of Addiction
Biological Effects on Fetus
FASD Screening, Diagnosis, 
Treatment
Treatment Across the 
Lifespan
Ethical, Legal, Policy Issues

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number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to - CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS
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