OBGYN Informant Interview - Pretraining - word

Form Approved

OMB No. 0920XXXX

Exp. Date xx/xx/20xx

CDC estimates the average public reporting burden for this collection of information as 25 minutes per survey/interview, including the time for reviewing instructions, searching existing data/information sources, gathering and maintaining the data/information needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control 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 Information Collection Review Office, 1600 Clifton Road NE, MS D74,

Atlanta, Georgia 30333; ATTN: PRA

(0920XXXX).

OBGYN Qualitative Key Informant Interview to Assess Strategic Plan for Training Implementation

Protocol and Interview Template

Respondents:	Residency Directors, Training Coordinators, Clinic Directors, Practice Managers committed to incorporating FASD-SBI education and training into their curricula.
Data Point(s):	Prior to a program’s implementation of FASD-SBI Training (online didactic and/or virtual world experiential).
Data Collection Method(s):	MRPIC Evaluator or MRPIC Project Coordinator conducts interview in person or via phone – OR – emails link to Qualtrics questionnaire to respondents for completion of open-ended items.

Pre-Training Implementation Questions:

1. To begin, what questions do you have about the training… or about integrating it into your curriculum/program?

   1. Time required for didactic modules training?

   2. Time for experiential learning component?

   3. Logistics and access to training?

   4. Tracking completion status?

   5. Anything else?
      
      
      

2. How do you envision incorporating this training into your [residency program/clinical practice/system]?

   1. Who is championing this training?

   2. Who will shepherd this implementation within the training program?

   3. Who will schedule and assign the training to targeted residents/attendings?

   4. Who will monitor completions and nudge as needed? Will this person communicate directly with the champion?

   5. How much time will be allotted for trainees to complete the online modules? And how much time for the virtual world/avatar SBI encounter or other experiential learning?

   6. What window of time will be suggested for training completion (days, weeks, months?)

   7. Will you offer any incentives for training completion? If so, what are your ideas?

   8. Do you plan for any in-person debriefing following the training? If so, who will facilitate and schedule?
      
      
      

3. What needs or strategies might we help you with at this point?

Thanks so much for your time!