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GenICRequestTemplate_STATEMENT B_AAP Continuity Clinic Project_July 16 2020.docx

CDC/ATSDR Formative Research and Tool Development

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OMB: 0920-1154

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OMB No. 0920-1154

Exp.: 01/23/2023



Supporting Statement B




American Academy of Pediatrics Resident Training
in Developmental Continuity Clinics




New Request for genIC Approval

CDC/ATSDR Formative Research and Tool Development

0920-1154











Enter project leader’s name: Jacquelyn Bertrand, PhD

contact information: 1600 Clifton rd. Atlanta, GA 30329; Tel: 404-498-3928; [email protected]







January 13, 2021

B. Collections of Information Employing Statistical Methods


B.1. Respondent Universe and Sampling Methods

Respondents will be attending physicians who oversee resident training and first year pediatric residents. The project will recruit up to 5 developmental continuity clinics. It is estimated that up to- two attending physicians (N=10) from each clinic will participate and up to 3 pediatric residents per clinic (N=15) will participate. Clinics will be selected by a brief application to the AAP. All participation is voluntary.


B.2. Procedures for the Collection of Information

Information will be collected by AAP staff through paper-and-pencil surveys for in-person training of attending physicians and by secure email for resident trainees as well as the overall program evaluations for attending physicians. All information collection information and procedures are explained to participants prior to the start of trainings. Since resident activities are self-guided, information collection occurs at their convenience. No private information or personally identifiable data is collected. Pre and post training surveys are match by 2-4 digit/letter codes chosen by the respondent (e.g., initials, random digits or words). Participant and AAP membership ID numbers are obtained to grant CME credit; however, these are not linked to data in any way, thus there is no sensitive or personally identifiable data. CDC does not receive this information.



B.3. Methods to Maximize Response Rates and Deal with Nonresponse

Participants are encouraged to complete all information collection instruments. Up to two email reminders to complete instruments will be sent. To maximize response rates, continuing medical education credit is only provided to participants if they complete the relevant survey. A response rate of 90-100% is expected.


B.4. Tests of Procedures or Methods to be Undertaken

A similar pilot project with almost identical instruments was conducted with three clinics. Response and enthusiasm for the project was very positive.


B.5. Individuals Consulted on Statistical Aspects and Individuals Collecting and/or Analyzing Data

Rachel Daskalov, MHA

Sr. Manager, Screening and Public Health Prevention Programs

American Academy of Pediatrics

630/626-6063  |  [email protected]



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