[Federal Register: September 10, 2004 (Volume 69, Number 175)]
[Notices]
[Page 54791-54792]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr10se04-59]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-04-04KE]
Proposed Data Collections Submitted for Public Comment and
Recommendations
In compliance with the requirement of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for opportunity for public comment on
proposed data collection projects, the Centers for Disease Control and
Prevention (CDC) will publish periodic summaries of proposed projects.
To request more information on the proposed projects or to obtain a
copy of the data collection plans and instruments, call 404-498-1210 or
send comments to Sandi Gambescia, CDC Assistant Reports Clearance
Officer, 1600 Clifton Road, MS-E11, Atlanta, GA 30333 or send an e-mail
to omb@cdc.gov.
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology. Written comments should be received
within 60 days of this notice.
Proposed Project
Evaluation of the Sexually Transmitted Disease (STD) Faculty
Expansion Program--New--National Center for HIV, STD, and TB Prevention
(NCHSTP), Centers for Disease Control and Prevention (CDC).
Background
Primary care physicians play a significant role in STD prevention
and control. Diagnosing, treating, reporting, partner notification, and
patient counseling which emphasizes appropriate prevention messages are
all important physician contributions to STD control. In the curricula
of most medical schools and residency programs, STDs and the role of
public health in control and prevention receive little emphasis for
primary care physicians. To address this lack of training, CDC has
implemented the STD Faculty Expansion Program (FEP), which aims to
improve the capacity of primary care physicians to diagnose, treat, and
prevent STDs.
The FEP provides medical schools with funding for an additional
faculty member. This faculty person develops and implements curriculum
for training medical students and residents, develops collaborative
relationships with local health departments, and coordinates STD
clinical experiences for medical students and residents. The potential
long-term impacts of this STD-related training include: Increased
physician awareness of STDs; greater comfort and confidence in
counseling patients; increased case reporting and partner management;
and ultimately lower STD incidence.
This project is an evaluation of the FEP, because the outcomes of
greatest relevance (increased physician awareness, increased
collaboration with public health departments, decreased STD incidence)
will occur only after students and residents who are currently
receiving the enhanced training go into practice.
Four medical schools--Morehouse School of Medicine, University of
Alabama at Birmingham, Louisiana State University Medical Center, and
the University of California Los Angeles School of Medicine--currently
are receiving support under the FEP. The evaluation of the FEP consists
of a survey of third-year medical students at the four currently funded
schools and a sample of third-year medical students in all other U.S.
medical schools. It also includes interviews with key informants at the
four currently funded medical schools and the public health departments
with which they are working. A paper-and-pencil survey instrument will
be administered to the students in the four FEP schools in a classroom
or clinic setting or through the school mail distribution system. The
survey instrument will be distributed to the sample of students from
all other medical schools using express mail. Survey topics will
include:
Hours of clinical and didactic training received during
the first three years of medical school;
[[Page 54792]]
Knowledge and efficacy with basic STD clinical diagnosis,
treatment, and prevention;
Students' confidence in taking a sexual history and
providing specific prevention counseling to patients; and,
Student familiarity with the role of the public health
department in control and prevention of STDs.
A total of 800 students will be surveyed: Approximately 400 at the FEP
schools and 400 (approximately 5%) from all other U.S. medical schools.
The evaluation focuses on intermediate outcomes as a means of
assessing the program's utility and effectiveness. Evidence that the
FEP's enhanced STD training is effective will include greater knowledge
of and comfort in diagnosis, treatment and prevention of STDs among FEP
students, recall of more time having been devoted to STDs during
medical training, and greater awareness of the primary care physician's
public health role in STD control and prevention. The time required to
complete the survey will be approximately 15-20 minutes. The only cost
to survey respondents is the time involved in completing the survey.
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per Total burden
Respondents respondents responses per response (in hours
respondent hours)
----------------------------------------------------------------------------------------------------------------
3rd-year medical students....................... 800 1 20/60 267
-----------------
Total....................................... .............. .............. .............. 267
----------------------------------------------------------------------------------------------------------------
Dated: September 1, 2004.
Alvin Hall, M.S.,
Director, Management Analysis and Services Office, Centers for Disease
Control and Prevention.
[FR Doc. 04-20512 Filed 9-9-04; 8:45 am]
BILLING CODE 4163-18-P