[Federal Register: April 14, 2008 (Volume 73, Number 72)]
[Notices]               
[Page 20055-20056]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr14ap08-74]                         

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-08-08AY]

 
Proposed Data Collections Submitted for Public Comment and 
Recommendations

    In compliance with the requirements 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 404-639-5960 
and send comments to Maryam Daneshvar, CDC Acting Reports Clearance 
Officer, 1600 Clifton Road, MS-D74, 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

    Knowledge, Attitudes, and Behavior of Medical Residents toward 
Adult Patients Who Have Experienced Adverse Childhood Experiences--
New--National Center for Chronic Disease Prevention and Health 
Promotion (NCCDPHP), Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    Recent advances in public health and medical research have 
underscored the role childhood trauma plays in the genesis of major 
risk factors for the leading causes of morbidity and mortality among 
adults in the United States. Evidence from a range of samples suggests 
that exposure to adverse childhood experiences (ACEs) is more common 
than previously understood, and that those affected by ACEs will have a 
major impact on the delivery of health care services through higher 
utilization and treatment costs. Although these findings are widely 
cited by psychologists, psychiatrists, and social workers, it is less 
clear that this information has circulated broadly within medical 
professions where it may be helpful in secondary and tertiary 
prevention of health problems. The literature also suggests that 
physicians may be uncomfortable with screening adult patients for ACEs.
    As part of ongoing efforts to reduce the burden of chronic disease, 
the Division of Adult and Community Health at CDC seeks to collect 
information about the penetration into current medical education of 
evidence concerning the relationship between ACEs and poor adult 
health. Information will be collected by administering a brief 
voluntary questionnaire to 300 fourth-year medical residents. The 
sample will be drawn from a range of U.S. medical schools as well as 
through the American Medical Student Association. Potential 
participants will be solicited via e-mail, and those who choose to 
participate will be directed via a web-link to a web-based survey 
instrument.
    Information to be collected includes residency type, public health 
experience, and an attitudes and knowledge measure designed to 
determine medical residents' current expertise in recognizing the long-
term outcomes associated with adverse childhood experiences.
    By understanding the quality of medical education in this area and 
the attitudes, beliefs, and experiences of medical residents, 
educational initiatives can be developed that will address the unmet 
needs of future physicians to care for the large number of patients 
burdened by ACEs.
    There are no costs to respondents other than their time.

[[Page 20056]]



                                        Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
                                                                  Number of      Average burden
             Type of respondents                 Number of      responses per     per response     Total burden
                                                respondents       respondent       (in hours)       (in hours)
----------------------------------------------------------------------------------------------------------------
Medical School Residents....................             300                1            30/60              150
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    Dated: April 8, 2008.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
[FR Doc. E8-7844 Filed 4-11-08; 8:45 am]

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