Dear Resident,
As part of the Community Pediatrics Training Initiative (CPTI), we are compiling stories
from residents that are doing exciting work with community partners in an effort to learn
from these experiences and share resident stories with a broader audience. Please
complete each of the following questions related to your community pediatrics
experience. Please try to limit your overall response to 1-2 pages. With your
permission, your experience may be developed into a narrative account and shared with
the Community Pediatrics Training Initiative network at-large through the CPTI monthly
newsletter and web site. Your story will also be considered for publication in the AAP
News, Pediatrics in Review, and inclusion in a compendium of case studies to be
distributed to residency programs. (If you would not like your story to be published or
distributed, please be sure to indicate “no” in the checkbox at the end of this document.)
Please submit your responses along with any questions to cpti@aap.org.
Resident Name:
Project Name:
Residency Program:
Date of Submission:
Phone:
E-mail:
1. What motivated you to get involved with this project and/or focus on this particular
community need?
2. Who did you work with on this effort from your pediatric residency program (i.e.
residents, faculty, staff, program managers, coordinators)?
3. What community partners did you collaborate with on this effort?
4. What evidence-base/research/statistics/literature review did you use to determine the
community need?
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5. What evidence-base/research/statistics/literature review did you use to determine a
response/project in coordination with your community partner(s)?
6. What was the project and project timeframe?
7. How do you know that your work was successful? Do you have any preliminary
evidence of success/impact and were there any indications of a “ripple effect”(i.e.
unanticipated or additional positive effects beyond the scope of the project)?
8. Do you have an estimate of how many children and families were served by your
project? Do you anticipate additional children and families will be served in the
future?
9. What challenges, if any, did you overcome to accomplish this project/effort?
10. What did you learn from this experience? (What, if anything, would you do
differently now?)
I am willing to have this information featured in a newsletter, e-mail, CPTI web site
article, the AAP news, CPTI presentation and/or compendium of stories.
Yes
No
Comments:
Thank you for taking the time to complete these questions!
The CPTI team
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