Promoting Early Relational Health and Positive Parenting Learning Collaborative

A joint project of FMEC and Mount Sinai Parenting Center (MSPC)

If your FMRP is interested in participating in this learning collaborative, please complete the pre-participation survey below by November 15, 2026. Responses will help determine if your FMRP is a good fit for this QI activity.
DEMOGRAPHIC INFORMATION
1.Name of Family Medicine Residency Program
2.Name of Family Medicine Residency Program Director
3.Address
4.Phone
5.Email
6.Estimated number of patients 0 to 5 years that a resident in your FMRP typically sees in a year
7.Estimated number of residents from your FMRP expected to participate in this project
PRE-PARTICIPATION SURVEY QUESTIONS
8.Do your residents see patients ages 0-5 years for well visits (preventive visits)?
9.Is your FMRP currently distributing child development resources to parents or guardians of patients ages 0 to 5 years?
10.How interested are you in the following resources which could be brought to your FMRP for free through this collaborative?
Very Interested
Somewhat Interested
Not Interested
Noon conferences on child development
Noon conferences on promoting parent-child relationships
Faculty development on promoting early relational health
Free curricula for residents to promote early relational health and positive parenting
Using a reflection observation form for resident education and feedback
Resources (videos, handouts, texts) for families on promoting child development and parenting
11.Is your FMRP open to implementing a process (for example, using your current EHR to document child health-related support provided during supervision visits, or developing a SMART or Dot phrase within your EHR with support from this project) to measure progress with providing families with child development/relational health guidance as part of this project?
12.What is the name of the EHR used in your clinic? (This information will assist with planning for the QI project.)
13.Can you commit to having your FMRP participate in this QI activity (January through June 2027) as described in the project marketing and recruitment materials? (Refer to marketing flyer)
Thank you for completing this questionnaire. FMEC will contact you with enrollment information, if your program qualifies, once we have gathered input from interested FMRPs. Questions may be directed to Kathy Fredericks, MBA, PMP, QI Collaborative Consultant at Kathy.fredericks@fmec.net.