Application Form

Food Allergy Management and Prevention in Infants and Toddlers (FAMP-IT)
Quality Improvement Project

The Use of a Novel Clinical Support Tool to Enhance Food Allergy Management and
Prevention in Infants and Toddlers

MassGeneral Hospital for Children - Food Allergy Center has developed a web-based clinician support tool for primary care providers to provide concise information and relevant recommendations for food allergy management and prevention.

Providers participating in this quality improvement (QI) project will use the Food Allergy Management and Prevention for Infants and Toddlers (FAMP-IT) clinician support tool to screen patients at well-child visits under one year of age and subsequently modify their clinical practice to provide appropriate recommendations on early peanut introduction. The overarching goal of this project is to modify provider workflow at well-child visits to routinely incorporate a risk assessment for food allergy development and the provision of applicable guidance.

Accepted NAPNAP member applicants will be given free access to the QI project, and may earn 25 NAPNAP CE contact hours.

Please confirm your current member status: *

Only NAPNAP members can apply for continuing education scholarships. To join, click here.

First Name *

Last Name *

Credentials *

Home Address *

Apt/Unit

City *

State *

Zip *

Email Address *

What is your primary area of practice? *

Please describe your patient population (Select all that apply): * *

On a typical day, how many pediatric patients do you see/treat? *

What is the average length of time (in minutes) that you spend with a pediatric patient during an office visit? *

How many children do you currently see with a diagnosis of food allergies? *

I understand that participation in the FAMP-IT quality improvement project is anticipated to take six months. Twenty-five NAPNAP CE contact hours will not be awarded until participants have completed the five total modules/tasks included in the FAMP-IT QI project. *

YES

Please provide a personal statement explaining how enrollment in the QI program will enhance your clinical practice. *

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Please attach your current CV/resume.