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Families In Resident/Student Teaching
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What is it?
The Families In Resident/Student Teaching (FIRST) program is an innovative approach to pediatric resident training. Co-sponsored by Parent to Parent and the University of Vermont Department of Pediatrics, the program offers a combination of home visits, individual tutorials and school and community observations designed to provide residents with a family and consumer perspective on caring for children with special health needs.

How Does It Work?
While medical school graduates bring an array of technical skills and medical expertise to their residency training, many of them have had little instruction in the attitudes and behaviors that patients and families value most. FIRST families are able to provide concrete examples of effective help-giving behaviors. Through a series of home visits (with the same family) residents learn firsthand about family concerns, priorities and expectations for care. Because these interactions occur outside of a hospital setting, and during a time when most children are medically stable, parents are able to share their experiences in an instructive and very candid fashion. This differs dramatically from the fast-paced hospital or outpatient setting where residency training usually takes place.

Families meet twice each year with their resident. While the visits are very unstructured and quite different from one family to another, families maintain focus by following a rough agenda that highlights specific points to be made during the course of the evening. Following the home visits residents attend individual or small group tutorials conducted by project staff and a local pediatrician.

Are Families Specially Trained?
Participating families are asked to make a two-year commitment to the program. They attend an orientation session where they are encouraged to reflect on their own individual experiences with the health and education system and to develop a way of telling their story in a style that will be instructive to the resident. While each family story is different, there are often common themes that highlight the importance of mutual respect, open communication, honesty, full disclosure of information, empathy and a willingness to recognize the family as an equal partner in caring for the child with special health needs. They are called our Family Faculty.

For more information please call or email Nancy Abernathey at Parent to Parent (802)764-5290

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Project Goals

To increase pediatric residents’ knowledge base of medical, social, educational and community-wide issues that impact children with special needs and their families

To improve pediatric residents’ ability to provide family centered care

To provide residents with an understanding of “health, not as an absence of disease, but rather as a process by which individuals manage their lives and make them meaningful in the face of physical and other challenges.”

To provide support to families as they work in partnership with physicians in obtaining quality care for their child.

To improve and enhance pediatric residents’ skills in communication and collaboration

To increase opportunities for residents to experience working with families in non-clinical settings.

To develop familiarity with local, state and national resources and supports for children with special needs and their families