Developmental-Behavioral Pediatrics Fellowship Program
Overall goal of the training program
Fellows in this training program will become recognized leaders in the field of developmental-behavioral pediatrics (DBP) based on their exceptional clinical skills, cutting-edge research contributions, outstanding education and training skills, and/or effective advocacy for children and families.
Goals and Objectives
As an ACGME accredited program, this training program requires that fellows develop competencies in six areas—patient care, medical knowledge, practice-based learning and improvement, interpersonal and communication skills, professionalism, and systems-based practice. In subsequent years, developmental milestones for each of the competencies will be integrated into the goals and objectives below. Simultaneously, the fellows must acquire knowledge and skills to meet the requirements of the American Board of Pediatrics for board certification in Developmental-Behavioral Pediatrics.
For a more complete breakdown of these competencies that will give a more detailed overview of activities in the clinic, classroom and community, click here.
Patient Care More
Deliver care that is compassionate, comprehensive, appropriate, and effective for the treatment of health problems and the promotion of health. Specific objectives related to this competency are as follows:
Accurately assess children with the developmental and behavioral disorders outlined in the RRC program requirements and included in the bulleted list below
Manage children with developmental and behavioral problems using counseling, therapy, psychopharmacology, education, and other modalities as appropriate
Provide family-centered and culturally competent care
Make appropriate referrals to other health professionals and community resources to assist in the assessment and management of developmental and behavioral disorders.
Developmental and behavioral aspects of chronic conditions, e.g., perinatal conditions, chromosomal/genetic disorders, metabolic, neurologic, sensory, endocrine, cardiac disorders, etc.
Language and learning disorders
Motor disabilities and multiple handicaps, e.g., cerebral palsy, myelodysplasia, dystrophies
Autistic spectrum disorders, e.g., autism, Asperger
Attention Deficit Hyperactivity Disorder
Externalizing conditions, e.g., aggressive behavior, conduct disorder, oppositional defiant disorder
Internalizing behaviors and conditions, e.g., anxiety, mood, and obsessive disorders, suicidal behavior
Substance use/abuse, e.g., tobacco, alcohol, illicit drugs
Child abuse and neglect, e.g., physical, sexual, factitious
Somatoform disorders and pain
Feeding/eating problems, e.g., obesity, failure to thrive, anorexia, bulimia
Elimination disorders, e.g., encopresis, enuresis
Sexuality, e.g., sexual orientation, gender identity
Atypical behaviors, e.g., tic disorders, self-injurious behavior, repetitive behaviors
Medical Knowledge More
Acquire knowledge about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and apply this knowledge to patient care. In specific, medical knowledge includes the ability to describe the biological basis of developmental disabilities; environmental factors impacting individuals with disabilities and their families; the interaction of biological and environmental forces; clinical presentations and treatment options. Specific objectives related to this competency are as follows:
Describe the biological mechanisms in development and behavior, e.g., development and functional organization of the central nervous system, genetics, and biological risk factors.
Evaluate family and societal factors that contribute to children’s development and family functioning
Discuss adaptations to general health problems and their treatments, e.g., acute illnesses, chronic illnesses, physical disabilities, hospitalization
Appraise complementary and alternative therapies for developmental-behavioral conditions
Practice-Based Learning and Improvement More
Investigate and evaluate your own patient care; make accurate appraisals and assimilate scientific evidence, and make improvements in patient care. Specific objectives related to this competency are as follows:
Critically analyze research studies as related to clinical practice
Evaluate biostatics used in research studies
Complete and disseminate a scholarly project in the area of developmental-behavioral pediatrics are considered components of this competency.
Participate in a quality improvement project
Interpersonal and Communication Skills More
Acquire skills that result in effective information exchange and teaming with patients, their families, and other health professionals. Specific objectives related to this competency are as follows:
Differentiate the presentation of clinical disorders for families in terms of their education level and cultural traditions
Demonstrate the ability to share decision-making with families honoring their distinctive characteristics and needs
Use respectful communication with members of interdisciplinary teams
Demonstrate a commitment to carrying out professional responsibilities, adherence to ethical principles, and sensitivity to a diverse patient population. Specific objectives related to this competency are as follows:
Contribute respectfully to an interdisciplinary team.
Discuss ethical principles that apply to the care of individuals with intellectual and developmental disabilities
Teach medical students, residents, and/or community partners about developmental-behavioral pediatrics.
Demonstrate leadership in the area of developmental-behavioral pediatrics using the leadership paradigm of MCHB
Systems-Based Practice More
Demonstrate an awareness of and responsiveness to the larger context and system of health care and the ability to effectively call on system resources to provide care that is of optimal value. Specific objectives related to this competency are as follows:
Describe knowledge about community-based services for children with disabilities and their families
Make referrals to agencies and professionals.
Discuss the laws, regulations, and rights for individuals with disabilities