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.

This fellowship program is funded in part by Maternal & Child Health Bureau of Health Resources & Services Administration (HRSA). 

Goals and Objectives

This ACGME accredited 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.

Cognitive/adaptive disabilities

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

Sleep problems

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


Professionalism  More 

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