Resident Training - Developmental-Behavioral Pediatrics Rotation

Developmental-Behavioral Pediatrics Rotation

The Developmental-Behavioral Pediatrics (DBP) rotation during the second year of residency is an introduction to the areas of DBP that are integral to the daily encounters and practices of residents, pediatricians, and sub-specialists.  The curriculum and foundation in child development and behavior have been designed to be applicable throughout the residency program, whether in continuity clinic, specialty care, NICUs, PICUs, or the Emergency Department.

Developmental-Behavioral Pediatrics includes a range of developmental, learning, emotional, and behavioral disorders and focuses on healthy child and adolescent development.  The care of all infants, children, and adolescents involves Developmental-Behavioral Pediatrics, whether by primary pediatricians, pediatric sub-specialists, or DBP consultants.  DBP care identifies strengths, promotes resilience, and reduces risk.

During the rotation residents learn from Developmental-Behavioral pediatrician mentors who work as individual consultants or as members of a team.  Residents participate in the interdisciplinary team process that includes speech and language pathologists, audiologists, psychologists, nurses, education specialists, occupational therapists, neurologists, geneticists, and child psychiatrists. Clinical sites and community settings throughout the metropolitan area of Minneapolis/St. Paul serve as teaching centers for the DBP rotation.
 
The following Curriculum Summary outlines the DBP rotation experience: 
  1. Fundamentals of Child Development and Behavior: early brain development, attachment, baby cues, temperament, ACEs, screening, social-emotional development, sexuality, media, bullying
  2. Skill development in DBP at Clinical Sites: interviewing, communication skills, assessment process, case planning
  3. Resident Learning Modules – Core DBP Content: autism, ADHD, learning disorders, depression, chronic abdominal pain, anxiety, divorce, grief, enuresis, encopresis, tics/Tourette Disorder, sleep
  4. Community Experiences: health care home, family home visits, models of child care
The DBP rotation curriculum has been designed for residents to achieve the following educational objectives: 
  1. Develop skills in interviewing, observation, history-taking, and physical and neurological examinations for assessment of development and behavior.
  2. Acquire a working knowledge of normal development: neuromuscular, sensory, temperament, language, emotional, cognitive, social, and sexual. 
  3. Understand the effect of the environment on development and behavior including family, social, adverse childhood events, school, cultural, and policy influences.
  4. Develop understanding and skills in the following types of screening: hearing, vision, maternal depression, developmental, autism, social-emotional.
  5. Utilize an understanding of child development and behavior in anticipatory guidance, prevention, promotion of resilience, and reduction of risk.
  6. Develop diagnostic assessment and differential diagnosis skills through data collection, requesting and reviewing of educational, speech/language, and psychological testing, and the team process.
  7. Acquire skills in management of common behavior problems and disorders outlined in DSM-5.
  8. Develop skills working with children and families in the assessment process, sharing of information, grief responses, and community supports and resources.
  9. Acquire a background of DBP skills that can be applied to other settings of the Pediatric and Med-Peds residencies, including the continuity clinic, hospital rotations, specialty rotations, and the Emergency Department.

The Resident Training Program in Developmental-Behavioral Pediatrics is part of the Pediatric Residency Program at the University of Minnesota. The Pediatric Residency Program offers a diverse and comprehensive training experience that prepares pediatricians for the 21st century.

For information, contact:

Dr. Emily Borman-Shoap
Director, Pediatric Residency Program
Pediatric Education Office
2450 Riverside Ave
East Building, Room M136
Minneapolis, MN 55454
Phone: (612) 624-4477
Fax: (612) 626-7042
borm0029@umn.edu

Katherine Murray, MD, MPH, Director
Alex Prince, Rotation Coordinator
Resident Training Program in Developmental-Behavioral Pediatrics
Division of General Pediatrics and Adolescent Health
717 Delaware St SE
Minneapolis, MN 55414-2959
Phone: (612) 626-1980
Fax: (612) 626-2134
princ092@umn.edu