Developmental-Behavioral Pediatrics Training Program

Rotation Orientation

The following is importation information about the DBP rotation. Trainees are expected to review this information prior to the start of the rotation.

There are some rotation characteristics that distinguish the DBP rotation from other pediatric rotations.

  1. Most DBP Clinics are constructed around an interdisciplinary team. As you work with these teams, you will learn how to collaboratively conduct patient evaluations and provide feedback to families. The ‘Direct Observation Checklist’ will be used to provide specific feedback to you about your conduct of clinical visits.
  2. Many DBP patients and families are receiving difficult diagnoses, like autism, ADHD, and global developmental delay. Residents are not expected to have all the answers for every family; you will learn over the course of the month how such information can be effectively communicated in person and in clinical reports. We do expect that you will become expert in collecting (via parent interview, questionnaires, medical and educational record review, child physical examination) all of the data needed to arrive at a diagnosis and to formulate a treatment plan.   
  3. Many DBP patients and families are being referred and connected to needed services. The dictated report includes information that indicates the reasons for these referrals. You will be able to use structured dictation forms that will guide your patient dictations (HRIF Dictation Form pdf icon, Development Consult Dictation Form pdf icon, ASD Template pdf icon, ADHD Template pdf icon, Speech and Language Problems Template pdf icon). Starting the second week of the rotation, we expect that residents will dictate about one outpatient letter for each DBP Clinic session.
    • The content of these letters includes the results of developmental assessments and indicates serice eligibility
    • The family receives a copy, so we emphasize the use of careful understndable wording. Please do not refer to parents as Mom or Dad. Please spell out acronyms when used the first time. Please use past tense when describing physical examination findings.
    • The DBP faculty person who supervised your case will review your dictated letters; that person will ensure that your written communication is clear and effective. The 'Review of Clinical Documents pdf icon' form will be used to provide specific feedback to you about your reports.

4. In some ways, this rotation is like a graduate-level course.

    • There is a handbook that will be loaned to you for the month, with opportunities to read about the wide range of issues and problems addressed in DBP. You will be discussing these topics with the DBP 2nd and 3rd year fellows on a weekly basis.
    • We expect that you will record written reflection concerning your preschool training experience and that you will prepare a learning portfolio that compiles this and other items for faculty review before the end of the rotation.
    • You will present a tutorial Word icon focused on a DBP topic of your own choosing to DBP faculty and staff. Typically, you will present this tutorial to the group that attends the Tuesday afternoon DBP Clinical Case Conference. Our experience is that the resident tutorial is a rotation highlight. Past resident tutorials can be found on this website.






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This program is supported by a generous grant from the Eucalyptus Fund.

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