In keeping with the longitudinal nature of the fellowship experience, DBP fellows participate in clinical activities throughout their three years of training in center-based and community-based settings.
Clinical training experiences span the broad field of Developmental-Behavioral Pediatrics including cerebral palsy, intellectual disability, neural tube defects, CNS abnormalities, autism, developmental language disorders, sensory deficits, learning disorders, Fragile X, attention deficit hyperactivity disorder and psychopharmacology.
Fellows will develop clinical competence over the entire spectrum of brain dysfunction from high severity, low frequency disorders (e.g. spina bifida) to low severity, high frequency disorders (e.g., ADHD).
Acquired clinical skills will encompass the prevention, diagnosis, assessment, and management of these and related disorders.
CHDD is one of the nation's largest and most comprehensive interdisciplinary research and training centers focusing on a wide array of developmental disabilities. The Clinical Training Unit (CTU) at CHDD is an interdisciplinary program that provides training, research, and exemplary services in the assessment and treatment of children with or at risk for developmental disabilities, using a family-centered, community-based, culturally competent approach in a variety of clinical formats.
The Child Development Clinic provides diagnosis, assessment and management plans for children from early childhood to adolescence. The interdisciplinary teams include professionals from audiology, developmental/behavioral pediatrics, nursing, nutrition, psychology, occupational therapy, physical therapy, social work, and speech and language pathology to evaluate each child and make recommendations for care. Trainees participate in hands-on and didactic training which includes assessments, parent conferences, lectures, and report writing. Over 200 children are served per year with a wide range of diagnoses including intellectual disability, autism spectrum disorders, motor disabilities, learning disabilities, behavioral disorders, communication disorder, and attention-deficit hyperactivity disorder.
The High Risk Infant Follow-Up (HRIF) clinic at CHDD provides developmental follow-up of children from birth to age eight years. It provides an ideal setting for interdisciplinary training. The goal of the clinic is to provide early identification and referral for early intervention for the neurodevelopmental and neurobehavioral problems associated with prematurity, drug exposure and other biomedical and environmental risk factors for over 400 clients per year.
The majority of clinical activities at SCH occur within the Neurodevelopmental Clinic and the SCH Autism Center.
The Neurodevelopmental clinic serves as a center for the comprehensive medical evaluation, coordinated consultation, diagnosis and collaborative management of children – birth to 21 years – with complex neurodevelopmental disabilities and congenital anomalies. Areas of particular focus include cerebral palsy, Fragile X, spasticity management, spina bifida and tics / Tourette’s and related comorbidities (ADHD, LD, OCD). In each case, an interdisciplinary care model that involves the interaction of multiple expert providers and provides coordinated follow-up is essential. Interdisciplinary evaluations may include evaluations by specialists in orthopedics, rehabilitation medicine, neurology, neurosurgery, urology, speech therapy, occupational therapy, physical therapy, nutrition, and social work.
This clinical site also serves as a neurodevelopmental diagnostic program that provides an initial assessment of a child whose development is not keeping up with the expectations of family and primary care physician.
There are also clinical experiences at SCH to participate in the Craniofacial program and to consult regarding children (birth to 21) with neurodevelopmental disabilities and congenital defects who are hospitalized at SCH and to collaborate with the inpatient Medically Complex Child service.
Launched in August 2009, Seattle Children’s Autism Center is dedicated to providing comprehensive and timely autism services under one roof regardless of a family's ability to pay. It provides screening, assessment, diagnosis, treatment (including medication management) and parent education and support for autism spectrum disorders. It offers this range of medical and mental health services for babies, children and young adults. Therapy models used include cognitive behavioral therapy, functional analysis, functional behavioral assessment, pivotal response training, behavioral feeding therapy, parent-child interaction therapy and other attachment-based therapies. The center works closely with Seattle Children's Neurodevelopmental, Neurology, Psychiatry and Behavioral Medicine, Sleep Disorders, Genetics and Gastroenterology programs to insure complete and coordinated care.
Madigan Army Medical Center is home to the only ACGME accredited Developmental Behavioral Pediatrics fellowship within the Department of Defense. Training is primarily interdisciplinary with an emphasis on the management and coordination of comprehensive care for children with special health care needs and covers all areas of developmental behavioral pediatrics. UW / SCH fellow may participate in a broad range of multidisciplinary clinics during their clinical rotations at MAMC: Behavior Intake Clinic, Autism Spectrum Disorder Clinic, ADHD Clinic, Fellow’s Clinic, Pediatric Behavior Clinic, and Learning Disorders.
Training includes on site interaction with professionals in a wide range of specialties. Faculty all have clinical faculty appointments at the University of Washington School of Medicine.