SCOPE OF PRACTICE PGY-4 PGY-6
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1 PGY-4 Completion of 1 st year of DBP Core Curriculum and Conferences: Participate in Didactic teaching sessions Typical Behavior and Development: Understanding of Theories of Development for: Infant, Toddler, Preschool Age, School Age, Adolescence Atypical Behavior and Development: Intellectual Disabilities (including Genetic Syndromes); School Problems (Neurodevelopmental Variation, Subtypes of Learning disabilities), Attention Deficit Hyperactivity Disorder; Autism Spectrum Disorder; Cerebral Palsy, Neural Tube Defects, Genetics/Dysmorphology, Sensory Impairments (Hearing Impairment/Deafness, Visual Impairment/Blindness), High-Risk Infants, Behavior Disorders Public Laws/Policy: , /IDEA Pediatric Fellows Core Curriculum Participate in M+M conference/collaborative Office Rounds, Didactics, Pediatric Grand Rounds Participation in the MCHB SC Leadership Education in Neurodevelopmental Disabilities (SC LEND) and Leadership in DBP program in Year 1 Develop proficiency in physical/neurological examination Neurological assessment: infants/children/adolescents--including primitive and protective reflexes, neurologic soft signs Dysmorphology/recognition of genetic syndromes Develop proficiency in general neurodevelopmental/neurocognitive assessment and diagnosis Age based 0-3 years Preschool Areas of development Fine and Gross Motor testing, utilizing standardized testing procedures Speech/Language Testing, utilizing standardized testing procedures Updated on 02/8/2017 Page 1 of 6
2 Cognitive/Adaptive testing, utilizing standardized testing procedures Social-emotional/behavioral, utilizing standardized testing procedures Develop proficiency in management and treatment of developmental and behavioral problems and disorders Develop proficiency in management of general behavior problems and knowledge of behavior modification principles in children 0-5 years Develop proficiency in management of specific developmental and behavioral disorders in children 0-5 years (Autism, ADHD, ODD, Down syndrome) Clinic Experience/Training Participate in outpatient clinics involving assessment and follow-up of: Neonatal High Risk Infant developmental follow up Clinic 0-3 Neurodevelopmental Clinic 0-3-age autism screening Preschool-age learning and behavioral problems Genetic Disorders Pediatric Neurology Down syndrome Clinic Neurodevelopmental Cardiology Clinic Complete inpatient consults, and round with Developmental attending on consults Participate in interdisciplinary/interprofessional teams and staffings Participate in parent interpretive conferences Take call 2 nd half of first year (home call) Advocacy/community services Develop understanding of Advocacy/Community services for children with disabilities Research Complete research component of LEND curriculum Identify Scholarship Oversight Committee; identify potential areas of research interests/questions Updated on 02/8/2017 Page 2 of 6
3 Participate in HRSA/MCHB DBP Fellowship leadership/research meeting Begin exposure to database and statistical packages (e.g. RedCap,SPSS) Understanding of core concepts of statistical methods of analysis used in developmental-behavioral pediatrics PGY 5 Continue DBP Core Curriculum and Conferences as in Year 1 Continued participation in the MCHB Leadership in DBP program Continue to develop proficiency in physical (neurological/dysmorphology) examination Develop proficiency in general neurodevelopmental/neurocognitive assessment and diagnosis for elementary, middle school, and high-school aged child/adolescent using standardized measures See Yr 1 for details of domains Complete school age evaluations, utilizing standardized cognitive/adaptive screening testing, academic achievement screening, and other tests of motor function as needed Develop proficiency in Behavioral-Mental Health Screening and Assessment in these age groups Participate in 3 week ADOS training course Learn Autism Spectrum Disorder assessment tools (i.e. Autism Diagnostic Observation Schedule-2, modified Autism Diagnostic Interview -R) Develop proficiency in management and treatment of developmental and behavioral problems and disorders Develop proficiency in management of general behavior problems and knowledge of behavior modification principles in school age children and adolescents, including CBT, PCIT, parent behavior training Develop understanding and expertise of medical management of developmental and behavioral disorders in school age children and adolescents: Updated on 02/8/2017 Page 3 of 6
4 Psychopharmacology in Developmental Disabilities ADHD (also with anxiety, depressive symptoms, aggression, oppositional behavior) Stimulant medications Non-stimulant medications Aggressive Behavior/episodic dyscontrol Cerebral Palsy-increased tone, spasticity Myelomeningocele Clinic Experience/Training Participate in general developmental and behavioral pediatric clinics Participate in outpatient clinics involving assessment and follow-up of: Myelomenigocele/Spina Bifida Clinic Cerebral Palsy Adolescent Medicine Child and Adolescent Psychiatry Complete inpatient consults, and round with Developmental attending on consults Participate in and lead in selected interdisciplinary/interprofessional teams and staffings Lead parent interpretive conferences Take call 4 months (home call) Advocacy/community services Continue to develop understanding of Advocacy/Community services for children with disabilities Visit community agencies for children and adolescents (Pattison s Academy, Family Resource Center, etc) Develop understanding of technical assistance in the community, and community outreach Research Complete basic research courses epidemiology Complete basic epidemiology project-including development of research question and Updated on 02/8/2017 Page 4 of 6
5 methodology Development of main research project: design and implement research project with assistance of Scholarship Oversight Committee Establish database for research project Apply concepts of statistical methods of analysis used in developmental-behavioral pediatrics Participate in HRSA/MCHB DBP Fellowship leadership/research meeting Teaching Assume a primary role in teaching developmental and behavioral screening/assessment to residents, students Lecture to MSIII and MSIV, Pediatric residents on DBP rotation, Pediatric residents at noon conference, and other related health fields as invited Lead discussion at Collaborative Office Rounds 10% of the time PGY-6 Complete DBP Core Curriculum, continue conference attendance Continued participation in the MCHB Leadership in DBP program Continue to develop proficiency in general neurodevelopmental/neurocognitive assessment and diagnosis for elementary, middle school, and high-school aged child/adolescent using standardized measures Develop proficiency in Autism Spectrum Disorders assessment tools (i.e. ADOS-2, modified Autism Diagnostic Interview Schedule-R) with certification by certified psychologist Continue to develop proficiency in Behavioral-Mental Health Screening and Assessment Continue to develop proficiency in management and treatment of developmental and behavioral/ mental health problems and disorders See Year 1 & 2, adding: Updated on 02/8/2017 Page 5 of 6
6 Affective Disorders: Depression, Anxiety, Obsessive-Compulsive Disorders Tourette Syndrome/Tic Disorders (+/-ADHD) Self-Injurious Behavior International Adoption patients Advocacy/community services Continue to develop understanding of Advocacy/Community services for children with disabilities Visit community agencies for children and adolescents (LowCountry Children s Center, Family Resource Center, etc.) Develop understanding of technical assistance in the community, and community outreach Research Complete data collection for research project Apply concepts of statistical methods of analysis used in developmental-behavioral pediatrics Participate in HRSA/MCHB DBP Fellowship leadership/research meeting Analyze and submit research project for presentation at a national conference as a poster or platform presentation By the end of Year Three, assimilate research findings into manuscript form and submit for publication to a peer-reviewed journal Teaching As senior fellow, assume a primary role in teaching developmental and behavioral screening/assessment to residents, students, and DBP 1 st year fellow Lecture to MSIII s on pediatric rotation, Pediatric residents at noon conference, and other allied health fields as invited Lecture at DBP Didactics to other division members Lead discussion at Collaborative Office Rounds 10% of time Lecture locally and/or statewide on DBP topic as invited Updated on 02/8/2017 Page 6 of 6
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