Developmental and Behavioral Pediatrics Fellowship
Barbara T. Felt, M.D.
Lauren O'Connell, M.D.
Mission and Overview
The Division of Child Behavioral Health directs a Fellowship in Developmental and Behavioral Pediatrics. This three-year program fulfills the requirements of the American Board of Pediatrics Sub-board of Developmental-Behavioral Pediatrics and is accredited by the Residency Review Committee of the Accreditation Council for Graduate Medical Education.
The goal of this program is to train outstanding academic developmental-behavioral pediatricians who will be future leaders in the field. The provided training is broad and inter-disciplinary in scope and includes a strong faculty, diverse patient population, superb research training opportunities, and numerous educational and advocacy experiences. We expect that graduates of our fellowship program will improve systems of care for mothers, children, youth and adolescents.
We care for children from birth through adolescence, with a variety of problems varying in complexity in 7 DBP clinics per week. Our service offers evidence-based evaluation, treatment, intervention and education for many conditions, such as ADHD, learning problems, behavioral sleep disorders, failure to thrive, , elimination disorders, developmental delay, autism, and complications related to perinatal problems.
The purpose of the clinical training program is to train DBP fellows to be leaders in interdisciplinary clinical care that is focused on the maintenance of health, promotion of positive health behaviors and treatment of acute or chronic medical and/or behavioral conditions among infants, children, adolescents and their families. Clinical training for DBP fellows will occur in outpatient and inpatient settings and will utilize the rich and unique resources available at the University of Michigan. The clinical training will involve faculty within the Sections of Developmental-Behavioral Pediatrics, Pediatric Psychology and Adolescent Medicine in the Division of Child Behavioral Health as well as other Divisions and Departments that work with children and adolescents at the University of Michigan Health System.
Fellowship training during the first year is aimed at gaining competencies in the clinical discipline of DBP. Fellows will have 8.5 months devoted primarily to DBP outpatient clinical experiences: 4 months exclusively devoted to DBP outpatient clinics, 3 months of DBP clinics with at least one Neurology clinic per week (Multidisciplinary sleep clinic), and 1 month of DBP clinics with 2-3 Physical Medicine & Rehabilitation (PMR) clinics per week. DBP fellows will spend 1 month on Child and Adolescent Psychiatry and 3 weeks on the Genetics service, focusing on developmental and behavioral presentations of genetic disorders. Fellows will be assigned for 3 weeks on the Child Abuse and Neglect service and will have experience with community agencies and the court system. During the 10 weeks on affiliated-specialty rotations, DBP fellows will continue 2-3 DBP continuity clinics per week. During DBP months (8.5 months), there will be experiences with Pediatric Psychology and Adolescent Medicine (which are in our division), as well as with other specialists in our multidisciplinary clinics (Speech pathology, Physical therapy, Occupational therapy and Nutrition). During the second and third years when fellowship training focuses on research, fellows will continue 4 DBP continuity clinics per month. They may elect additional clinics in DBP, adolescent medicine, pediatric psychology, child neurology, child psychiatry, and physical medicine and rehabilitation.
Research training is a major focus of the DBP fellowship program. Our overall goal is to produce D-B pediatricians who will be leaders in contributing to the scientific base of the field, especially related to improving quality of life and eliminating health disparities. Fellows’ research training will take advantage of the resources at the UM Center for Human Growth and Development (CHGD) (http://www.chgd.umich.edu/), as well as the Division of Child Behavioral Health in the Department of Pediatrics. Our approach to research and research training is thoroughly interdisciplinary. We can provide research training for fellows who want to study basic brain processes as well as clinical research. To develop research leaders, our intent is to train fellows to be independent investigators who can collect and analyze their own data, rather than only directing others to do so, and seek the research support needed to sustain an academic career. Because of the heavy emphasis on research in our program, applicants must demonstrate a clear commitment to research at the time of application. This is often evidenced by research experiences during college, medical school, and/or residency. Fellows will devote 80% time during the second and third years to their research projects.
Advocacy is an essential component of DBP leadership. Fellows in our program will receive both formal training and experiential learning in advocacy. We have strong linkages with Title V programs, Children with Special Health Care Needs (CSCN), Medicaid and the SCHIP program (MICHILD). During the first year of fellowship, the fellow will be mentored by their clinical faculty mentors in advocacy for individual patients. During the second year of fellowship, fellows will choose a local advocacy project, such as working with a local school, school district, school board, community mental health, a physicians’ group or a municipality to improve care for a condition related to developmental, behavioral or psychosocial needs of children. During the third year of fellowship, fellows will gain experience with one state-level advocacy project.
The GME Scholars Program consists of 2 tracks, a Medical Education Track and a Healthcare Administration Track. Interested house officers may choose to participate in one of the scholar program tracks during their training. This innovative program will provide participants with a longitudinal training (a 20-month mini-fellowship) experience in one of the above two areas of concentration. This training will be incorporated into their current GME training program, and is open to all University of Michigan house officers (residents and fellows). The primary goal of the GME Scholars Program is to better prepare graduates to assume and succeed in academic positions with a focus in either medical education or healthcare administration at leading academic medical centers. Additionally, the program will allow participants to establish strong mentoring relationships in their chosen area of study, a network for future collaboration, and might serve as a stepping stone to pursue further graduate study if desired. Program participants will begin to develop the knowledge base and skill set required for them to be successful as the next generation of physician leaders.
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Eligible candidates will have either a M.D. or a D.O. degree and will have successfully completed a three-year residency in Pediatrics from an ACGME accredited program. Applicants must be a U.S. citizen.