Albert Einstein College of Medicine/CHAM

Problem:

We train fellows as leaders in D-B P, residents to care for children with D-B issues, & provide CME to practitioners,using a combination of clinical, research & teaching for fellows, clinical training for house officers & medical students, & continuing education for community practitioners.

Goals and Objectives:

Goal 1: Prepare leaders in academic D-B P who have excellent skills as clinicians, researchers, and teachers and to provide them with the necessary training for academic advancement and child health advocacy. Objective 1: D-B P fellows will demonstrate the clinical skills necessary for recognition and treatment of both common and complex behavioral and developmental problems; knowledge of the importance of psychological and social factors in mediating illness and the individual's and families' response to illness. Objective 2: D-B P fellows will demonstrate the capability to conduct and evaluate research, skills as excellent teachers, skills necessary to assume an active faculty role, execute administrative responsibilities, and be successful in academic appointment and promotion. Objective 3: D-B P fellows will demonstrate the skills necessary to function as advocates for the advancement of children's issues on local, state, and national levels. Goal 2: Train pediatric residents to understand the normal range of behavior and development, recognize and explore behavioral and developmental deviations. Objective 1: Trainees will demonstrate knowledge of the full range of behavioral and developmental issues necessary for a pediatric practice, and appreciation of the relevance of psychological and social aspects of well child care, acute illness, and chronic illness. Goal 3: Enhance skills of primary care practitioners through continuing education and liaison with pediatric providers from a range of disciplines. Objective 1: Practicing pediatric providers will demonstrate knowledge of and enhanced teaching about key aspects of child behavior and development. Objective 2: Physicians, nurse practitioners, nurses, social workers, and school personnel will demonstrate knowledge of key aspects of child behavior and development. Goal 4: Introduce Medical students to the fundamentals of D-B P Objective 1: Develop introductory level knowledge, attitudes, and skills to recognize fundamental child D-B as they affect health care delivery to children and adolescents. Objective 2:

Methodology:

The program takes place in the Department of Pediatrics of the Albert Einstein College of Medicine/CHildren's Hospital at Montefiore (AECOM/CHAM) in Bronx, New York. This department operates large pediatric inpatient, outpatient, and emergency services for children. These services provide care to ethnically diverse patient populations including many minorities (African American and Latino children). Structured course work for fellows in research as well as courses in development and behavior are available to trainees. Trainees include 3 fellows in D-B P and 85 residents, 45 medical students, practicing pediatricians, pediatric nurses and nurse practitioners, social workers and other allied health professionals. The fellowship in D-B P includes: 1) supervised clinical experiences with all age groups in a variety of community-based training settings, 2) structured course work, and 3) applied research training involving research mentorship and performance of a substantial project. The curriculum for pediatric residents is supervised by a multidisciplinary, multiethnic faculty. Our educational program focuses on developmental-behavioral aspects of primary care pediatrics and emphasizes care of children with special health care needs in a variety of settings.

Coordination:

The program coordinates service, research, and advocacy work with other Title V programs locally, regionally, and nationally.

Evaluation:

All objectives are available for trainee review and are used to monitor progress. Fellows are evaluated on clinical work, research projects, teaching and advocacy roles. We monitor academic leadership of graduate trainees and assess subspecialty certification by the American Board of Pediatrics. Residents are evaluated on rotations, clinical performance and knowledge of behavioral and developmental issues, performance on pediatric board certifying examinations and career choices.

Experience to Date:

During the current grant cycle we have graduated three fellows who all took leadership positions in academic residency programs. Two of them received advanced degrees and each obtained some financial support outside the program for their research. Three fellows are currently enrolled and are progressing well in all aspects of their training. We also continue to train residents, medical students, and a wide range of other health and educational professionals in D-B P. Our faculty members are leaders in a host of collaborative efforts and are actively engage in providing technical assistance to groups in the region and more broadly. We continue to publish the results of our research and to present at academic meetings on a diverse set of D-B P topics.