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Problem: Research demonstrates how essential early experiences, gene-environment interactions
and relationships are in determining child development and health. Medical leaders are required who understand the impact of biological, psychological, social and cultural factors on children and families and are skilled in family-centered practices that enhance care and inform policy.
Goals & Objectives:
Goal 1: Recruit and prepare Developmental-Behavioral Pediatricians (DBPs) from diverse backgrounds to become skilled in family-centered, culturally and linguistically competent care for children with biobehavioral concerns and to effectively teach these skills to others.
Objective 1.1: Increase from 3 to 4 DBP fellows trained yearly to demonstrate expertise in evaluation, management and provision of DBP health care to vulnerable populations, including those who are minorities, low income, or non-English speaking, and those with special needs.
Objective 1.2: DBP fellows will demonstrate skill in teaching the concepts of DBP to trainees through 1:1: mentorship, small group discussion, and formal presentations and in teaching families through clinical encounters and formal presentations to parent groups.
Goal 2: Prepare academicians in DBP to have the knowledge and skills to evaluate, design, conduct and disseminate research in DBP and the energy and passion to provide community service and inform public policy in collaboration with community agencies and advocacy groups
Objective 2.1: Each fellow will complete a research project, present it nationally and publish it.
Objective 2.2: DBP fellows and faculty will provide consultation and technical assistance to at least 5 community based programs and/or Title V programs each year.
Goal 3: Increase the knowledge, attitudes and skills of medical students, residents, faculty, community practitioners, and allied health professionals in Developmental-Behavioral Pediatrics to promote prevention, optimize resiliency, and inform policy.
Objective 3.1: Pediatric residents will complete a rotation in DBP that emphasizes a family-centered biopsychosocial approach to child health and identifies community based resources.
Objective 3.2: Core faculty will provide 20 Collaborative Office Rounds (COR) and Grand Rounds sessions yearly for community pediatricians to enhance their skills in DBP aspects of care.
Activities Undertaken To Meet Project Goals: The training program includes seminars, clinical experience, research training and mentorship, community placements and COR. Interdisciplinary faculty represent DBP, pediatrics, child protection, psychology, anthropology, psychiatry, neurology, genetics, metabolism, social work, nursing, PT, OT and speech therapy.
HP 2010 Objectives: Increase quality and years of healthy life and eliminate health disparities.
Coordination: Brown affiliated programs at Hasbro Children’s Hospital, Women and Infants’ Hospital, Bradley Hospital, Memorial Hospital of RI and Brown’s Program in Public Health provide sites for clinical care and research mentorship with community based advocacy and education in partnership with the RI Dept. of Health, its Title V and KIDSNET programs, RI’s EI and CEDARR programs and the RI and SE Massachusetts parent and pediatric community.
Evaluation: Ongoing faculty, staff, peer, patient, scholarship oversight and self evaluation of fellows, an ILP and portfolio, completion of research and a manuscript with evaluation of medical charts, clinical conferences and management plans; the program is evaluated yearly with tracking of faculty, current and former trainee career development and productivity.
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