Strengths of our Program
Clinical: Our competitive fellowship offers a balance between development and behavior. Our program is based in a collaborative division of developmental-behavioral pediatricians, pediatric psychologists, neuropsychologists, social workers and nurses. This combination enables clinical, educational and research collaboration throughout all three years of training. The Division's Rainbow Child Development Center focuses on the three As: attention deficit-hyperactivity disorder (ADHD), anxiety, and autism spectrum disorders. However, our fellows are exposed to a wide variety of developmentally, behaviorally and medically complicated patients during their training as they spend time in clinics within our own division, as well as many other divisions within Department of Pediatrics at Rainbow.
The Developmental-Behavioral Pediatric Fellowship offers rich and varied clinical experiences. The fellows have a weekly DBP continuity clinic and spend time in other DBP clinics with faculty members. They also rotate in interdisciplinary clinics for children with autism, fetal alcohol spectrum, craniofacial disorders, ADHD, Down syndrome, adoption issues, and meningomyeloceles with faculty members within our division. Outside of our division our fellows rotate with genetics, sleep medicine, neonatal intensive care unit follow up, neurology, and comprehensive care. Unique to our fellowship, our fellows have the opportunity to explore another hospital system's developmental and behavioral resources through a month-long rotation at the Cleveland Clinic Children's Hospital. This experience includes time in their feeding clinic, cerebral palsy clinic, autism clinic, autism school and in-patient pain program. As knowledge of resources is an important part of training, fellows visit schools and sites that provide resources as well as attend conferences to learn about resources. The third year has flexibility for electing to spend time in clinics, which will prepare the fellow for their anticipated career placement. Ultimately, our fellows are trained to function independently as well as in a variety of interdisciplinary environments.
Inpatient: While inpatient experiences are not typically expected to be a large portion of the Rainbow DBP fellow's training time, inpatient consultations are seen at University Hospitals Rainbow Babies & Children's Hospital occasionally and they may include developmental-behavioral evaluations. In addition, one of the DBP fellows' rotations is with our psychologist who consults in inpatients with acute or chronic illnesses that have a stress-related aspect to their illness that is interfering with healing (e.g. conversion reaction). Some rotations, like neurology and genetics, may include some rounding with the inpatient teams.
Teaching: There is an emphasis on the development of teaching skills through the expectation and opportunity to teach in multiple forums. Fellows teach the weekly division seminar, Board Review, medical students on the topic of ASD, and residents in their month-long rotation in developmental-behavioral pediatrics. The weekly division seminar is used as a forum to evaluate and learn from the teaching of others and to practice presentations. The fellows are also active in teaching pediatric residents when they rotate in their continuity clinics. In addition, the fellows have the opportunity to attend an ongoing series of seminars on the development of teaching skills through Case Western Reserve University.
Research: Divisional and institutional supports mentor the fellows thought the pursuit of a research project. The research project is developed in year one with major blocks of time in year two for executing the project and writing it up. Year three research time is for completing research activities. Within the division and the institution, there are multiple individuals who provide mentoring for research projects. Eight of the nine past fellows have published peer reviewed papers based on work done during their fellowship.
Advocacy: Fellows have the opportunity to attend the American Academy of Pediatrics Annual State Legislative Day, as well as American Academy of Pediatrics Annual National Legislative Day. Fellows also have the opportunity to work on advocacy projects.
Board Certification: After completion of our three-year fellowship, graduates are eligible for the Developmental-Behavioral Pediatrics subspecialty boards. Since 2007, 100 percent of fellows have passed their DB pediatrics subspecialty boards.