Maternal and Child Health Training Program
Grant Status: Completed
Grant Title: Preparing Pediatricians for Careers in Academic Behavioral Pediatrics: The MCHB/PENN Partnership
Nathan Blum, M.D.
University of Pennsylvania School of Medicine
Children's Hospital of Philadelphia
Division of General Pediatrics
34th Street and Civic Center Boulevard
Philadelphia, PA 19104-4318
Phone: (215) 590-7525
FAX: (215) 590-9339
Many of the health problems facing our country are strongly related to developmental and biopsychosocial problems. This program trains future leaders in developmental-behavioral pediatrics (DBP) to assist children and families and improve systems of care for these health problems
Goal 1: Prepare fellows with the knowledge, skills, and attitudes necessary to integrate interdisciplinary services in the care of children and families. Objective 1: Fellows will have multiple interdisciplinary didactic and clinical training experiences during the 1st year of training. Objective 2: Fellow will develop and implement a faculty mentored community-based project during the 2nd year of training. Goal 2: Prepare fellows with the knowledge, skills, and attitudes necessary to provide family-centered and culturally competent care. Objective 1: Fellow completes a course on providing culturally and linguistically competent care during the 1st year of training. Objective 2: Parents of children with special needs teach fellows about family centered-care throughout the 1styear of training. Goal 3: Prepare fellows with a broad understanding of public health and the leadership skills essential to implement systems-level change. Objective 1: During the 2nd year, fellows complete a community project utilizing leadership skills to improve care for children and families. Objective 2: By the end of training fellow will have given presentations across diverse contexts, with parents and with professionals. Goal 4: Prepare fellows with the scholarship and leadership skills essential to advance the field of DBP. Objective 1: During the 1st year of training fellows are provided didactic training on research design, ethics, data analysis and grant writing. Objective 2: By the end of training, a fellow will have implemented a research project, appropriately analyzed and interpreted the data, and presented the results. Goal 5: Prepare pediatric residents with the knowledge and skills necessary to effectively provide anticipatory guidance about, assess, and manage DBP problems. Objective 1: Over the 3-year course of training, provide supervised clinical experiences in DBP. Objective 2: In year 1 of training the resident will visit schools and community-based agencies to better understand the role of these organizations in the care of children.
We provide: 1) an extensive interdisciplinary didactic curriculum; 2) supervised DBP and interdisciplinary clinical training in the provision of family-centered and culturally competent care across multiple venues; 3) structured teaching experiences; 4) mentored research training; and 5) consultation to Title V funded programs and community-based agencies.
Our trainees participate in educational programs on legal rights and advocacy sponsored by community-based organizations. Fellows and faculty provide care in Title V funded clinical programs and provide consultation to these programs and community-based agencies.
Evaluation methodologies include: self-assessment by trainees, a clinical encounters log documenting breadth and depth of trainee experiences, and direct observation of trainee performance. Fellows complete our Core Competency Measure before and after training. Other indices include ratings of faculty performance by trainees, presentation of research abstracts and manuscripts, the development and dissemination of educational resources, and the tracking of post-fellowship career paths.
We have had two first year, two second year, and one third year fellow in our developmental-behavioral pediatrics fellowship training program this year. One and a half of these fellowship positions was funded by this grant. In addition, during the past year we contributed substantively to the developmental and behavioral pediatrics education of over 100 pediatric residents and participated in the education of medical students. We have participated in the education of trainees in multiple disciplines including: child and adolescent psychiatry, genetic counseling, pediatric psychology, social work, and other disciplines. We continue to run a successful Collaborative Office Rounds continuing education program for primary care physicians. We have participated in other continuing education events for hundreds of health professionals. We have continued to provide consultation and technical assistance to Title V programs, schools, and community agencies. In addition our site serves as the Network Coordinating Center for the Developmental-Behavioral Pediatrics Research Network which includes the 9 other MCHB funded leadership education in developmental and behavioral pediatrics fellowship programs.