Developmental Pediatrics - PEDIAT 975

Welcome to Developmental Pediatrics!

We are so happy that you are choosing to learn more about the Developmental Pediatric elective!

During your time with us, you should learn to:

List major developmental milestones of infants and children
Outline a differential diagnosis for a child with developmental delays
List the diagnostic criteria of autism spectrum disorder, intellectual disability, and cerebral palsy
List the most common diagnostic tools used in assessing a child with developmental delays
Consistently incorporate interdisciplinary team recommendations in a plan of care for children with disabilities
Demonstrate an understanding of the complexity families face in navigating systems of care
Explain the most common strategies used to support individuals with developmental disabilities (educational, therapy, medical management, social supports)

Course Director

Katie Kastner, MD

Division Coordinator

Manda Ratcliff

People to Know

Expectations:

Clinic

1. Contact clinic attending at least one day prior to each session to discuss the plan for that session
2. Attend all clinic sessions as scheduled. Communicate with attending via secure chat if visits are virtual
3. Plan to attend team meetings (either in-person or virtual) at 8am (if applicable).
4. During the first week of the rotation, observe clinic visits and complete observation form to guide the experience
5. After the first week of the rotation, complete the visit for at least one patient per clinic session (per attending discretion)
6. Review selected patient prior to clinic and complete pre-charting with appropriate template
7. Complete documentation for

Self-directed Learning/Teaching Sessions

Attend all scheduled didactic/teaching sessions on your rotation schedule. You will receive instructions for attending virtual sessions from Manda.
Review resources during self-directed learning time (see below)

Clinic Documentation

Please use the following templates when completing visit documentation:

DEVPEDSNEW: A&DD, Down Syndrome, and Neuromotor new patients
DEVPEDSFOLLOW: A&DD, Down Syndrome, and Neuromotor follow up
DEVPEDSASDEVAL: A&DD autism diagnostic evaluations
NBFU CLINIC: NBFU patients

Documentation should ideally be completed on the same day of the visit. If that is not feasible due to other commitments, discuss the plan to complete documentation with attending.

Consider the following guidance for documentation:

-Write clinic notes for families! We send a copy of all of our notes to our patients’ families. Families use these notes for treatment planning, working with therapist/school, and applying for other services and supports so our notes look different than a typical medical note

-Avoid judgmental or accusatory language (e.g. instead of saying “Mother denies”, say “Mother reports no concerns about”)

-If a patient or family shares their preference regarding use of Person-First language (e.g. child with autism spectrum disorder) versus identity-first language (autistic child) please respect that preference, both in verbal communication and documentation. Always avoid use of derogatory terms such as mental retardation or MR.

-Minimize medical jargon and abbreviations- especially in recommendations

-Include parent-report regarding development/behavior in the HPI and your own observations of development/behavior in the Physical Exam/Observation section

-Write recommendations as instructions to families

Clinic

Clinic occurs at one of two locations:

Waisman Center Clinics (1500 Highland Ave); team room 124 or 163 (door code 5050*)
AFCH Outpatient Specialty Clinics (1675 Highland Ave.); meet in team room 2155A

Healthlink Schedule:

WAISMAN CTR PEDS DEVELOPMENT [all Waisman Center Clinics)
AFCH PEDS DEVELOPMENT [NBFU Clinic at AFCH]
AFCH REHAB MED [Spina Bifida Clinic at AFCH]

Clinic Experiences

Autism and Developmental Disabilities Clinic (A&DD): Diagnostic evaluations, developmental care and follow up for children with autism and developmental delays. A&DD Clinic is at Waisman Center or UW Health East Clinic. Team room at Waisman: Room 163
Newborn Follow-Up Clinic (NBFU): Multidisciplinary team clinic for infants/toddlers who were in the NICU or have increased likelihood of developmental disabilities. NBFU Clinic is at Waisman Center or AFCH. Team room at Waisman: room 124; Team room at AFCH: room 2155A
Neuromotor Development Clinic (NMD): Team clinic for children with complex disability, including motor disability. Clinic is at Waisman Center. Team room at Waisman: Room 138
Down Syndrome Clinic (DS): Team clinic for children with Down Syndrome. Clinic is at Waisman Center. Team room at Waisman: room 124
Cerebral Palsy Clinic (CP); Team clinic for children with Cerebral Palsy. Clinic is at Waisman Center. Team room at Waisman: room 124
Spina Bifida Clinic: Team clinic for children with Spina Bifida. Clinic is at AFCH. Team room at AFCH 2310A.

Educational Opportunities

Dev Peds schedule Jan 2022.JPG

Educational Resources

Modules on Canvas site
https://publications.aap.org/pediatrics/article/149/3/e2021052138/184748/Evidence-Informed-Milestones-for-Developmental
https://publications.aap.org/pediatrics/article/145/1/e20193447/36917/Identification-Evaluation-and-Management-of
https://publications.aap.org/pediatrics/article/145/1/e20193449/36971/Promoting-Optimal-Development-Identifying-Infants
https://publications.aap.org/pediatrics/article/144/4/e20192528/81590/Clinical-Practice-Guideline-for-the-Diagnosis

About Autism in Toddlers: : https://autismnavigator.com/courses (free resource but must create an account to login)