ORIENTATION TO ROTATION



Welcome Remarks

Welcome to Neurodevelopmental/Developmental-Behavioral Pediatrics (DBP)! We are very pleased to have you with us this month.

Your rotation will consist of many activities that are designed to provide you with a broad-based, well-rounded exposure to the subspecialties of Neurodevelopmental Pediatrics and Developmental-Behavioral Pediatrics.   The rotation is also designed to meet the goals laid out by the Academic Pediatric Association's Standard Rotation in DBP

About 18% of the content on your General Pediatrics Certification Board Examination, based on the Standard Rotation recommendations, focuses on DBP in the following 5 areas:

  • Growth and Developmental Milestones (5%)
  • Genetics and Dysmorphology (2.5%)
  • Disorders of Cognition, Language and Learning (3.5%)
  • Behavioral and Mental Health Issues (4%)
  • Psychosocial Issues and Problems (3%)

Many of your scheduled activities will take place at clinics located at Seattle Children's or at the U.W. Center on Human Development and Disability (CHDD). Other activities may include participation at community clinics or going on field trips.

Your schedule may be updated periodically over the month, as changes in our clinics and activities, your continuity clinics, or other unforeseen changes, are not uncommon. Please be sure to notify Dr. Zinner immediately of any changes, and also be sure to check the schedule on this website daily for any changes. 

Please ask questions, provide us with your feedback, and let us know what we can do to make your rotation rewarding and useful to you.

Why Developmental and Behavioral Pediatrics?
Developmental and Behavioral Pediatrics encompasses social, psychological, medical/health and educational factors of all children, youth and their families in the context of inborn and dynamic environmental influences.  Recently the American Board of Pediatrics officially recognized 2 new developmental pediatric subspecialties within the field of General Pediatrics.  These subspecialties are both part of the broad rubric of developmental pediatrics, but each has different emphases.   The 2 subspecialties are Neurodevelopmental Disabilities; and, Developmental/Behavioral Pediatrics. 

One in 5 U.S. families has a child or youth with a "special healthcare need".  Further, behavior and development are relevant to ALL children.  Despite this relevance, most pediatricians feel ill-equipped to identify and manage developmental and behavioral needs of their clients.  YOU as the pediatrician Medical Home provider will be among the most pivotal and continuous folks responsible to the infant/child/adolescent and caregivers for following child development and behavior needs; identifying special needs; shepherding families toward more specialized services; serving as an advocate for families; and other roles.  Although developmental/behavioral pediatricians can assist you in your primary role as the general pediatrician,  the ball will still primarily be in your court to take the lead for the vast majority of your patients with special needs, and for all your patients in general. 

Because your role as general pediatrician is so singularly influential, you spend one dedicated month during your pediatric residency training in developmental/behavioral pediatrics at all accredited U.S. pediatric residency training programs. 

We have designed your month to prepare you to meet this challenge in an exciting and exploratory way.  The outcome of your monthlong training will leave you with the tools and strategies you'll need to identify, manage and support your clients and their families confidently. You'll learn to become a more effective Medical Home provider during your month with us.  Focus will be placed on general development/behavior and on special needs.

In addition, this website has been created for you as an aid throughout your residency training as you manage the developmental and behavioral needs of your clients in your outpatient continuity clinic, subspecialty rotations, in the emergency department, and on inpatient services.


First Things First
RIGHT NOW!! Do the following 3 things: 

Thing One: Complete the Trainee Registration Form (you will not complete rotation without this):

Thing Two: Confirm your responsibility to notify contact person if you cannot attend a scheduled activity (as described below) by doing the following:

                  *Click here to send confirmation email that you understand this responsibility.
                  *Subject line, write your name.
                  *Message box, ad lib (The system does not permit you to leave it blank. Sorry!)

  • What you just agreed to do: You MUST
  1. Email or phone BOTH the listed contact person and Dr. Zinner immediately, before the scheduled activity (or as soon as possible) if you find that you are unable to attend a scheduled activity. Contact information for every activity can be found from this website's Home Page on the "Clinics and Activities" link for every activity.
  2. Receive acknowledgement from Dr. Zinner that he has received your email. While unintentional, there have been instances in which residents have not done this or who have sent emails that were never received either by Dr. Zinner or by the listed contact person. This oversight jeopardizes the good relations we maintain with volunteer faculty members. Thanks for understanding.

Thing Three: Dictation Code (residents only)

  • If you do not know your UW Transcription Number (which is the same as number used at the Roosevelt Clinic if your continuity clinic takes place there), contact right away either Jennifer Hickey (jennifer.hickey@seattlechildrens.org) or Scott Olson (987-2525 or scott.olson@seattlechildrens.org). In general, you will be responsible to dictate the reports for families you see. Dictation instructions vary among different facilities. At the UW, you will need this Dictation Code.  Please see the "Clinics and Activities" link on the Home Page for specific dictation instructions for any particular clinic (when applicable), or talk with your Attending supervisor.  You are expected to complete dictations in a timely manner.  See the department's minimum standards for completion.

Last Things Last
Complete Page 1 of the Trainee Exit Form.  We cannot qualify your completion of this rotation until we have received your completed form at the conclusion of your rotation.  Submit the completed Page 1 of the form to Nancy Saunders (charbert@u.washington.edu) or in person at the CHDD room CD422.

Things in the Middle
Please look at the International Classification of Functioning, Disability and Health (ICF) Beginner's Guide early in the rotation.  The ICF is part of the World Health Organization's framework for health and disability.  The main point of ICF is to stress health and functioning, not disability.  The ICF is becoming the world standard for disability data, and the U.S. will join nations around the world as ICF standards are incorporated into health laws.

Schedule of Clinics and Activities
Your schedule changes weekly (somewhat) and the schedule can change at a moment's notice, so check the Schedule linked to this website's Home Page daily to determine your assignment.  Check daily to determine the upcoming activity.  We will do our best to email you whenever there is a schedule change, but it is your responsibility to confirm your activity daily by checking the schedule posted on this website. 

All your scheduled activities have their own goals/objectives, readings, and preparation materials.  So, check the Clinics and Activities linked to this website's Home Page one day before each activity!   Also, the Clinical Observation Guide is available in the Clinics and Activities section, and may be used at your discretion at any clinic to help you identify and reinforce consistent clinical interviewing skills.

Expectations
The Residency Review Committee (RRC) of the Accreditation Council for Graduate Medical Education requires pediatrics residents to complete a minimum 1-month block rotation in behavioral/developmental pediatrics (page 27).  While 1 month is very brief, we hope that you'll build a solid foundation in Developmental-Behavioral Pediatrics to enable you to serve the families in your care effectively and with confidence.  A variety of tools and resources are available to you on this website to help you meet these responsibilities during residency and beyond.  Please take the time periodically this month to familiarize yourself with these items.

Scheduled Time:
Preview the "Clinics and Activities" information on this website for each of your scheduled clinics and activities prior to the scheduled date of your participation. You are expected to arrive on time and prepared for all of your scheduled activities. If for any reason you are unable to arrive on time, or to arrive at all, to a scheduled activity, contact Dr. Zinner immediately. In addition, contact the clinic or activity coordinator for your activity to inform that person of your situation (contact info at Clinics and Activities link).

Self-Guided Learning:
This time has been set aside for you to pace yourself, and select among the following options:

In The News!
You will be registered on an email listserv of approximately 100 physicians and allied health professions, receiving once or twice weekly a summary of an article from a popular news media source that focuses on something D-B-Peds-esque.   In addition, the email will provide commentary and related clinical resources resources.  You will be responsible for preparing one version during your rotation.

Faculty and Staff - Attending Physicians

Fellows

Other Staff
Many other staff will help you throughout the month. Information regarding each of the clinical and other activities, and the staff involved, is available on the link "Clinics and Activities", accessed through the Home Page.

For scheduling concerns, please be sure to contact: 


Parking, Transportation and Directions to Clinics
There is no free parking (or free lunches) available at CHDD/UWMC. You will generally be at the CHDD on Mondays, Wednesdays and some Fridays. There is no fee for parking at any of the outside clinical activities to which you will be assigned. Transportation options include biking, public bus services, as well as automobile. There is a shuttle that runs every 40 minutes between Seattle Children's and the UWMC. Parking information is available through Commuter Services, at 685-1543, or at www.washington.edu/admin.parking. You will need to bring your UW ID card and vehicle license plate number to purchase parking stubs.

Bikes at UW/CHDD
There is no designated bicycle path around the CHDD. However, there is a temporary walkway at the north side of the Experimental Education Unit (EEU), which is the 1-story school to the immediate east of the CHDD building.

For directions to clinics, please see "Clinics and Activities" on the Home Page of this website, and click on the website for the clinic of interest.


Food Storage
The lunchroom at the CHDD is located in room CD174, on the first floor. The refrigerator, sink, and microwave are at your disposal. There are also vending machines, tables and chairs. The "Plaza Cafe" is located right across the street from the CHDD, in the main hospital, and the South Center is just to the west of the CHDD, and has a Subway outlet.

Security of Belongings
Do not leave wallets, purses or other valuables lying around. Keep these on your person, and not at your desk!!

Work Space
At the CHDD, you will have a desk to share in room CD243. In addition, the common workroom in CD221 is available for dictation. On Tuesdays at the Neurodevelopmental Clinic at Seattle Children's, the common work room on 6W is all there is!! Other clinics will orient you to their work space.
Send mail to: szinner@u.washington.edu
Last modified: 2/14/2010 4:57 PM