The core rotations include the cornerstone training experiences of the Nationwide Children’s Hospital Developmental-Behavioral Pediatrics Fellowship. The overarching goal for the core rotations is for the fellow to acquire significant experience and skills in the assessment and ongoing management of infants, children and adolescents with developmental and behavioral disorders. Competency is accomplished through extensive exposure to developmental and behavioral conditions in a variety of settings.
The Behavioral Medicine and Consultation Clinic (BMCC) offers the fellow exposure to a wide variety of behavioral conditions. Common disorders seen in the clinic include ADHD, anxiety disorders, autism spectrum disorders, speech and language delays, sleep difficulties, feeding problems and learning difficulties. Services cover the complete spectrum of child and family problems working in close association with other behavioral health specialists such as psychiatry, psychology, social work and other medical sub-specialists.
The BMCC is an ongoing clinical rotation in which the fellow participates on a weekly basis for most of the three years of fellowship. With each year, the fellow is expected to show progressive improvement in knowledge and skills in developmental-behavioral pediatrics.
The Child Development Center (CDC) was formed in 2009 as an integration of the clinical activities of Developmental Behavioral Pediatrics, Intellectual and Developmental Disability Psychology and the Center for Autism Spectrum Disorders. The CDC offers a widespread range of services to address the developmental and behavioral needs of children, adolescents and families struggling with autism spectrum disorders and other neurodevelopmental disabilities. The center provides comprehensive, multidisciplinary care focusing on evidence based treatment, ongoing medication management and behavior management services. Additional service offerings include education, research and advocacy for children with the diagnosis of Autism, Asperger's or other disorders on the autism spectrum. The center serves as one of the seventeen sites of the Autism Treatment Network (ATN) and the HRSA funded Autism Intervention Research Network on Physical Health (AIR-P).
Autism Spectrum Disorders (ASD) are highly prevalent, making clinical experience in this area a priority for developmental-behavioral pediatricians. The CDC is an ongoing clinical rotation in which fellow participates on a regular basis for the first two years of training.
The Developmental Disabilities Clinic (DDC) provides diagnostic evaluation and ongoing follow-up care for children with known or suspected physical and/or cognitive impairments. Subspecialty clinics encompassed within Developmental Disabilities Clinic include Cerebral Palsy, Down Syndrome, Post-Injury and Williams Syndrome. Diagnostic testing performed by the clinic usually includes a variety of developmental assessments, physical and neurodevelopmental exam and parent interview.
The DDC is one of the major clinical experiences for the fellow, offering evaluation and management of a wide variety of conditions presenting with developmental delay. The DDC is an ongoing clinical rotation in which the fellow participates on a weekly basis for much of the three years of fellowship.
Cerebral Palsy Clinic
The Cerebral Palsy Clinic is a multi-disciplinary clinic is dedicated to the treatment of the range of medical and orthopedic issues associated with Cerebral Palsy. Families are able to see a variety of specialists in one clinic visit including practitioners from Orthopedics, Physical Medicine and Rehabilitation, Nutrition, Developmental/Behavioral Pediatrics, Occupational Therapy, Physical Therapy, Speech Therapy and Social Work. Testing, such as X-rays or lab work, is available as needed.
The Cerebral Palsy Clinic meets once per month. The fellow rotates through the clinic each year on an intermittent basis and is expected to show progressive improvement in knowledge and skills in managing individuals with Cerebral Palsy.
Down Syndrome Clinic
The Down Syndrome Clinic at Nationwide Children's Hospital is a family-centered clinic providing diagnostic and treatment services to children and adolescents with Down syndrome and their families. Services may include a comprehensive medical assessment with special attention to the unique medical problems sometimes experienced by children with Down syndrome.
The Down Syndrome Clinic meets once each week. The fellow rotates through the clinic each year on an intermittent basis and is expected to show progressive improvement in knowledge and skills in managing individuals with Down syndrome.
The Post-Injury Clinic was established to provide long-term follow-up for victims of abusive head trauma (AHT) as an inter-disciplinary collaborative program between the Center for Family Safety and Healing, Developmental Behavioral Pediatrics, and Physical Medicine and Rehabilitation. The Post-Injury Clinic provides a single appointment in which patients are conveniently seen by multiple doctors to alleviate the stress of multiple, frequent medical visits on families. The clinic also provides close tracking of patients to assure appropriate and timely follow up. Nationwide Children's is one of only a few centers in the country with a dedicated clinic for the long-term follow up of patients with AHT.
The Post Head Injury Clinic meets once each month. The fellow rotates through the clinic each year on an intermittent basis and is expected to show progressive improvement in knowledge and skills in managing individuals with AHT.
Williams Syndrome Clinic
The Williams Syndrome Clinic at Nationwide Children’s Hospital is one of only six such centers in the United States providing interdisciplinary evaluation and ongoing care for individuals with Williams syndrome from infancy through adulthood. The evaluation team includes a clinic coordinator, psychologist, developmental behavioral pediatrician, speech/language pathologist, physical therapist, occupational therapist, and genetic counselor.
The Williams Syndrome Clinic meets once each month. The fellow rotates through the clinic each year on an intermittent basis and is expected to show progressive improvement in knowledge and skills in managing individuals with Williams syndrome.
The Nisonger Center Leadership Education in Neurodevelopmental Disabilities (LEND) Program is a unique, required rotation for our developmental-behavioral pediatrics fellows. A primary aim of the program is to develop leaders who are culturally competent, family-centered and community-based professionals to improve the health of infants, children and adolescents, with or at risk for, neurodevelopmental and related disabilities. This is accomplished through the LEND Leadership Seminar and associated activities such as the community project and the health policy course. Clinical activities include participation in the Family Directed Clinic, the Nisonger Center Autism Spectrum Clinic, and the Nisonger Developmental Disabilities Team Clinic. Dr. Karen Ratliff-Schaub is the Medical Director of The Nisonger Center and the principal investigator for the LEND grant.
The LEND Rotation is taken longitudinally during the first year of the fellowship.
The Molecular and Human Genetics Program provides the diagnostic evaluation of patients with known or suspected genetic diseases, genetic counseling and prenatal counseling for families, and the treatment of genetic disorders, especially inborn errors of metabolism, including those detected by newborn screening.
The Genetics rotation is typically taken longitudinally for a month during the first or second year of fellowship.
The Myelomeningocele/Spina Bifida Clinic at Nationwide Children's Hospital is a multidisciplinary clinic providing comprehensive long-term treatment services to individuals with Myelomeningocele and other spinal abnormalities from birth through adulthood. Services may include assessments by members of a multidisciplinary team consisting of neurodevelopmental pediatrics, nursing, orthopedics, psychiatry, urology, neuropsychology, social work, physical therapy, occupational therapy, orthotics and other related ancillary services. The program is one of seventeen centers in the Centers for Disease Control and Prevention funded National Spina Bifida Registry.
The Myelo Clinic meets once each week. The fellow rotates through the clinic each year on an intermittent basis and is expected to show progressive improvement in knowledge and skills in managing individuals with Myelomeningocele/Spina Bifida.
The Neonatal Clinic is run by the Division of Neonatology and is designed to work hand-in-hand with regular visits to infants’ pediatricians. The clinic monitors developmental progress of infants following discharge from special care nurseries. Additionally, the clinic helps to ensure that these at risk children access early intervention services as needed to maximize their developmental outcome. The clinic follows infants from the time of discharge until age two when they transition to other developmental programs as needed for ongoing developmental follow up. The Neonatal Clinic is comprised of a team of developmental specialists including occupational therapy, physical therapy, pediatrics, nursing, developmental pediatrics, nutrition and social work.
The Neonatal Clinic meets twice each week. The fellow rotates through the clinic intermittent basis during the first year of fellowship.
The Section of Physical Medicine and Rehabilitation (PM&R) at Nationwide Children's Hospital specializes in the diagnosis and management of children with physically disabling conditions. PM&R offers a Comprehensive Pediatric Family-Centered Care Inpatient Rehabilitation Program, a Day Treatment Program that can be customized to meet the needs of the patient/family and a Rehabilitation Clinic that is established for follow-up visits, as well as evaluation for potential admission. Potential clinical experiences within the PM&R clinics include: Physical Medicine General Clinic, Cerebral Palsy, EMG, Botox, Concussion, Seating and Post Injury.
The Physical Medicine rotation is taken longitudinally for a month during the first or second year of fellowship.
The Section of Pediatric Psychiatry offers child and adolescent psychiatrists who specialize in the evaluation, diagnosis and pharmacology related to treating mental disorders. Services include: psychiatric evaluation, medication management, inpatient psychiatric consultation, community behavioral health, parent education and outpatient psychotherapy. Comprehensive patient care is provided by a multidisciplinary team which may include a psychiatrist, developmental-behavioral pediatrician, nurse practitioner, psychologist, clinical social worker, and clinical counselor.
The Psychiatry rotation is taken longitudinally for one to six months during the first or second year of fellowship.
Child Abuse Rotation
The Child Abuse rotation is taken as a subset of the Psychiatry rotation. This rotation primarily takes place at The Center for Family Safety and Healing (CFSH) at the Nationwide Children’s Hospital campus with some clinical some activities (such as inpatient consults) at NCH. CFSH fully addresses all aspects of family violence, including child abuse and neglect, teen dating abuse, domestic violence and elder abuse, thanks to an impressive combination of public and private resources.
Child abuse and neglect represents an extreme end of the spectrum of parenting difficulties and issues of parent-child conflict. Developmental and behavioral disorders have been identified as precipitating abuse and neglect, and occurring as a result of abuse and/or neglect. Because of this intertwined relationship, training experiences in the area of child abuse and neglect are important to the education of the developmental-behavioral pediatrics fellow.
A distinguishing aspect of the Nationwide Children’s Hospital Developmental-Behavioral Pediatrics Fellowship Program is the flexibility for fellows to shape their training based on personal interests. While initially the fellowship is structured with core rotations, the final year and a half of fellowship allows time for the fellow to pursue clinical experiences within or outside of Developmental-Behavioral Pediatrics. Common elective rotations are listed below; however this is not a comprehensive list of available experiences.
The 22q Center’s multidisciplinary team works together with families of children diagnosed with 22q11.2 deletion syndrome to provide diagnosis and early intervention services in order to optimize care and provide the best outcomes for every child.
The Cleft Lip and Palate Center at Nationwide Children’s Hospital offers children and their families’ comprehensive care from a multi-disciplinary team of nationally recognized clinicians. The team comprises experts from plastic surgery, oral and maxillofacial surgery, orthodontics, otolaryngology (ENT), speech language pathology, nursing, dentistry, social work, audiology, genetics and psychology. The Cleft Lip and Palate Center is recognized as an affiliate team of the American Cleft Palate - Craniofacial Association (ACPA). In addition to standard services, the Cleft Lip and Palate Center provides complex neurodiagnostic monitoring as well as neuropsychological and psychosocial evaluation and treatment.
THRIVE is a program that specializes in care for differences/disorders of sexual developmental (DSD), complex urological and gender concerns. The program is comprised of a team including Urology, Endocrinology, Psychology/Psychiatry, Genetics, Adolescent Medicine and Social Work.
The Epilepsy Center is accredited by The National Association of Epilepsy Centers as a level-four epilepsy program – the highest level of epilepsy care. In addition to standard services, the Epilepsy Center provides complex neurodiagnostic monitoring as well as neuropsychological and psychosocial evaluation and treatment. The level-four designation also means offering advanced epilepsy surgery services, including evaluation with intracranial electrodes. Epilepsy clinics include: New Onset Seizure Clinic, Complex Epilepsy Clinic, Epilepsy Surgery and Infantile Spasms Clinic.
Patients being evaluated in our comprehensive Headache Clinic are typically seen by a neurologist and/or pediatric nurse practitioner specializing in headache management. Depending on the child’s age and family interest, they may also be seen by a clinical psychologist with special expertise in cognitive behavioral therapy and biofeedback/relaxation therapy.
The Interdisciplinary Feeding Evaluation program provides outpatient evaluation services for children with feeding difficulties requiring the services of three or more disciplines. Services may include assessments by our team consisting of a variety of specialists including Pediatrics, Psychology, Clinical Nutrition, Occupational Therapy and Speech Therapy.
The International Adoption Clinic addresses the physical, psychological and developmental challenges families face when adopting a child abroad. Staff members have experience treating conditions that sometimes are associated with early care in crowded orphanages or foster care programs abroad. The clinic offers families as wide range of services before, during and after adoption.
The Neurodiagnostics Program at Nationwide Children's Hospital provides testing of the brain, spinal cord and peripheral nervous system. The department provides routine and long-term EEG testing, Evoked Potentials and Ambulatory EEG.
The Pediatric Psychology Program at Nationwide Children’s Hospital offers specialized assessment and intervention services that focus on the relationship between children’s cognitive, social and emotional functioning and their physical well-being. Children and adolescents and their families with medical conditions are served, both as inpatients and outpatients at Nationwide Children’s Hospital.
The Prader-Willi Program emphasizes early intervention and a proactive approach to assessment of and treatment for the possible complications that can be associated with PWS. The team includes an endocrine nurse coordinator, endocrinologists, a geneticist, a genetic counselor and a dietitian that attend each PWS Clinic. The clinic has a close relationship with clinicians from a number of supporting disciplines, and our patients referred to Ophthalmology, ENT, Sleep Medicine, Behavioral Health, Urology, Physical/Occupational/Speech Therapy and Dermatology as needed.