Daniel Coury, MD
Our fellowship program was established in 1984. The program is designed to prepare pediatricians for an academic career in Developmental and Behavioral Pediatrics. The fellowship provides training in the identification and management of clinical conditions, the conduct of research and the development of teaching and administration skills. Training is principally based here at Nationwide Children’s Hospital, with significant additional experiences at the Nisonger Center for mental retardation and developmental disabilities on the campus of The Ohio State University. Upon successful completion of the program, the fellow has met the training requirements for Developmental-behavioral Pediatrics certification by the American Board of Pediatrics.
The first year is an immersion in clinical training in developmental-behavioral pediatrics. The fellow spends the majority of their time (70 to 90%) in clinical experiences acquiring skill and expertise in taking a detailed developmental and behavioral history, performing a physical examination pertinent to the presenting concerns, and conducting appropriate developmental and/or behavioral assessments. This clinical knowledge and expertise is acquired primarily through experiences in the programs responsible for general developmental and general behavioral evaluation, with some more focused training in specialized clinics such as Down Syndrome Clinic and Interdisciplinary Feeding Clinic. This clinical training is accompanied by an ongoing series of didactic presentations on developmental-behavioral topics, and on skills in conducting research and teaching. The fellow also spends time early in the year meeting all core and affiliated faculty, identifying a topic for their scholarly activity, and assembling a scholarship oversight committee with assistance from the Program Director.
The second year is a period of increasing activity in the fellow’s identified scholarly project, accompanied by continued refinement of clinical skills. As the second year progresses, more of the clinical activities scheduled are selected through a process of reviewing those areas where the fellow has already acquired expertise as determined by faculty, and those areas the fellow and faculty feel are in need of continued improvement. In addition, more time is set aside for the fellow to work on their scholarly project. The fellow may spend additional time in a specific clinical program associated with the area of scholarly work. Finally, the fellow spends an increasing amount of time in a role as preceptor to trainees at lower levels, and developing teaching and presentation skills.
The third year is the year most flexible in finalizing the fellow’s individual learning plan. Those clinical areas of greatest interest, and any clinical areas of weakness, are the focus of clinical experiences. Completion of the scholarly project and continued experience practicing teaching skills round out the schedule.
The Ohio State University
The Nisonger Center LEND Rotation is a required rotation for the developmental-behavioral pediatrics fellowship program. The rotation provides both didactic and clinical experiences with assessment and management of developmental and behavioral conditions. A major emphasis of this rotation is the development of leadership skills through the Leadership Education in Neurodevelopmental Disabilities (LEND) program. 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. The LEND Rotation is taken longitudinally during the first year of the fellowship. Dr. Karen Ratliff-Schaub is the Medical Director of The Nisonger Center and the principal investigator for the LEND grant.