Residency/Fellowship in Neurodevelopmental Disabilities
The Child Development and Rehabilitation Center
Oregon Health & Science University
The Child Development and Rehabilitation Center (CDRC) at the Oregon Health & Science University (OHSU) offers a residency in Neurodevelopmental Disabilities (NDD) for pediatricians whom we anticipate will become leaders in the care of children with neurodevelopmental disabilities, including cerebral palsy, mental retardation, autism spectrum disorders, learning disabilities, attention deficit disorders and other neurobehavioral problems. The training program is most appropriate for the pediatrician who wishes to pursue a career in neurodevelopmental and/or neurobehavioral pediatrics. The program is a 4-year traineeship preceded by 2 or 3 years of pediatrics training with board certification or eligibility in General Pediatrics. Stipend amounts are commensurate with level of training and are standard across all OHSU medical residents and fellows. The NDD program aims for a total of 2-3 fellows in the program. This training program is run in close conjunction with a complementary residency program in Child Neurology (3 years) and leads to eligibility for board certification in Neurology and in NDD.
Interdisciplinary Training Institute
Within the CDRC is housed our University Center for Excellence in Developmental Disabilities (UCEDD), known as the Oregon Institute on Disability and Development (OIDD). The training programs within the OIDD include both faculty and graduate students from a wide variety of disciplines. The programs incorporate a truly interdisciplinary approach. The resident in Neurodevelopmental Disabilities will become skilled in developmental assessment, medical diagnosis, and management of disabled children. Interviewing, family observation, and the appropriate use of behavioral strategies are also taught. The trainee will participate in many settings, both medical-center-based and community-based, and will receive training and supervision from faculty in other disciplines, including psychology, social work, psychiatry, special education, and all the therapy disciplines. The NDD resident will often interact with trainees from all the other disciplines in the UCEDD training programs.
The following are goal areas for trainees from all disciplines:
- Development of skills in interviewing and communication
- Development of knowledge and understanding of child development and skill in its assessment
- Development of knowledge and understanding about those pathological processes which interrupt or alter development
- Development of knowledge and skills in patient management and treatment strategies
- Development of an understanding of interdisciplinary theory and practice, knowledge about other professional disciplines, and an increase of skill in working with them
- Growth in understanding of administrative functions and participation in the development of public health policy
- Development of an understanding of developmental disabilities in the community: epidemiology, prevention, community agencies and resources
- Development of clinical research skills and the ability to critically review the research of others
- Growth in leadership skills
In addition to the above goals, there are several areas in which the NDD trainee will have the opportunity to acquire particular knowledge and skill:
- Knowledge and skill in the medical diagnosis and management of the spectrum of neurodevelopmental disabilities, related neurological conditions, and behavioral disorders
- Knowledge and skill in adult and child neurology
- Knowledge and skill in clinical genetics, genetics interviewing, and genetics counseling
- Knowledge and skill in neurometabolic disorders
- Knowledge and skill in behavioral pediatrics, child psychiatry and psychopharmacology
The Center provides a comprehensive array of child development clinics plus the rich offerings of Oregon's Services for Children with Special Health Needs (OSCSHN) clinics, conducted jointly in the CDRC. The clinical programs include the following:
- Child Development (Behavior and Learning) Clinics
- Neurodevelopmental (Cerebral Palsy and Feeding) Clinics
- Child Neurology Clinics
- Behavioral Pediatrics Clinics
- Child Psychiatry Clinic
- Autism Clinic
- NICU Follow-up Clinics
- Genetics Clinics
- Metabolic Disease Clinics
- Hemophilia Clinic
- Spina Bifida Clinic
- Craniofacial Disorders Clinic
Additional clinical programs on and off the OHSU campus include the adult neurology programs, Shriners Hospital clinics, physical medicine and rehabilitation clinics, private behavioral pediatrics clinics, Eugene CDRC clinics, community developmental (CCN) clinics, and many others.
In the clinical arena the trainee is given responsibility commensurate with his or her experience. Extensive observation facilities encourage unobtrusive faculty-trainee supervision and feedback as well as the appreciation for the techniques of other disciplines. Participation in community programs is considered to be a vital component, where trainees have the opportunity for further clinical experience, particularly in terms of interventions and various treatment techniques. Parent education programs accompany many of these programs. Individual, mentored research activity is an essential element of each fellow training experience.
Interdisciplinary seminars and conferences provide a forum for didactic instruction and discussion in the same goal areas outlined previously. The Neuroscience Seminar is the central classroom session for NDD and Child Neurology residents/fellows and is jointly organized by Child Neurology, Neuroradiology, and Neurodevelopmental Pediatrics. Trainees are invited to attend the journal clubs conducted by other disciplines. In addition, the Neurodevelopmental Disabilities trainee is encouraged to attend appropriate conferences from the wide variety offered by the OHSU Neurology and Pediatrics Departments.
A substantial degree of individual variation in the training program is possible, and the fellow in Neurodevelopmental Disabilities is encouraged to outline his or her own goals, so individualization can be provided.
The OHSU Child Neurology and Neurodevelopmental Disabilities programs participate through the San Francisco Match (www.sfmatch.org). All application materials must go through the SFMatch mechanism. An interview visit to our center is required. Meeting personally has been most valuable for us and for the prospective trainee to learn about each other and to clarify issues related to the training program. Provisions in our training grant require that the applicant be a U.S. citizen or have obtained an immigrant visa.
For the interested applicant, formal application involves following the SFMatch application procedure. A letter or e-mail expressing your interest, the name of your medical school or residency program, and the date of graduation or completion of Pediatrics training would be appreciated. The residency director would also be interested in the prospective date the applicant wishes to start training and indication of any special areas of interest.
For further information regarding this residency/fellowship, please write or call:
Peter A. Blasco, M.D.
Associate Professor of Pediatrics
Director, NDD Residency Training Program
PO Box 574
Portland, Oregon 97207